Medically or socially complex
The purpose of the National Healthcare Disparities Report (NHDR) is to identify the differences or gaps through which some populations receive poor or worse care than others and to track how these gaps are changing over time. This report measures trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care.
The 2013 report presents expanded analyses on quality of care and access to care for people with disabilities, who represent 20...
The IMPaCT ™ model is an evidence-based system for community health worker (CHW) recruitment, training, and care. In the IMPaCT model, CHWs provide tailored support to help high-risk patients achieve individualized health goals. This toolkit is designed to help other organizations adapt and implement this model.
The toolkit includes the following resources:
- Director manual
- Participatory action research manual
- Manager manual
The Young Child Risk Calculator shows the percentage of young children in a State who face selected risk factors, multiple risks, and risks combined with economic hardship. These risk factors—household without English speaker, large family, low parent income, residential mobility, single parent, teen mother, unemployed parent(s)—are associated with poor health, school, and developmental outcomes. Users can select a State, an age group, any number of individual risks, and a level of economic...
This toolkit for health care professionals provides information and resources to help facilitate the care of premature infants and improve their outcomes. It is designed to aid communication between members of the Neonatal Intensive Care Unit (NICU) and health care professionals in the outpatient setting and to improve the quality and continuity of follow-up care for premature infants. The toolkit is a compilation of practical tools and references for the management of premature infants upon...
Coordinated-Transitional Care (C-TraC) is a low-resource, telephone-based, protocol-driven program designed to reduce 30-day rehospitalizations and to improve care transitions during the early posthospital period. The goal of this toolkit is to help hospital systems that serve populations with high rates of patient dispersion, cognitive impairment, and vulnerability improve care coordination and postdischarge outcomes such as reduced medication discrepancies.
This toolkit is...
The Dementia Capability Toolkit identifies resources that States and communities can use to design initiatives to ensure that programs are dementia-capable. In dementia-capable systems, programs are tailored to the unique needs of people with Alzheimer’s disease or other dementias and their caregivers.
The toolkit is divided into the following sections:
- Prevalence and impact of dementia
- Identification and awareness of a possible dementia
Health Shack assists in the development of independent and emancipated youth by providing an electronic Personal Health Information System (PHIS) designed for and with these youth. It offers informational resources, as well as safe keeping and accessibility for important life documents.
This service allows its members to download and store important health information, so that when a member or a care provider needs the information, they can get it quickly. Health Shack members...
The Care Notebook is a tool for families of children with special health care needs to organize information about their child’s chronic health condition. The notebook contains sections that can be filled out as a reference about the child’s health and treatments. It is a transportable tool that can be taken and shared with doctors, other health care professionals, or school or child care personnel.
Parents can use the Care Notebook for the following:
This Web site includes a variety of tools for families, youth, providers, insurers, communities, and States working to provide medical homes for children with special needs. Many materials are available for immediate download through this site. Users are encouraged to adapt these tools to best meet the needs of their child, patient, or client.
This guide, written for youth with special health care needs, helps them prepare for their transition from pediatric health care or service to adult care or service. The guide provides tips for the young person, their parents, and family; transition checklists; and other information to help young patients adjust to the new setting and assure a safe changeover.
Topics covered include:
- About transition
- New responsibilities (ages 12-14)