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 Web site offers an online course to train primary care providers to deliver oral health preventive services to young children during well-child checks. The course addresses:
- Screening and assessing risk for dental disease
- Applying fluoride varnish
- Sharing oral health tips with families
- Referring patients to a dentist
The site also provides a collection of related resources for providers and staff including fact sheets, guides...
The purpose of the Medical Respite Tool Kit is to provide information and tools to help organizations and advocates plan, develop, and sustain medical respite programs. Medical respite care is acute and postacute medical care for homeless persons who are too ill or frail to recover from a physical illness or injury on the streets but who are not ill enough to be in a hospital. This approach provides a safe alternative to hospitals and for individuals in need of postdischarge medical care. It...
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...