Resources

This resource describes a quasi-experimental study evaluating the effect of a transitional care program that involved rapid primary care follow-up

This resource describes a new model that moves high-need patients out of the emergency department and into a network of social supports.

This resource describes the Great Plains Senior Services Collaborative, an initiative to improve health and quality of life for rural seniors.

Family caregivers play a foundational role in the care of older adults with complex needs and disabilities from both a health care and economic standpoint.

Family caregivers are a critical part of the home- and community-based workforce for people with serious illness.

This resource describes and analyzes the different professional compositions of care management programs.

This resource describes and evaluates a new specialist pharmacy service, called the integrated care clinical pharmacist.

This resource is a toolkit to help payers and providers understand how home-based primary care (HBPC) improves quality and reduces costs for seriously ill and home-limited o

This resource provides an example of an approach to caring for different subpopulations of people with dementia. 

This resource describes a randomized controlled trial to evaluate the effects of a case management intervention called V1SAGES (Vulnerable Patients in Primary Care: Nurse Ca

This resource is a series of four videos (each roughly 12 minutes long) about how to transform care for people with involved disabilities according to the “independent living” mod

This resource provides an overview of a quality-improvement intervention focused on communication with patients with advanced cancer.