Care management processes
The Primary Care–Specialty Care Compact was developed by the Systems of Care/Patient-Centered Medical Home Initiative, which seeks to improve systems of care by supporting physicians in becoming medical homes and working with specialists to uplink medical homes into integrated medical neighborhoods. The purpose of the compact is to improve care and build and sustain trusted medical neighborhoods through a defined communication protocol. It specifies key areas of a mutual care management...
This toolkit, for physicians and clinical staff, provides evidence-based action steps and tools to improve cancer screening rates in their practice. By increasing cancer screening rates, practices can improve quality performance measures.
The toolkit has three main components:
- The four essentials and related tools to improve cancer screening rates
- Clinic self-assessment using the four essentials
- Guidance and tips for effective office training...
This Web page provides links to public reporting Web sites sponsored by Chartered Value Exchanges (CVEs) or stakeholders affiliated with a CVE. The public reports provide information on physician, hospital, and health plan performance.
CVEs included are:
- California Chartered Value Exchange
- Colorado Value Exchange
- Kansas—Kansas City Quality Improvement Consortium
- Louisiana Health Care Quality Forum
- Maine Chartered Value Exchange...
This Web page from the American College of Physicians (ACP) provides resources to help further develop the Patient-Centered Medical Home (PCMH) model to integrate with specialty and subspecialty practices.
This model development is being addressed by the Council of Specialty Societies PCMH Workgroup and through collaborative initiatives between ACP and various specialty and subspecialty societies.
Resources include the following:
- ACP position paper...
This Web site, for health care providers, offers “how to” resources on using technology to assist care coordination and improve the independence of older adults. The guides range from planning and development to implementation and evaluation in the following four areas:
- Remote patient monitoring
- Medication optimization
- Care transitions
- Mobile health
The Strong Start for Mothers and Newborns initiative aims to reduce preterm births and improve outcomes for newborns and pregnant women. This toolkit provides action-oriented resources for health care providers and community-based organizations to use in helping expectant mothers get safe, evidence-based care, and improve their newborn’s chances for good physical and developmental health.
Resources include the following:
- Patient safety checklists
This report provides recommendations, strategies, and action steps for implementation by policymakers and others to help combat and prevent obesity. It identifies strategies that individually have the greatest potential reach and impact on preventing obesity, based on research evidence and the current level of progress in each area. For each strategy, the report also suggests a set of actions that are likely to make a positive contribution to that strategy's achievement based on research...
This online collection for clinicians provides tools and resources for use in various departments of migrant and community health centers.
The Toolbox contains sample documents, forms, policies, tools, and protocols that can be adapted to meet the clinic’s needs to help provide quality health care to the underserved.
The Resource Database includes downloadable resources as well as links on a wide variety of primary care issues. It contains links to other organizations...
The Comprehensive Unit-Based Safety Program (CUSP) toolkit provides training tools to make care safer by improving the foundation of how physicians, nurses, and other clinical team members work together. It builds the capacity to address safety issues by combining clinical best practices and the science of safety.
The CUSP toolkit is modular and modifiable to meet individual unit needs. Each module includes teaching tools and resources to support change at the unit level.
This collection of palliative care tools can help improve health care for patients near the end of life and their families. These tools were developed through the national program Promoting Excellence in End-of-Life Care , which sought innovative ways of integrating high-quality palliative care services in critical care settings. Through the work of several demonstration projects, they developed palliative care models for intensive care units and assessed the impact on the quality...