Discusses the benefits and challenges of tele-social care and offers practical tips for providers administering telehealth services for social care activities.

Provides practical steps for current or potential future Medicare accountable care organizations to transform the delivery of care, including through telehealth, home visits, and skilled nursing care.

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve care.

Includes promising practices, recommendations, vignettes, and other helpful tools to assist health systems in supporting family caregivers providing complex care.

Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic.

Offers a practical framework for safety-net health systems to better identify and segment patients with complex needs, and tailor care models to meet their needs.

Step-by-step guide with robust tools for health systems to apply the 4Ms framework to deliver age-friendly, evidence-based care for older adults.

Clinical tools, training resources, and case studies of evidence-based care models that support people living with dementia and their caregivers.

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

This toolkit shares business strategies, sample protocols, and best practice clinical tools for health care providers interested in developing a home-based palliative care program.

This tip sheet provides guidelines for how health plans and provider organizations can use more person-centered language.

Tips on integrating community health workers into quality improvement teams to address patients’ social needs.

Describes how health care providers and their correctional agency partners can design medications for addiction treatment programs for people with opioid use disorder in jails and prisons.

Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.

Tools, tips, and vignettes for incorporating telehealth into home-based primary care models.

Implementing a trauma-informed approach in primary care.

Effectively implementing medications for addiction treatment programs in primary care settings.

Guide for hospitals to address housing instability by understanding the evidence, evaluating different approaches, and exploring case studies of health system-led programs.

A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.

How to implement the new Medicare benefits.