Strategies

Policies and programs that work

9 Strategies
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Case-managed care for community-dwelling frail elders

Use a case management model for frail elderly patients living independently, coordinating aspects of long-term care (LTC) such as status assessment, monitoring, advocacy, care planning, etc.
Scientifically Supported
  • Quality of Care

Chronic disease management programs

Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education
Scientifically Supported
  • Quality of Care

Chronic disease self-management (CDSM) programs

Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life
Scientifically Supported
  • Quality of Care

Culturally adapted health care

Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills
Scientifically Supported
  • Quality of Care

Integrated long-term care for community-dwelling frail elders

Support a collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care (LTC) needs for frail elderly patients living in community settings
Scientifically Supported
  • Quality of Care

Patient navigators

Provide culturally sensitive assistance and care coordination, and guide patients through available medical, insurance, and social support; also called systems navigators
Scientifically Supported
  • Quality of Care

Professionally trained medical interpreters

Provide interpretation services for patients with limited English proficiency (LEP) in outpatient and inpatient health care settings, following training and certification
Scientifically Supported
  • Quality of Care