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Chronic Disease Management

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  • Topic: Chronic disease management
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Smoothing the Transition From Hospital to Community for Older Adults in Jacksonville, Fla.

December 7, 2011 | Story

Mark LeMaire led a community partnership in Jacksonville, Fla., that placed elder care advocates in area hospitals to help discharged patients transition back to the community. The hospitals have since incorporated the program into their operations.

Support by State Gives Momentum to Florida Coming Home Assisted-Living Project

August 13, 2004 | Program Result

Florida developed a model of affordable assisted living - Helen Piloneo Assisted Living - a 110-unit, 100 percent affordable assisted-living project in Pinellas Park.

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

July 1, 2001 | Program Result

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.

TB Project Screens Migrant Workers in the Field and Tracks Them from State-to-State

March 1, 2007 | Program Result

The State of Florida established a system for tuberculosis testing, assessment and treatment services for its migrant farmworker population in Northeast Florida and attempted to set up the model in South Florida.

"Five Wishes"

December 1, 1998 | Program Result

The Florida Commission on Aging with Dignity, a privately funded nonprofit in Tallahassee, Fla., held a series of five community forums in Florida in 1996 and 1997 on a variety of aging and end-of-life issues.

A Continuing Care Management Model of Health Care in Miami Reduces Emergency Department Use

December 1, 1998 | Program Result

The University of Miami School of Medicine assessed and further developed their existing continuing care management model of care for low-income chronically ill people in Dade County Fla.

Aging with Dignity

January 1, 1997 | Toolkit

Learn more about advance directives and how to express care preferences at the end of life.

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