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Continuum of Care

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  • Topic: Continuum of care
  • Program: Quality/Equality
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Redesigning Primary Care: Clinics Switch to Practice Teams

October 6, 2008 | Story

Under the direction of Waterman and Wheeler, HealthPartners embarked on an ambitious redesign of clinic processes aimed at transforming the organization’s 638-physician medical group.

San Francisco Collaborative Provides Continuum of Care for Severely Mentally Ill Youth

June 1, 2000 | Program Result

From 1996 to 1998, the City and County of San Francisco developed blended funding streams and wraparound services under a capitated managed care system.

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.

Reform in Action: How the U.S. Health Care System Can Reduce Avoidable Readmissions

February 28, 2013 | Issue Brief/Infographic

Almost one in five elderly patients released from a hospital is back within 30 days, and more than one in three are back within 90 days. Although some readmissions are part of a patient’s treatment plan, many are avoidable.

The Issue

Care About Your Care is a national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift the overall quality of care.

The Effort

Care About Your Care is a national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality of care.

Provider Resources

Care About Your Care is a national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality of care.

Reform in Action: How the U.S. Health Care System Can Reduce Avoidable Readmissions

March 5, 2013

Almost one in five elderly patients released from a hospital is back within 30 days, and more than one in three are back within 90 days. Although some readmissions are part of a patient’s treatment plan, many are avoidable.

Video Contest Winners Demonstrate How Better Care Transitions Can Prevent Readmissions

February 5, 2013 | News Release

Five innovative programs are the winners of the Transitions to Better Care video contest, showcasing stories of how care teams and patients have improved care transitions out of the hospital and reduced avoidable hospital readmissions.

Continuing Education

Feature

Learn how to improve care transitions and prevent avoidable hospital readmissions, and pick up nursing and medical education con-ed credits.

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