Chartbook on Care Coordination

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Dean M, Oetzel J, Sklar DP. Communication in acute ambulatory care. Acad Med 2014 Dec;89(12):1617-22.

Dowd B, Karmarker M, Swenson T, et al. Emergency department utilization as a measure of physician performance. Am J Med Qual 2014;29(2):135-43. http://ajm.sagepub.com/content/29/2/135.long

Enard KR, Ganelin DM. Reducing preventable emergency department utilization and costs by using community health workers as patient navigators. J Healthc Manag 2013;58(6);412-28. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4142498/

Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from hospital. Ann Intern Med 2003;138(3):161-7.

Gao J, Moran E, Li YF, et al. Predicting potentially avoidable hospitalizations. Med Care 2014 Feb;52(2):164-71.

Hasan O, Meltzer DO, Shaykevih SA, et al. Hospital readmission in general medicine patients: a prediction model. J Gen Intern Med 2010;25(3):211-9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2839332/

Horwitz LI, Moriarty JP, Chen C, et al. Quality of discharge practices and patient understanding at an academic medical center. JAMA Intern Med 2013;173(18):1715-22. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836871/

Institute of Medicine, Board of Health Care Services. Future directions for the National Healthcare Quality and Disparities Reports. Washington, DC: National Academies Press; 2010.

Kitson NA, Price M, Lau FY, et al. Developing a medication communication framework across continuums of care using the Circle of Care Modeling approach. BMC Health Serv Res 2013 Oct 17;13:418. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3853098/

Persell SD, Eder M, Friesema E, et al. EHR-based medication support and nurse-led medication therapy management: rationale and design for a three-arm clinic randomized trial. J Am Heart Assoc 2013 October;2(5):e000311. Published online 2013 October 25. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835237/

Rau J. Nearly 1500 hospitals penalized under Medicare program rating quality. Kaiser Health News 2013 Nov 14.  http://kaiserhealthnews.org/news/value-based-purchasing-medicare/

U.S. Department of Health and Human Services. 2011 report to Congress: national strategy for quality improvement in health care. http://www.ahrq.gov/workingforquality/reports/annual-reports/nqs2011annlrpt.htm.

U.S. Department of Health and Human Services. 2013 annual progress report to Congress: national strategy for quality improvement in health care. http://www.ahrq.gov/workingforquality/reports/annual-reports/nqs2013annlrpt.htm.

Weinick RM, Burns RM, Mehrotra A. How many emergency department visits could be managed at urgent care centers and retail clinics? Health Aff 2010;29(9):1630-6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412873/

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