At-Home Palliative Care for Veterans Enhances Medication Adherence and Connections With Families and Providers, While Also Lowering Costs
The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.
Case Managers Remotely Monitor Chronically Ill Medicare Beneficiaries Each Day, Reducing Mortality and Costs
Case managers remotely monitor Medicare beneficiaries with chronic conditions via a messaging device that asks and records answers to disease-specific and general health questions each day, leading to lower mortality and costs.
Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting
Aurora Health Care spearheaded a community-wide medication reconciliation initiative, involving health care consumers, providers, pharmacists, and community stakeholders, to improve the accuracy of elderly patients' medication lists.
Community Liaisons Facilitate Access to Culturally Competent Care for Orthodox Jewish, Chinese, and Arab Patients
Culturally competent community liaisons help members of the Orthodox Jewish, Arab, and Chinese communities access health care and community-based services, leading to a better patient experience.
Community Referral Liaisons Help Patients Reduce Risky Health Behaviors, Leading to Improvements in Health Status
A community health educator referral liaison receives physician referrals of patients with risky health behaviors; the liaison links patients with community resources, offers counseling and encouragement over the telephone, and provides feedback to the physicians.
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A Guide to Primary Care of People with HIV/AIDS, 2004 Edition
This 180-page guide addresses several important aspects of primary care and treatment for patients with HIV/AIDS.
Caregivers Count Too!: A Toolkit to Help Practitioners Assess the Needs of Family Caregivers
This toolkit is a step-by-step resource filled with practical information and resources to assess caregiver needs in service delivery settings.
Medicines In My Home
Medicines in My Home is an interactive educational program about the safe and effective use of over-the-counter medicines.
National Rural Health Resource Center: Health Information Exchange Toolkit
The National Rural Health Resource Center developed this HIE toolkit, which contains resources designed for rural providers including hospitals, health networks, and others.
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement
This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants.