Off the Shelf TA

Care Coordination/Integration


Found 59 Results
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Activate Care

Community Complex Care Blueprint Implementation


Community Complex Care Blueprint Implementation The Community Complex Care Blueprint supports implementation of enhanced case management services for individuals with complex health and social needs, such as those who are high medical and social services system utilizers, homeless, or precariously housed clients. This Off the Shelf TA offering combines a collection of web-based case management [...]

May 10, 2021


Institute for Community Health

Conducting Trauma-Informed Data Collection: Workshops


Conducting Trauma-Informed Data Collection: Workshops Trauma-informed approaches have been developed in the field of behavioral health care to promote healing and avoid compounding harm caused by trauma among both clients and staff. Experience and comfort with these approaches is valuable not only for clinical staff providing care, but for non-clinical staff who may be gathering [...]

May 11, 2021


Advocates for Human Potential, Inc.

Data-Driven Decision Making Training


Data-Driven Decision Making Training Time: Each individual topic can be selected as a module from the list below and can be presented in a 45-60 minute. training. Audience: Operations staff, administrators Location: Instructor led, virtual training or blended. Goal and topics: This course will help organizations identify the current state of data collection and understand [...]

May 10, 2021


Medicalincs

Develop Collaborative Care and Referral Pathways


Develop Collaborative Care and Referral Pathways Care Collaboratives and Referral Pathways are an important part of advancing primary care as well as comprehensive patient care coordination. We understand there are critical components within a care collaborative that will ultimately affect the patients’ experience in terms of access, communication, transition of care, and closing referral loops. [...]

May 11, 2021


Institute for Community Health

Developing a Program Framework and Performance Monitoring Plan


Developing a Program Framework and Performance Monitoring Plan Health care systems are increasingly developing medical management or care coordination programs, implementing new technologies, and providing additional support services to address barriers to care faced by vulnerable populations. This Off the Shelf TA project will help organizations better articulate and monitor their initiatives. It will also [...]


Collaborative Healthcare Strategies

ED Care Alerts Improve Performance


ED Care Alerts Improve Performance Almost all ACOs and CPs have access to ADT alerts. Almost all hospitals in Massachusetts have access to a state-wide high-risk patient alert system. These are the exactly right tools for the job of improving engagement, follow up after discharge, and reducing readmissions! This TA engagement will help your team: [...]

July 29, 2020


Health Policy Matters

Enhance BH CP and Adult Community Clinical Services Coordination


Enhance BH CP and Adult Community Clinical Services Coordination Goal: The goal of this project is to enhance BH CP and Adult Community Clinical Services (ACCS) integration by implementing guidance on strategies to do so. Objectives: Create a culture of collaboration between the two programs, including tangible and agreed upon strategies to integrate care and [...]

May 11, 2021


Health Policy Matters

Enhance Care Coordination and Social Determinants of Health


Enhance Care Coordination and Social Determinants of Health Health Policy Matters (HPM) assists ACO partners to identify and enhance referrals to, and coordination of, services that target Social Determinants of Health (SDOH). We also have experience identifying cost-effective strategies to address food insecurity for the low- and moderate-risk population. While the rate of COVID-19 infection [...]


CSI Solutions

Establishing a Remote Patient Monitoring (RPM) Program for Chronic Care Management


Establishing a Remote Patient Monitoring (RPM) Program for Chronic Care Management The high prevalence of chronic conditions is a pervasive and costly problem that represents a large burden on patients, families, and caregivers. Recent technical innovations and the introduction of reimbursements have made remote chronic care management a clinically and financially viable solution that can [...]


CSI Solutions

Establishing a Remote Patient Monitoring (RPM) Program for Readmission Prevention


Establishing a Remote Patient Monitoring (RPM) Program for Readmission Prevention This engagement will enable you to design and launch an effective readmission prevention program. We will work with your clinical, operational, administrative, and technical leadership to create a tailored program that addresses: Strategic, Clinical and Business Case Development Clinical, Operational, and Administrative Workflow Design Technology [...]


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