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Coordinated Care

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  • Topic: 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.

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.

Expanding "Hot Spotting" to New Communities

January 1, 2012 | Video/Presentation Material

What We're Learning about Coordinating Health Care for High-Utilizers.

Continuing Education

Feature

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

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

August 1, 2003 | Program Result

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.

Care About Your Care

Feature

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

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.

Advancing Primary Care

August 9, 2012 | Report

New insights into the inner workings of America's primary care practices, including areas of strength and critical areas for growth.

Video Contest

Video

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

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.

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