All Innovations

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Dual Eligible Demonstrations: Resources for Advocates

May 22, 2012 - A new Commonwealth Fund–supported Web site offers educational resources for consumer groups and can serve as a platform for sharing ideas and strategies for improving care for dual eligibles.

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Monitoring Medical Home Implementation

April 17, 2012 - The Patient-Centered Medical Home Assessment is a self-assessment tool that was developed by the MacColl Center for Health Care Innovation and Qualis Health for the Safety Net Medical Home Initiative to help practices understand to what degree they function as a medical home and to identify opportunities for improvement.

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Becoming a Medical Home: Implementation Guides

April 17, 2012 - The patient-centered medical home is a model of primary care that can improve health care quality as well as clinicians', staff members', and patients' experiences. The model can also increase efficiency. As part of the Commonwealth Fund-supported Safety Net Medical Home Initiative, Qualis Health and the MacColl Center for Health Care Innovation have identified eight key strategies that primary care sites can implement to become patient-centered medical homes.

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Defining and Measuring Person-Centered Care in Assisted Living

February 27, 2012 - The Centers for Medicare and Medicaid Services (CMS) is in the process of identifying person-centered attributes and indicators for its Medicaid home and community-based services programs. To assist CMS and assisted living stakeholders, the Center for Excellence in Assisted Living, a nonprofit collaborative of 11 national organizations, has published recommendations for person-centered HCBS attributes and assisted living indicators.

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Norton Healthcare: A Strong Payer-Provider Partnership for the Journey to Accountable Care

January 27, 2012 - This case study explores the characteristics of Norton and its partners, including the insurer Humana, that have contributed to the development of the ACO, including: a strong payer–provider relationship bolstered by a joint ACO implementation committee, a focus on performance measurement and reporting, an expanding heath information technology infrastructure, and an integrated system that facilitates communication and collaboration across the continuum of care.

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Monarch HealthCare: Leveraging Experience in Population Health Management to Attain Accountable Care

January 27, 2012 - Monarch HealthCare, a physician-led independent practice association in Orange County, Calif., is one of the provider groups participating in the Brookings–Dartmouth ACO Pilot Program to form accountable care organizations, which assume responsibility for improving patient care and lowering total costs and, in turn, share in the savings achieved.

Case Study

HealthCare Partners: Building on a Foundation of Global Risk Management to Achieve Accountable Care

January 27, 2012 - This case study explores: the characteristics of HealthCare Partners and its partner organizations, including the insurer Anthem, that are contributing to the development of the ACO; the rationale behind the decision to develop an ACO; the steps taken to implement the model; milestones achieved; and lessons learned.

Case Study

Four Health Care Organizations' Efforts to Improve Patient Care and Reduce Costs

January 27, 2012 - This report synthesizes findings and lessons from case studies of four diverse health care organizations participating in the Brookings–Dartmouth ACO Pilot Program, launched in 2009 to support selected provider groups that are collaborating with private payers to form accountable care organizations.

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Tucson Medical Center: A Community Hospital Aligning Stakeholders for Accountable Care

January 27, 2012 - This case study explores the characteristics of Tucson Medical Center and its partners, including affiliated physician groups and the insurer United Healthcare, that have contributed to the development of their ACO, including: the medical center’s strong local governance, its institutional commitment to the ACO initiative, and its historical role as a community-based hospital.

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Measuring Staff Morale in Safety Net Medical Home Adoption

January 9, 2012 - With Commonwealth Fund support, Sarah Lewis, M.S.P.H., of the University of Chicago, and colleagues have developed two surveys and a scoring algorithm to capture the experiences of safety net providers and staff as they adopt medical homes.

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Presbyterian Intercommunity Hospital: Five Years Without a Central Line–Associated Bloodstream Infection

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Presbyterian Intercommunity Hospital. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital in January 2010.

Case Study

Englewood Hospital and Medical Center: Seven Consecutive Quarters Without a Central Line–Associated Bloodstream Infection

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Englewood Hospital and Medical Center. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital from December 2009 to January 2010.

Case Study

Southern Ohio Medical Center: Eliminating Central Line Infections in the ICU

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Southern Ohio Medical Center. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital from January to February 2011.

Case Study

Bronson Methodist Hospital: Reducing Central Line Bloodstream Infections in Critical Care Units and Beyond

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Southern Ohio Medical Center. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital from January to February 2011.

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The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation's Largest Integrated Delivery System

September 16, 2011 - In April 2010, the U.S. Veterans Health Administration (VA) embarked on an ambitious three-year plan to build patient-centered medical homes in more than 900 primary care clinics across the nation. Its model organizes care around an interdisciplinary team of providers who work together to increase access and clinical effectiveness by identifying and removing barriers to high-quality care.

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