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...
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:
- Algorithm and instructions for toolkit implementation
- Sample data collection form and performance measures/calculation...
The Community Paramedic Evaluation Tool is a self-assessment tool to be used by communities that wish to assess the current status of their paramedicine program. The assessment tool also provides a common framework by which data can be collected from multiple community paramedicine programs to develop a snapshot of common successes and challenges, and to guide in the development of new community paramedicine programs. Although the tool should be useful across urban and rural programs, it is...
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...
This Web site offers a collection of information and resources on HIV testing from the New York Department of Health AIDS Institute. The resources, for health care professionals, include reports, toolkits, forms, training, and health screening information.
The tools and resources are organized into the following sections:
- Public health law
- HIV testing algorithm
- Consent forms
- HIV/STD testing sites
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...
This toolkit, for hospitals, provides guidance on overcoming the challenges associated with developing, implementing, and sustaining a fall prevention program. It focuses specifically on reducing falls that occur during a patient’s hospital stay.
The toolkit is designed for multiple uses. The core document is an implementation guide organized under six major questions intended to be used primarily by the Implementation Team charged with leading the effort to put the new prevention...
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
- Provider pocket guide
- Patient workbook
- Fact sheet
- Client journal wallet card
Select materials are also available in Spanish....
Sustainable, effective relationships between primary care clinicians and preventive service providers in the community can improve patients’ access to certain evidence-based clinical preventive services. These relationships connect clinical providers, community organizations, and public health agencies—organizations that share a common goal of improving the health of people and the communities in which they live.
To identify ways to further define, measure, and evaluate programs...
An Improvement Partnership (IP) is a durable, regional collaboration of public and private partners that uses measurement-based efforts and a systems approach to improve the quality of children ‘s health care. This guide attempts to share the best thinking and knowledge about what existing IPs have been able to accomplish. It is designed for any state with an existing IP, regardless of the stage of development, or for any state contemplating setting up an IP.
The guide outlines...