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Transitional Care/After Care

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  • Topic: Transitional care/after care
  • Topic: Early intervention
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Expecting Success: Excellence in Cardiac Care

National Program

Expecting Success was a national program aimed at improving the quality of cardiac care while reducing racial, ethnic and language disparities.

Collecting Data to Identify Disparities and Measure Heart Care Quality

March 24, 2010 | Story

Duke University Hospital and the health system wanted to improve cardiac care for African-American and Latino populations by identifying and analyzing disparities and developing tools that would better serve them.

Improving Heart Care through Better Data and Communications

March 24, 2010 | Story

A multidisciplinary team redesigned Montefiore Medical Center's patient registration system to collect data on race, ethnicity and preferred language, and developed a procedure to provide faster treatment for heart attack patients.

Combining Better Systems and Intensive Patient Education for Better Heart Care

March 24, 2010 | Story

Del Sol Medical Center improved its patient chart review and discharge processes, and enhanced its heart failure center, with support from Expecting Success.

RWJF National Program, Fighting Back, Tackles Drug and Alcohol Programs in D.C.

May 1, 2005 | Program Result

From 1990 to 2001, Working Together-Fighting Back attempted to reduce the demand for illegal drugs and alcohol in Ward 7 and the eastern part of Ward 6 of the District of Columbia.

Kansas City Residents Battle Crack Houses, Public Drunkenness

May 1, 2005 | Program Result

The Fighting Back project in Kansas City worked from 1990 to 2003 to reduce the harms associated with substance abuse by consolidating existing programs and resources into a communitywide system of prevention, early identification, treatment, aftercare and relapse prevention services.

Community Alliance Combats Substance Abuse in Vallejo, Calif.

May 1, 2005 | Program Result

The Fighting Back project in Vallejo, Calif., worked from 1990 to 2002 to prevent, intervene and treat alcohol and other drug abuse, focusing on local partnerships and strategic alliances to coordinate activities.

"Newark Fighting Back" Organizers Tackled Substance Abuse, Increased Treatment Rates

May 1, 2003 | Program Result

In 1989, the Boys and Girls Club of Newark initiated a project designed to reduce demand for alcohol, tobacco and other drugs in selected neighborhoods in the city of Newark.

Heart Failure Encounter Form

June 1, 2008 | Toolkit

An off-site, nurse-led heart failure clinic was created to help heart failure patients better control and self-manage their disease post-hospitalization.

Cardiology Admission Orders Physician's Order Sheet

June 4, 2008 | Toolkit

Staff combined information from three existing order sets into a single, comprehensive cardiology admission order set to reduce provider confusion and help the hospital reach regular compliance rates of 90 to 100% for evidence-based cardiac measures.

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