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Coordinated Care

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  • Topic: Coordinated care
  • New York (NY) MA
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Trying Out a New Model of Caring for People with Dementia

April 11, 2012 | Program Result

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.

Weekly House Calls Help Babies Get a Good Start on Life

October 1, 1997 | Program Result

The initiative serves high-risk mothers, infants, and children up to age two who live in the northeast quadrant of Rochester, one of the poorest areas of the city, and who are patients of Rochester General Hospital's outpatient centers.

Quality and Cost Analysis of Nurse Staffing, Discharge Preparation, and Postdischarge Utilization

April 21, 2011 | Journal Article

Investments in nursing care hours reduce hospital readmissions by better preparing patients for discharge.

A New Family-Focused Database for Bodega de la Familia's Work with Prisoners Coming Home in New York

October 31, 2008 | Program Result

Staff at Family Justice designed and implemented a comprehensive database designed to support its approach to improving the health and well-being of formerly incarcerated individuals and their families in New York.

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

September 29, 2008 | Program Result

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.

Assessment Tool Helps Coordinators of NYC Community-Based Managed Care Services

October 1, 2004 | Program Result

Researchers from the United Hospital Fund of New York and its Chronic Care Quality Consortium developed and tested new tools to manage clinical information about older adults and disabled people in New York City.

New Nonprofit Entity Manages Mental Health Services for Youth in New York

June 1, 2001 | Program Result

Starting in January 1996, the Research Foundation for Mental Hygiene, Albany, N.Y. developed a method — through the education, social services, juvenile justice, and mental health systems — to purchase and manage individualized services for seriously emotionally disturbed children and adolescents to divert them from unnecessary placements and hospitalizations.

Network Coordinates Housing and Medical Services for Disabled and Chronically Ill Adults

June 30, 2006 | Program Result

The Corporation for Supportive Housing in Oakland, Calif., developed the Health, Housing and Integrated Services Network, which brought together more than 30 public and private nonprofit agencies.

Continuing Care Networks Succeed with Multidiscipline Team Approach

June 8, 2006 | Program Result

The Community Coalition for Long Term Care - a coalition of Monroe (N.Y.) county agencies, BlueCross/BlueShield, local health care providers and advocacy organizations - conducted a demonstration project to develop and implement Continuing Care Networks.

Having Someone in Their Corner Helps TB Patients Negotiate System

October 1, 1997 | Program Result

Bellevue Hospital, New York, formed a coalition with five community-based organizations to screen for tuberculosis infection and disease in the community and provide appropriate patient management services.

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