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

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278 Results Found

Access Plan Template

Authors CoIIN Team Minnesota

Date 2021

Project CoIIN to Advance Care for CMC

Keywords Minnesota, Shared Plan of Care

A manual Word document that captures what parents identified as critical components of the shared plan of care. Team Minnesota considers this an ‘interim solution’ until an EMR-based application is built.

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Complex Care Program Brochure

Authors CoIIN Team Minnesota

Date 2021

Project CoIIN to Advance Care for CMC

Keywords Medical Home, Minnesota

Part of a ‘new to program’ packet sent to new complex care program patients/families several weeks ahead of their first complex care program clinic visit.

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Family-centered care for children with medical complexity: A goal-planning initiative

Authors Kathy Lindstrom, DNP, APRN, FNP-BC, Rhonda Cady, PhD, RN, Andrea Bushaw, PhD, RN, CPNP

Date 2020

Project CoIIN to Advance Care for CMC

Keywords Family Partnership at the Clinical Setting, Minnesota

This document describes a family-centered goal-planning initiative, prior to the CMC CoIIN work. The learnings informed Team Minnesota’s work on the CoIIN.

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Care Coordination for Children with Medical Complexity

Authors Rhonda Cady, PhD, RN, Andrea Bushaw, PhD, RN, CPNP, Heidi Davis, RN, MAN, CPNP, Julie Mills, RN, MAN, CPNP, Deana Thomasson, RN, MAN, CPNP

Date 2020

Project CoIIN to Advance Care for CMC

Keywords Medical Home, Minnesota

Manuscript describing models of complex care management for CMC, description of Gillette’s complex care program, and Team MN participation in the CMC CoIIN.

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Inadequate Preparation for Transition from Pediatric to Adult Healthcare for Oregon Young Adults With Medical Complexity: Root Cause Analysis

Authors Alison J. Martin, Tamara Bakewell, BranDee Trejo, Ana Valdez, Sheryl Gallarde-Kim, Marilyn Berardinelli, Robert Nickel, Deborah Rumsey

Date 2019

Project CoIIN to Advance Care for CMC

Keywords Oregon, Unmet Need

Root Cause Analysis using CoIIN Environmental Scan findings.
The Oregon team created the following problem statement to focus its QI work: “Young adults with medical complexity (YAMC) and their families are not adequately prepared for, or supported in, the transition from pediatric to adult healthcare.” We used a fishbone diagram tool to guide a root cause analysis of our problem statement. A root cause analysis seeks to identify the primary reasons underlying a problem. The results of our analysis appear on page 1.

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