Building Bridges to Integrate Care (BRIDGES) is a Toronto-based incubator for innovative models to integrate care across the continuum and across disciplines for people with complex chronic disease. Watch this video to learn more about Ed Wagner's thoughts about the challenges of caring for complex patients, including current lack of evidence for creating clinical guidelines, the complications of multiple medications, providers and services, and the lack of coordination between physicians, services and agencies.
PACIC-Korean 26-item scale ( 만성질환관리평가: 환자대상 )
Courtesy of researchers Seok-won Hong Ph.D., and Young-eun Kim M.S. at the National Evidence-based Healthcare Collaborating Agency in Seoul, Korea we are pleased to make available a Korean translation of our PACIC instrument. This is the 26-item PACIC, which includes the 5As.
Multiple Chronic Conditions: A Day in the Life
“Multiple Chronic Conditions: A Day in the Life,” is an animated video revolving around the experiences of a woman living with several chronic conditions who struggles to stay abreast of the instructions, treatments and prescriptions she receives from a variety of health care providers.
PCMHA for Australian General Practice
Emerging Primary Care Trends and Implications for Practice Support Programs
Blog: Ed Wagner on meeting the demand for high-quality primary care
There is an ongoing debate in the United States about whether we will have enough primary care clinicians to meet the future demand for primary care and, if there is a shortage, how to solve it. But the debate misses a critical question: Are we meeting the current demand for high-quality primary care? Read more of Ed Wagner's December 2014 blog on the Insititute for Healthcare Improvement website.
The Team Guide
We know transformation of any kind is hard work. That’s why we’ve created the Team Guide, an online tool for primary care teams. The Team Guide helps build high-functioning teams and provides practical, hands-on tools—easy to use, actionable and measureable. Useful for practices at any stage, the Team Guide is built in modules, enabling practices to easily pinpoint relevant topics and areas of interest. It’s free, with a wide array of downloadable tools and resources.
A guide to research partnerships for pragmatic clinical trials
Based on insights from an initiative to accelerate pragmatic research, "A guide to research partnerships for pragmatic clinical trials" summarizes best practices for researchers and partners in healthcare systems as they establish collaborative relationships, develop research questions, and implement sustainable pragmatic clinical trials.
Care Coordination: An SNMHI Implementation Guide
The Care Coordination Implementation Guide begins with an introduction that defines care coordination and the recommended key changes for safety net practices, including a focus on behavioral health integration.
Enhanced Access: An SNMHI Implementation Guide
The Enhanced Access Implementation Guide provides strategies and tactics practices can use to enhance patient access by eliminating barriers to care, balancing supply and demand, and creating capacity to provide care in real-time.