Heart Failure Self-Management—Caring for Your Heart: Living Well With Heart Failure 10/16/12

These health communication aides for clinicians can help them demonstrate to patients that organized self-management support can improve self-care behaviors and prevent hospitalizations.

These materials are available in two versions, currently being tested in a multicenter clinical trial. The versions are identical except for one aspect. Version 1 does not teach patients how to self-adjust their diuretic dose based on daily weights. Rather, it instructs patients to call their...

Road to Health Toolkit 10/08/12

The Road to Health Toolkit is designed for African Americans and Hispanics/Latinos at risk for type 2 diabetes. This toolkit provides community health workers, nurses, health educators, and dietitians with interactive tools that can be used to counsel and motivate those at high risk for type 2 diabetes. These tools will help reduce the risk for type 2 diabetes by encouraging healthy eating, increased physical activity, and moderate weight loss for those who are overweight.


Road to Health Toolkit Training Guide 10/08/12

The Road to Health Training Guide is designed for people who develop or offer train-the-trainer workshops and for community health workers who work with people who are Hispanic/Latino or African American/African ancestry. Other health care professionals, diabetes educators, health educators, nurses, dietitians, and community educators can also be trained or provide training to others by using the Road to Health Toolkit.

The goal of the Road to Health Training Guide is to do the...

Opioid Dosing Guideline for Chronic Noncancer Pain 09/19/12

This guideline for primary care providers is a resource for treating adult patients for chronic noncancer pain. It provides information on the scope of the challenge, recommendations for prudent prescribing and monitoring, advice on how to get consultative assistance, and resources for educating patients. Also included are an opioid dose calculator and patient assessment tools.

An Interactive Preventive Care Record: A Handbook for Using Patient-Centered Personal Health Records to Promote Prevention 09/18/12

This handbook for primary care practice personnel, leaders, and informatics staff provides practical guidance on the implementation of interactive preventive health records (IPHRs). Through a step-by-step guide, the handbook can help a practice apply an IPHR to promote chronic disease management by:

  • Using personal health records (PHRs) to promote prevention
  • Preparing your practice to use a PHR for promoting prevention
  • Implementing and sustaining the use of a PHR...
The Community Health Worker's Sourcebook: A Training Manual for Preventing Heart Disease and Stroke 08/27/12

This sourcebook serves as an instruction manual for training community health workers and as a reference and a resource for community health workers working with community members in preventing heart disease and stroke. The sourcebook contains a variety of handouts, which are appropriate for community health workers to use as tip sheets and to give to community members as aids for understanding and living with heart disease and stroke disability.

The sourcebook is divided into the...

Community Health Workers Toolkit 08/27/12

The Community Health Workers Toolkit is designed to help rural communities evaluate opportunities for developing a community health worker program, and to provide resources and best practices developed by successful community health worker programs. Through eight modules, the toolkit offers tools and resources to develop and implement programs for using community health workers in local programs.

Topics include:

  • Introduction to community health workers
  • ...
Care Coordination: Strategies to Reduce Avoidable Emergency Department Use 08/09/12

This guide offers advice and interventions that practices can use to help their patients reduce avoidable emergency department visits. It covers the following topics:

  1. Educating patients on appropriate use
  2. Enhancing access to the primary care practice
  3. Improving care coordination and care transitions
This guide is a supplement to Care Coordination: Reducing Care Fragmentation in Primary Care, which is recommended as a starting point for...
PROMETHEUS Payment® Implementation Toolkit 08/02/12

This implementation toolkit, for employers, health plans, and provider groups, offers detailed information and step-by-step instructions to implement the PROMETHEUS payment model. This payment system is a package, or bundled fee payment system centered on a comprehensive episode of medical care that covers all patient services related to an illness, condition, or procedure. PROMETHEUS Payment addresses a full range of issues that can drive profound long-term, system-wide improvements,...

Patient-Centered Medical Home 07/10/12

This Web site from the American Academy of Family Physicians provides step-by-step project plans and tools to build a patient-centered medical home. It also includes a checklist for practices to determine if they are already a patient-centered medical home.

The Web site is divided into the following sections:

  • Practice organization
  • Health information technology
  • Quality care
  • Patient-centered care


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