Displaying 61 - 80 of 81

Operational Guide to Identify, Understand, and Treat High-Need Patients

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.

Implementation Tool

September 2020

Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults

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.

Implementation Tool

July 2020

Rural Community Paramedicine Toolkit

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

Implementation Tool

June 2020

Measuring Complexity: Moving Toward Standardized Quality Measures for the Field of Complex Care

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

Brief/Report

May 2020

Blueprint for Complex Care: Advancing the Field of Care for Individuals with Complex Health and Social Needs

This resource outlines the current state of complex care and recommendations for the future.

Implementation Tool

December 2018

Use Human-Centered Design Methods to Develop Your Care Model

Describes how a human-centered design approach can help you develop a complex care program that addresses the realities of the people you serve.

Play

February 2018

Engage Stakeholders with a Storyboard

Describes how to implement, iterate, and sustain a complex care model through the use of storyboards that keep stakeholders engaged.

Play

February 2018

Care Ecosystem Toolkit

Details implementation guidance for the evidence-based Care Ecosystem model, which improves supports for people with dementia and their caregivers.

Implementation Tool

February 2018

Define the Care Management Team

Outlines how to develop a care team that can help control costs by allowing medical providers to work to the top of their license.

Play

November 2017

Integrate the Complex Care Program with Primary Care

Describes opportunities for how primary care providers and complex care programs can work together as one effective team.

Play

November 2017

Use a Scale-Up Grid to Plan for Implementation

Highlights how scale-up grids can help in identifying steps to take as you move from pilot to scale.

Play

November 2017

Manage Quality with Daily Huddles

Describes how to use daily huddles to manage the implementation of an enhanced care program.

Play

November 2017

Scale Up Care Design by Multiples of Five

Describes how working with five patients from a population segment then scale up in multiples of five can improve quality.

Play

November 2017

What Works in Integrated Care Programs for Older Adults with Complex Needs? A Realist Review

A literature review describes the most important success factors for integrated care programs.

Peer-Reviewed Article

October 2017

Building Complex Care Programs: A Road Map for States

This guide for state leaders offers lessons about state-level approaches to complex care.

Implementation Tool

October 2017

Effective Care for High-Need Patients: Opportunities for Improving Value, Outcomes and Health

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

Brief/Report

June 2017

Complex Care Program Development: A New Framework for Design and Evaluation

A new framework outlines four steps to develop care management programs.

Brief/Report

March 2017

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

Experts describe how delivery systems can effectively serve adults with complex needs.

Brief/Report

September 2016

Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals

Targeting is important, even within the high-need patients enrolled in the program.

Peer-Reviewed Article

November 2015

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs

Key opportunities include strengthening information technology connections across service providers.

Brief/Report

September 2015

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Operational Guide to Identify, Understand, and Treat High-Need Patients

Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults

Rural Community Paramedicine Toolkit

Measuring Complexity: Moving Toward Standardized Quality Measures for the Field of Complex Care

Blueprint for Complex Care: Advancing the Field of Care for Individuals with Complex Health and Social Needs

Use Human-Centered Design Methods to Develop Your Care Model

Engage Stakeholders with a Storyboard

Care Ecosystem Toolkit

Define the Care Management Team

Integrate the Complex Care Program with Primary Care

Use a Scale-Up Grid to Plan for Implementation

Manage Quality with Daily Huddles

Scale Up Care Design by Multiples of Five

What Works in Integrated Care Programs for Older Adults with Complex Needs? A Realist Review

Building Complex Care Programs: A Road Map for States

Effective Care for High-Need Patients: Opportunities for Improving Value, Outcomes and Health

Complex Care Program Development: A New Framework for Design and Evaluation

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs