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