Care management processes

QualityTools

Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus 05/29/13

The Lexicon for Behavioral Health and Primary Care Integration is a set of concepts and definitions developed by expert consensus for what is meant by behavioral health and primary care integration—a functional definition of what things look like in practice. A consensus lexicon enables effective communication and concerted action among clinicians, care systems, health plans, payers, researchers, policymakers, business modelers, and patients working for effective, widespread implementation...

Health Information Exchange Toolkits 05/09/13

This Web page from the Healthcare Information and Management Systems Society (HIMSS) offers three toolkits that provide information about Health Information Exchange (HIE) organizations, networks, and initiatives at the local, regional, and State level. The toolkits can help providers build a solid foundation of knowledge around HIE and include overview summaries, concept information, implementation examples, and other HIE information and perspectives.

The following toolkits are...

Private Performance Feedback Reporting for Physicians: Guidance for Community Quality Collaboratives 05/03/13

This resource document is intended to provide practical information and guidance primarily to Chartered Value Exchanges and other community quality collaboratives interested in the design, dissemination, and use of private feedback reports on physician performance. It offers 13 specific recommendations for consideration by community quality collaboratives that are either currently engaged in or are contemplating private feedback reporting. These recommendations include overall strategic...

Implementing the ABCDE Bundle at the Bedside 05/03/13

This toolkit, from the American Association of Critical-Care Nurses (AACN), provides validated, evidence-based clinical knowledge, resources, and guidelines for implementing the ABCDE Bundle to prevent the unintended consequences of critical illness such as delirium, prolonged ventilation, and excessive muscular deterioration. The toolkit simplifies sharing of critical learning and implementation of new initiatives in patient care units. Most tools are available in a customizable format that...

The Physician's Accountable Care Toolkit 04/17/13

This guide, for physicians, is an explanation of the essential elements required for any successful accountable care organization (ACO) and a step-by-step guidance on how to achieve each element. The toolkit is divided into two parts: The ACO Guide and Executing the Accountable Care Strategic Plan. Part One of the guide includes the necessary elements for a successful ACO and implementation guidance. Part Two applies strategies and practical step-by-step guidance, with concrete examples for...

Safety Net Accountable Care Organization Readiness Assessment Tool 04/16/13

The Safety Net Accountable Care Organization (ACO) Readiness Assessment Tool is designed for the leaders in your organization (and whomever else that you wish) to assess how ready your organization is to take on the responsibilities of becoming an ACO serving your population of safety net patients.

The primary focus of the tool is on your organization’s capabilities to provide more coordinated, cost-effective, and high-quality care to your patients, whether you decide to become a...

Constructing an Adaptive Care Model for the Management of Disease-Related Symptoms Throughout the Course of Multiple Sclerosis 04/16/13

This toolkit provides strategies and templates to help multiple sclerosis (MS) centers and their clinicians implement a performance improvement project. The goal of this project is to help clinicians accurately and appropriately manage MS symptoms in their patients.

The toolkit includes the following components:

  • Introduction
  • Algorithm and instructions for toolkit implementation
  • Sample data collection form and performance measures/calculation...
Reengineered Discharge Toolkit 04/03/13

This toolkit was developed to facilitate the Project Reengineered Hospital Discharge (RED) intervention. Project RED is a randomized controlled trial at Boston Medical Center. This project reengineers the workflow process and improves patient safety for patients from a network of community health centers discharged from a general medical service at an urban hospital serving a low-income, ethnically diverse population.

The toolkit has been expanded to provide complete...

Coordinated-Transitional Care Toolkit 03/26/13

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...

HIV Care Coordination Tools 03/20/13

The HIV Care Coordination Tools resource page offers information, tools, and other educational materials for HIV-related health care, housing, and supportive service providers.

Resources include the following:

  • Care coordination protocol and tools
  • Brochures
  • Posters
  • Provider pocket guide
  • Patient workbook
  • Fact sheet
  • Client journal wallet card

Select materials are also available in Spanish.

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