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Chronic Care Management

Patients with chronic illness require disease management and other services. Improving chronic care can help reduce costs and boost quality of life. What can we do to provide the best care and the best outcomes for people with chronic illness?

Rural Health Care Is Rated Comparable or Worse Across Quadruple Aim Aspects

Care Redesign

Care Redesign Survey: Lessons Learned from and for Rural Health

Although care delivery models in rural and urban/suburban areas are distinct, by virtue of geographic density and resource availability, each locale affords lessons for the other.

Many Barriers to Engaging Patients in Treatment for Obesity

Patient Engagement

Survey Snapshot: Approaches to Address Clinician and Societal Roles in Obesity

The obesity problem is getting larger and larger. Some solutions lie beyond the traditional medical setting.

A Connected Health Data and Service Ecoystem - digital health platform convener

New Marketplace

Convening a Digitally Enabled Ecosystem to Address the Chronic Disease Burden of an Underserved Community

Disrupted by technologies, health care needs ecosystem-based solutions for integration and equitable access.

Pumonary Nurse Post-Discharge Follow-Up Note for Patients with COPD

Care Redesign

TOPS: Telephonic Outreach in the Pulmonary Service at VA Boston Healthcare System

A nurse-directed intervention targeting veterans who had been hospitalized for COPD resulted in improved access to ambulatory care and a reduced rate of readmissions.

Patients and PCPs Hold Primary Responsibility for Addressing Obesity

Patient Engagement

Patient Engagement Survey: The Failure of Obesity Efforts and the Collective Nature of Solutions

Patients hold responsibility for their actions, but providers’ approaches to address obesity often fall short as well.

Dispersion of Palliative Core Skills via a Train-the-Trainer Palliative Care Mentor Model

Care Redesign

Back to the Future?

Restoring focus to palliative care through a train-the-trainer model for non-palliative care physicians.

Bottle Size Matters - Surgical Care Pain Care and Chronic Opioid Users - Michael Englesbe talk still

Leadership

Bottle Size Matters: Surgical Care and Opioids

Six percent of surgical patients who are opioid naïve become new chronic opioid users. To combat this statistic, one group in Michigan is changing surgical care and pain care practices across the state.

Rosenbaum02_pullquote tailwinds

Care Redesign

Twitter Tailwinds — Little Capsules of Gratitude

We would be remiss if we didn’t constantly and exactingly focus on addressing all of medicine’s shortcomings. But how to balance fixing what’s wrong with holding on to all that’s right?

The Importance of Patience with a Patient Panel Clip Still Victor Montori Kathryn Pollak

Patient Engagement

The Importance of Patience with Patients

How do clinicians work with patients who won’t follow their recommendations?

Zane06_pullquote technology to save primary care

Care Redesign

Embracing Technology to Save Primary Care

Adding providers won’t solve the health care crisis — but thoughtfully and deliberately deploying technology just might.

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