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Care transitions

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  • Topic: Care transitions
  • Topic: At-risk and vulnerable people
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Englewood Hospital & Medical Center

September 1, 2006 | Toolkit

Standardized forms were created by the hospital for patients admitted to the hospital from the emergency department (ED).

When Students Have an Emergency, the Brookline Resilient Youth Team Steps in

April 18, 2011 | Program Results Report

In 2004, the Brookline Community Mental Health Center and Brookline High School established the Brookline Resilient Youth Team. It provides counseling and academic help to high school students who are re-entering school after a personal emergency.

New Services for Released Prisoners with Mental Illness in Mercer County, N.J.

June 28, 2010 | Program Results Report

Greater Trenton Behavioral HealthCare and its partners provided re-entry assistance to 176 incarcerated individuals diagnosed with mental illness through discharge planning, case management and needed follow-up services for 12 months or more.

Creating Lifelong Communities

January 1, 2009 | Journal Article

This article explores the issue of aging and longevity, and describes one region's response to the growing population of seniors.

Edward Hospital

September 1, 2006 | Toolkit

Related websites Urgent Matters Web site In order to conduct individual patient follow-ups, a call back clerk phones discharged patients to inquire about the status of their medical conditions and their satisfaction with their providers. This inform ...

St. Joseph's Hosptial & Medical Center

September 1, 2006 | Toolkit

Related websites Urgent Matters Web site The hospital developed a comprehensive diversion reduction plan to improve efficiency of hospital discharges and identified a team of individuals to oversee implementation of the plan. The plan sets guideline ...

The Regional Medical Center at Memphis (The Med)

September 1, 2006 | Toolkit

Related websites Urgent Matters Web site The hospital implemented a discharge resource room (DRR) in order to free inpatient space for emergency department (ED) patients. Patients are moved to the ground floor DRR when they are ready to leave the ho ...

Project Expands Well-Baby Care for Infants Born to Low-Income Women

January 31, 2004 | Program Results Report

The Gift of Life Foundation worked to remove barriers to care for infants born to low-income mothers in Montgomery's four-county region and to help prevent babies from "falling through the cracks" of the health care system there.

Model Community-Based Treatment Program Reduces Hospitalization and Jail Time Among People with Mental Illness and Substance Abuse

September 29, 2008 | Program Results Report

Project Link is a consortium of six community service organizations to reduce repeated hospitalizations and incarcerations among a population of clients with the dual diagnoses of severe mental illness and substance abuse.

Increased Access to Medicaid Had Little Effect on Pregnancy Care or Outcome

January 1, 2001 | Program Results Report

From 1991 to 1996, investigators at Harvard Medical School examined the effects of Medicaid eligibility expansions on a range of maternal and neonatal outcomes in California and South Carolina.

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