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Coordinated Care

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Care Across Settings: Challenges, Successes, and Opportunities

March 13, 2013 | Issue Brief

All too often, the weakest link in a patient’s care is the transition from one setting to another. To overcome these challenges, AF4Q communities are defining the obstacles to improving care transitions and designing initiatives to combat them.

Tootsie’s Story, Continued: A Family Wonders Whether Nurse-Led Care Coordination Might Have Prolonged a Life

February 7, 2013 | Human Capital Blog Post

RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.

Duration of Resuscitation Efforts and Survival After in-Hospital Cardiac Arrest

September 1, 2012 | Journal Article

Recommended Reading Predictors of Survival From Out-of-Hospital Cardiac Arrest Translation of Evidence-Based Clinical Standards Into a New Prehospital Resuscitation Policy in Los Angeles  Evaluation of New Jersey Health Initiatives Expecting Success ...

Trying Out a New Model of Caring for People with Dementia

April 11, 2012 | Program Results Report

The Alzheimer's Association and the National Chronic Care Consortium partnered to develop and demonstrate a model of integrated health care and supportive services for people with Alzheimer's disease and dementia.

Expanding "Hot Spotting" to New Communities

January 1, 2012 | Video/Presentation Material

What we're learning about coordinating health care for high-utilizers.

New Federal Initiative Aims to Improve Care Coordination

October 4, 2011 | Human Capital Blog Post

The U.S. Department of Health and Human Services (HHS) last week announced the launch of the Comprehensive Primary Care Initiative, to improve the quality of care for Medicare and other patients. The voluntary program, which will begin as a demonstr ...

A Capitol Endeavor: Low-Income Washingtonians Get One-Stop Clinic

December 1, 2005 | Program Results Report

The staff of the Perry Family Health Center facility links patients with social and educational services offered by other agencies located in the same building, an old school converted into a multipurpose community center.

Additional Funding to Coordinate Services for Elderly in Cincinnati Doesn't Improve Health Care

August 1, 2003 | Program Results Report

The Council on Aging of the Cincinnati Area developed a project to enhance care for the frail elderly by linking acute and long-term care services and improving communication and coordination among providers.

Health Access for Teens: From Pregnancy to Grief

June 12, 2008 | Program Results Report

Had there been no Local Funding Partnerships program, the Wilmington community would have developed the health center anyway - but more slowly and with greater difficulty, according to the executive director of Wilmington Health Access for Teens.

County Agencies Encounter Resistance to Forming an Integrated Family Health Maintenance Organization

March 1, 1998 | Program Results Report

The Contra Costa County Department of Health Services sought to develop an enriched HMO program for families residing in their county, with a particular focus on low income families served by the publicly-funded health services system.

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