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Care transitions

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  • Topic: Care transitions
  • Location: Urban
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Prisoners Returning Home in the Bronx and Brooklyn Find Reentry Services Located Far Away in Manhattan

August 27, 2009 | Program Results Report

An electronic database and map of reentry services available to prisoners returning from New York City's jails to communities in its five boroughs finds services are often inaccessible.

RWJF National Program, Fighting Back, Tackles Drug and Alcohol Programs in D.C.

May 27, 2005 | Program Results Report

From 1990 to 2001, Working Together-Fighting Back attempted to reduce the demand for illegal drugs and alcohol in Ward 7 and the eastern part of Ward 6 of the District of Columbia.

Community Alliance Combats Substance Abuse in Vallejo, Calif.

May 4, 2005 | Program Results Report

The Fighting Back project in Vallejo, Calif., worked from 1990 to 2002 to prevent, intervene and treat alcohol and other drug abuse, focusing on local partnerships and strategic alliances to coordinate activities.

"Newark Fighting Back" Organizers Tackled Substance Abuse, Increased Treatment Rates

May 1, 2003 | Program Results Report

In 1989, the Boys and Girls Club of Newark initiated a project designed to reduce demand for alcohol, tobacco and other drugs in selected neighborhoods in the city of Newark.

Mapping the Innovation in Correctional Health Care Service Delivery in New York City

April 1, 2008 | Report

An electronic database and map of reentry services available to prisoners returning from New York City's jails to communities in its five boroughs finds services are often inaccessible.

Cardiology Admission Orders Physician's Order Sheet

June 4, 2008 | Toolkit

Staff combined information from three existing order sets into a single, comprehensive cardiology admission order set to reduce provider confusion and help the hospital reach regular compliance rates of 90 to 100% for evidence-based cardiac measures.

Patient Discharge Instruction Record

June 4, 2008 | Toolkit

Sinai-Grace Hospital in Detroit, Mich., developed a systemwide universal discharge instruction form, merging general discharge instructions with cardiac-specific discharge instructions for patients with acute myocardial infarction or heart failure.

A New Family-Focused Database for Bodega de la Familia's Work with Prisoners Coming Home in New York

October 31, 2008 | Program Results Report

Staff at Family Justice designed and implemented a comprehensive database designed to support its approach to improving the health and well-being of formerly incarcerated individuals and their families in New York.

Support from "San Antonio Fighting Back" to Community Coalitions Increases Substance Abuse Treatment and Reduces Crime

March 23, 2007 | Program Results Report

San Antonio Fighting Back worked to plan and implement a comprehensive system of substance abuse prevention, treatment and aftercare services in the southeast quadrant of San Antonio.

Poor More Likely to be Hospitalized for Diseases Preventable with Primary Care

July 1, 2001 | Program Results Report

The United Hospital Fund of New York worked to develop, validate and implement a research technique called small-area analysis, used to identify communities with high rates of unnecessary hospitalization and limited access to primary care.

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