Innovations
Health Navigators Support Self-Management With Primary Care Patients, Leading to Improved Behaviors and Lower Utilization 2/20/2013
Health navigators help primary care patients access medical and community resources, leading to significant improvements in health-related and self-management behaviors and health outcomes and to meaningful declines in emergency department and inpatient utilization.
Onsite Nurses Manage Care Across Settings to Increase Satisfaction and Reduce Cost for Chronically Ill Seniors 2/20/2013
Specially trained nurses work with primary care physicians in their offices to improve the quality and efficiency of care for seniors with multiple chronic illnesses by coordinating care, facilitating transitions in care, and acting as the patient's advocate across health care and social settings.
Community-Wide Collaboration Provides School-Based Mental Health Services to Students and Families in Impoverished, High-Crime, Urban Neighborhoods 2/13/2013
A child mental health agency, the Boston Public Schools, and several other urban community service agencies have joined together to provide school-based mental health and other support services to students and their families living in neighborhoods plagued by poverty and crime.
Hospital Systematically Screens and Initiates Treatment for Depression and Anxiety in Cardiac Patients, Improving Cardiac Symptoms and Mental Health 2/13/2013
A hospital screens all cardiac inpatients for depression and anxiety and initiates treatment for them as appropriate, leading to improvements in cardiac symptoms and mental health.
Policy
Alliance Creates Community Health Workers’ Scope of Practice, Training Curriculum, Certificate Program, and Reimbursement Strategy, Expanding Their Integration Into the Health System to Reduce Health Disparities 2/6/2013
A statewide consortium of community health workers, public agencies, and nonprofits aimed to reduce health disparities by developing a standardized scope of practice, creating a training and certificate program and a stable funding strategy to secure reimbursement from Medicaid. Their work resulted in greater integration for these workers in the health care work force.
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QualityTools
Assurance of Diabetes Care Coordination Toolkit 2/20/2013
The goal of this toolkit is to suggest quality improvement approaches that a facility can use to ensure care coordination for patients with diabetes mellitus.
Department of Veterans Affairs/Department of Defense (VA/DoD) Clinical Practice Guideline for the Management of Post Traumatic Stress: Module B Summary 2/20/2013
This 15-page module summary on posttraumatic disorders in primary care is derived from the evidence-based clinical practice guideline Management of Post Traumatic Stress, developed by the Department of Veterans Affairs and Department of Defense. It focuses on acute stress disorder and post-traumatic stress disorder.
National Rehabilitation Information Center's (NARIC) Information for the Public: Publications 2/20/2013
The National Rehabilitation Information Center (NARIC) Publications tool provides many publications produced by staff members or by other National Institute on Disability and Rehabilitation Research (NIDRR) grantees and is intended for use by the public.
Admission Orders for Medications Prior to Admission 1/30/2013
This worksheet can be used to reconcile a patient's current medications and allergies at admission to a hospital.
Care Coordination Forms 1/30/2013
This site provides downloadable forms for care coordinators of individuals with severe mental illness.
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