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Medical home

Name Base Price

Building Your Medical Home

This toolkit for health care professionals helps develop a pediatric medical home and improve patient care. The elements in the toolkit help to increase outcomes, such as health status, timeliness of care, family centeredness, and family functioning in a medical home. Achieving the standards in the toolkit is a requirement to be in the National Committee for Quality Assurance Physician Practice Connections® Patient Centered Medical Home Recognition program. The toolkit was developed by the American Academy of Pediatrics and requires registration. The web-based toolkit requires a web browser.

Better to Best: Value-Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations

Better to Best: Value-Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations is a new report focusing on the four elements central to the advance of such organizations—access, care coordination, health information technology, and payment reform. The report was supported by the Patient-Centered Primary Care Collaborative, The Commonwealth Fund, the Dartmouth Institute for Health Policy and Clinical Practice, and the Milbank Memorial Fund. The toolkit is available as a PDF and requires Adobe Reader.

Building Medical Homes in State Medicaid and CHIP Programs

Since 2006 more than 30 states have initiated projects to improve Medicaid and Children’s Health Insurance Programs (CHIP) to advance medical homes. Several states also are driving state-wide transformation by using their purchasing leverage to make changes in state health benefits plans and in the private sector. This paper summarizes these activities and provides state policy makers with examples of promising practices, lessons learned and ideas they can adapt to work in their state. The paper is available as a PDF and requires Adobe Reader.

Measuring Medical Homes: Tools to Evaluate the Pediatric Patient- and Family-Centered Medical Home

“Measuring Medical Homes: Tools to Evaluate the Pediatric Patient- and Family-Centered Medical Home” was developed by Rebecca A. Malouin and Sarah L. Merten to present the tools available to assist with describing the various evaluation options that are available and to explore their utility to assess the degree to which a practice utilizes the medical home approach. The medical home model is a useful solution for increasing availability, quality, and payment for primary care services. The toolkit is available as a PDF, requiring Adobe Reader to view the document.

Reducing Care Fragmentation: A Toolkit For Coordinating Care

This toolkit contains practical strategies and resources to help clinics, practices and health systems focused on improving care coordination by transforming the way they manage patient referrals and transitions. This toolkit has been designed for patient-centered medical homes striving to improve how their clinics manage patient referrals and transitions contains practical strategies and clinical resources to help implement specific practice changes designed to help make care coordination more efficient.

Chronic Disease Self-Management Program: A Toolkit for Hospitals

This toolkit provides information on the benefits of starting and sustaining a Chronic Disease Self-Management Program (CDSMP) for people with chronic conditions. The CDSMP is a low cost, well-established program with proven best practices in improving exercise compliance, symptom management, communication skills and health‐related quality of life. The information in this toolkit outlines cost savings, reduction in days spent in the hospital, and reduction in readmissions. The toolkit is available as a PDF and requires Adobe Reader to view it.

Caregivers Count Too!: A Toolkit to Help Practitioners Assess the Needs of Family Caregivers

This toolkit is a caregiver assessment guide for healthcare professionals who treat older people and adults with disabilities. It’s a step-by-step resource filled with practical information and resources designed to: Sharpen the awareness of family caregivers to determine their own physical, emotional and financial problems; as well as provide the knowledge and skills to create and use a caregiver assessment that works in a particular practice setting. The toolkit is available as group of several web pages and requires a web browser to view it.

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit

Health care leaders, clinicians and staff that can support their efforts to partner with patients and families to enhance quality and safety with the resources contained in this toolkit. It provides tools and resources to ensure patient care is safe and responsive to the needs, priorities, goals and values of patients and their families. The toolkit is available as a PDF and requires Adobe Reader to view it.

Strategies for Leadership: Patient-and Family-Centered Care

Patient- and family-centered care is an approach to the planning, delivery and evaluation of health care through partnering with patients, families and health care providers. This Strategies for Leadership toolkit focuses on safety, effectiveness, efficiency, timeliness and equity in care.This toolkit will help hospitals to improve patient care and address the challenges that patients have said need attention, in order to achieve better outcomes for patients, and increase patient and staff satisfaction.

A Toolkit For Creating A Patient And Family Advisory Council (PFAC)

A Patient and Family Advisory Council (PFAC) connect patients and families with members of the healthcare team to provide guidance on how to improve the patient and family experience. They are invited to serve on hospital committees to share their own perspectives and give input on issues that impact care, ensuring that patients receive quality care. By forming a patient and family advisory council healthcare providers can discover powerful tool in improving safety, patient satisfaction and quality patient and family-centered care.

Toolkit of Instruments to Measure End of Life Care (TIME)

This Resource Guide will lead you through a model for improvements to Palliative care based on three steps: conducting an audit, engaging healthcare providers and staff to define a goal, and developing interventions for change and measuring change. The guide describes how medical decisions need to reflect the informed preferences of the patient and his/her family, to attain Patient Focused, Family Centered Medical Care. The toolkit is available as a PDF and requires Adobe Reader to view it.

How Outpatient Pharmacies can Help Hospitals Reduce Readmissions

Two key factors contributing to patients being readmitted are patient failure to fill prescriptions post discharge, and medication misadventures resulting from patients being ill prepared to manage their medication regimen at home. This whitepaper describes the new roles outpatient pharmacists are taking on, how pharmacy management technology enables these efforts, and the clinical, operational and financial benefits hospitals incur from implementing new pharmacist led programs. The Whitepaper is available as a PDF and requires Adobe Reader to view it.

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