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Continuum of Care

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  • Topic: Continuum of care
  • Topic: Chronic illness
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  • Chronic disease management (17)
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Making Health Systems Work for People With Chronic Conditions

April 1, 2010 | Story

The seeds of the Chronic Care Model can be found in several key experiences Wagner had over his career, beginning with his service as a battalion surgeon during the Vietnam War.

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

December 1, 1998 | Program Result Report

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.

Improving Chronic Illness Care

December 12, 2011 | Program Result Report

Improving Chronic Illness Care supported a clinical improvement program, targeted research and dissemination related to the Chronic Care Model, a patient-centered, collaborative approach to the delivery of care for people with chronic illness.

Coming Home

January 1, 2000 | Book

One of the Foundation's targets in the chronic care area is increasing the capacity of communities to meet the supportive care needs of chronically ill people. This chapter of the RWJF Anthology examines assisted living,

Program Model Identifies Ways of Improving Chronic Illness Care

August 1, 2000 | Program Result Report

These grants from RWJF supported the planning of its national program to improve the quality of care received by patients with chronic conditions, Improving Chronic Illness Care.

Better in a Heartbeat? How Interdisciplinary Management of Disease Pays Off

January 1, 1998 | Program Result Report

Rush Prudential HMO in Chicago examined an interdisciplinary approach to the management of chronic disease that involved diet, exercise, smoking cessation and social interactions.

Home Care Research Initiative

January 25, 2008 | Program Result Report

The Home Care Research Initiative supported primary research projects to improve knowledge about home care health policy and practice.

Building Health Systems for People with Chronic Illnesses

June 1, 2006 | Program Result Report

From 1992 through 2002, the Robert Wood Johnson Foundation (RWJF) funded Building Health Systems for People With Chronic Illnesses.

Getting Out the Word about What Works for Managing Chronic Diseases

November 1, 2004 | Program Result Report

The BMJ Publishing Group produced three special journal issues devoted to information on chronic disease management and mailed them to subscribers and a select list of health care professionals.

Minneapolis Integrated Provider Network Reduces Hospitalization of Nursing Home Residents and Shares Risk Among Providers

August 1, 2003 | Program Result Report

Fairview Foundation in Minneapolis created and evaluated Fairview Partners, an integrated health network of providers working together to improve the quality and delivery of health services to chronically ill nursing home patients.

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