Headline Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base. Context Although complex care is a widely used approach to support people with...
Headline When identifying patients with complex health needs for interventions, algorithms that rely on cost data as a proxy for health status may lead to under-identification of Black patients...
Headline Nurses and members of fully staffed interdisciplinary care teams are more likely to use patient identification and care management tools. Context The majority of patients with complex health...
Headline Recommended set of evidence-based measures for high-quality care for patients with complex needs based on systematic review of relevant measures. Context While many health care stakeholders...
Headline Peer support specialists can link patients with substance use disorders (SUD) to treatment, but this study showed disparate outcomes for how one program impacted access to care for Black and...
Headline A patient navigation intervention for people with substance use disorder led to cost savings of over $17,000 per participant after 12 months post-discharge due to reduced inpatient admissions...
Headline Patients with complex needs were more satisfied with in-home urgent care delivered by community paramedics than emergency department (ED) urgent care. Context Though emergency departments...
Headline Patients with higher adverse childhood experiences (ACEs) scores or positive post-traumatic stress disorder (PTSD) screenings felt stress when seeking medical care, but indicated trauma...
Headline Describes a primary care organization’s approach to using machine learning versus provider judgement to assign primary care visit frequency and better identify future risk of hospitalization...
Headline This report summarizes research on the prevalence of social screening in health care settings, validity of social screening tools, and patient and provider perspectives on social screening...
Headline Analytical approach for randomized controlled trials may be valuable for understanding the impact of complex care interventions and the subpopulations that may benefit from them. Context Many...
Headline Black caregivers of people with dementia share their perspectives on a care coordination intervention. Context Maximizing Independence at Home (MIND) is a home-based intervention designed to...