The Community Health Workers (CHWS) National Library has been compiled by our team from nationwide sources.

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400 Results Found

Texas HHSC approved Summary of Service Coordination

Authors Kendall Sharp MBA, MSN, APRN, CPNP, Rahel Berhane, MD

Date 2022

Project CoIIN to Advance Care for CMC

Keywords Medical Home, Texas

Children’s Comprehensive Care (CCC) summarizes the responsibilities of both the medical home (CCC) and the MCO (Managed Care Organization) for the delegation of service coordination tasks. Prior to the MCO committing to reimbursing the medical home for service coordination tasks, they wanted HHSC to approve the arrangement.

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National Care Coordination Academy Recording: March 22, 2022

Authors

Date 2022

Project CoIIN to Advance Care for CMC

Keywords

After this session, participants will understand the critical role of Long-Term Services and Supports (LTSS) can play in improving health outcomes for persons with complex, chronic needs across the age spectrum, identify opportunities for adult and pediatric LTSS to meaningfully engage and create a bridge, especially crossover in models of care, outcomes (measurement) and policy spheres, and gain knowledge with how care coordination tools, processes, and measures can support an equitable approach to transition/transfer of young adults and adults with complex needs.

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National Care Coordination Academy Recording: January 25, 2022

Authors

Date 2022

Project CoIIN to Advance Care for CMC

Keywords

After this session, participants will identify different methods used across care coordination programs to assess the time requirements for high quality care coordination, understand how ongoing relationships with payers support the program, and articulate how programs have identified children to enroll with medical complexity.

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Colorado Plan of Care

Authors Ellen Cruze, David Fox

Date 2022

Project CoIIN to Advance Care for CMC

Keywords Colorado, Shared Plan of Care

Sample of the parent view of the plan of care and role clarification.

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CMC CoIIN Project Impact Infographic

Authors Candace Jarzombek, Ben Plant

Date 2022

Project CoIIN to Advance Care for CMC

Keywords Covid-19

This infographic highlights the work that the Boston University leadership team and each of the 10 state teams have completed since the start of the project in 2017.

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Collaborative Improvement and Innovation Network Improves Pediatric Family-Centered Engagement

Authors Rhonda Cady, Tricia Brisbine

Date 2022

Project CoIIN to Advance Care for CMC

Keywords Family Leadership in Systems, Family Partnership at the Clinical Setting, Minnesota

This slide deck covers Team Minnesota’s CMC CoIIN journey of family engagement and family partnership at the care delivery design level. It was originally presented at the American Case Management Association 2022 National Conference.

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Development and Implementation of a Pediatric Care Coordination Needs Assessment Tool

Authors Kari Kubiatowicz, Fritz Spiegel

Date 2022

Project CoIIN to Advance Care for CMC

Keywords Minnesota, Unmet Need

This slide deck describes a very successful Team Minnesota care delivery initiative, to quantify care coordination need after the initial complex care clinic visit. It was originally presented at the American Case Management Association 2022 National Conference.

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Transition and You: Creating a Culture to Successfully Launch Our Patients to Adulthood with Compassion

Authors Tori Bahr, MD, Debbi Simmons Harris, MS, MA

Date 2021

Project CoIIN to Advance Care for CMC

Keywords Family Partnership at the Clinical Setting, Minnesota

This recorded presentation describes Team Minnesota’s plan for helping patients transition from pediatric to adult care. It was originally presented to Gillette Children’s Specialty Healthcare.

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Patient Touchpoints Graphic

Authors Team Texas

Date 2021

Project CoIIN to Advance Care for CMC

Keywords Shared Plan of Care, Texas

These graphics visually depict a patient’s contacts with different services within the health system.

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CMC CoIIN Webinar: The Power of the Collaborative: A Deeper Dive into Crafting Your Individual Stories Together

Authors

Date 2021

Project CoIIN to Advance Care for CMC

Keywords

The BU Leadership Team, Team Kentucky, and state team members take a deeper dive into developing impact statements and dissemination materials.