Providers can apply these tools when designing and refining telehealth services delivery to meet the needs of older adults with a range of physical, cognitive, linguistic, and cultural differences.

Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

A provider tool that promotes person-centered and equitable care by recognizing and avoiding bias in electronic health record notes.

These resources can help nurses educate and support family caregivers in performing complex medical tasks for their family members at home.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

This toolkit can support health care organizations in creating the business case for complex care programs.

Downloadable tools, tip sheets, sample forms, and how-to guides on home-based primary care, with a focus on clinical and operational best practices.

Contains practical guides, tools, and other resources for developing complex care programs.

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.

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.

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

This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.

A tool for assessing readiness for value-based partnerships.

An in-depth overview of different personas.

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

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

This resource offers guidance on contracting for populations with complex needs.

This resource explains how to invest in social services as a business strategy.