Bilingual, Culturally Competent Managers Enhance Access to Prenatal Care for Migrant Women, Leading to Potential for Improved Birth Outcomes
The Migrant Clinicians Network Prenatal Care Program seeks to ensure continuity of care for expectant mothers who begin prenatal care in one location and move for employment purposes during their pregnancy. Bilingual, culturally competent staff link migrant patients with prenatal services and manage their medical records throughout the pregnancy.
Computerized, Multilingual Visual Medication Schedule and Teach-Back Protocols Improve Anticoagulation Control for Low-Literacy Patients
A randomized clinical trial at San Francisco General Hospital used visual medication schedules and brief teach-back protocols in English, Spanish, and Cantonese to improve anticoagulant control among low-literacy patients in the public hospital's anticoagulation clinic.
Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use
A Medicare Advantage plan uses employed "extensivists" who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.
Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients
An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.
Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
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Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient
Health care providers can use this toolkit during hospital discharge to help patients leave the hospital with confidence. It includes the tools and information patients need to make a smooth transition to their next destination.
Medical Respite Tool Kit
The purpose of the Medical Respite Tool Kit is to provide information and tools to help organizations and advocates plan, develop, and sustain medical respite programs. This tool organizes existing resources developed by the National Health Care for the Homeless Council and other medical respite providers while incorporating new and practical tools.
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
This guide, for hospital administrators and emergency department leaders, provides step-by-step instructions for planning and implementing patient flow improvement strategies to ease emergency department crowding.
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
This toolkit provides a step-by-step guide to improving the medication reconciliation process.
Systems of Care/Patient-Centered Medical Home Initiative: Primary Care–Specialty Care Compact
The purpose of the compact is to improve care and build and sustain trusted medical neighborhoods through a defined communication protocol.