Team-Based Care

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Team-Based Care

Resources tagged "Team-Based Care"

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Patient Centered Medical Home and Team-Based Care

Quality and Population Health Management

Website

IHI Transition of Care Resources

Institute for Healthcare Improvement
How-to Guide: Improving Transitions from the Hospital to the Clinical Office Practice to Reduce Avoidable Rehospitalizations

Schall M, Coleman E, Rutherford P, Taylor J. Cambridge, MA: Institute for Healthcare Improvement; June 2011

MiCMRC/MiPCT Educational Webinar

Mar 23 2016

Effective Communication with Physicians

To receive a certificate of completion Click Here.

Webinar replay video

Presented by

Maureen Murphy RN, BSN, FNP-BC

Guides and Policies

What Does Embedment Look Like?

Takes a look at how care management is integrated within the practice.

Tools

Care Management Patient Handout

Scripting tool to help introduce care managment services specific to your patients within your practice(s)

Tools

Community Resource Guide

Provides a starting point for the care manager when identifying community resources for their patients

Tools

Practice Workflows for Care Managers

Provides examples of practice workflows, regarding referrals, transitions of care, and others

Article

What Providers are Learning About Connecting to their Communities

Making connections with communities in order to improve the health status of members.

Learning About Your Community

Article

For High Risk Patients: A Medical Home Within a Medical Home

Partners HealthCare fine-tunes an integrated care management program for patients with multiple conditions.

For High risk Patients

Pages