Project: "Skilled Nursing Facility Network Development for High-Risk Patients"
Massachusetts General Hospital
Project: "Skilled Nursing Facility Network Increase Days at Home (SNIDH Intervention)"
Commonwealth Care Alliance
Project: "Total Elder Care"
Medstar Washington Hospital Center
Project: "Hennepin Health"
Project: "Advance Care Planning: Ensuring Patientsâ€™ Wishes are Honored"
University of Louisville School of Medicine
Project: "Triggered Palliative Care Consultation for Older Adults Transferred to the ED from Long-Term Care"
Mount Sinai Medical Center
Project: "Enhanced Primary Care in a Retirement Community"
Mountain Area Health Education Center, Inc.
Project: "Re-engineering the Geriatric Inpatient Stay and Transition Home (REGISTRY)"
Trustees of Dartmouth College
Project: "Care Transitions from Hospital to Home"
Project: "A Transitional Care Model (from hospital to home to the community) for Patients with Heart Failure"
Kent County Visiting Nurse Association d/b/a VNA of Care New England