Resources

This resource identifies features of intensive outpatient programs that increase patient engagement.

This resource describes how HBPC practices assess the non-medical social needs of older adults who are homebound and identifies barriers to coordinating home and commu

This resource reviews interventions for frequently hospitalized patients and assesses the effectiveness of these interventions.

This resource curates resources from experts across the country in the field of trauma-informed care.

 

This resource describes a promising new hospitalist model for inpatient treatment of complex care patients.

This resource describes a study of how health care providers and social services providers coordinate their work in communities that achieve relatively low health care utili

This resource reviews the literature on case management programs published over the past 17 years, arguing that application of two theories (agency and street-level bureaucratic t

This resource reviews efforts of academic medical centers (AMCs) to improve care for patients with complex needs, and the opportunities for AMCs to contribute to better care throu

This resource assesses HealthChoices HealthConnections, an integration pilot program for Medicaid beneficiaries with SMI and co-occurring chronic conditions in t

This resource provides guidance for state leaders in establishing and advancing complex care programs.

This resource describes successful Canadian programs working with inner-city communities to achieve the Triple Aim.

This resource reports on a randomized clinical trial assessing whether CHWs can effectively improve chronic disease outcomes.