Project: "Skilled Nursing Facility Network Development for High-Risk Patients"
Massachusetts General Hospital
Massachusetts
Project: "Skilled Nursing Facility Network Increase Days at Home (SNIDH Intervention)"
Commonwealth Care Alliance
Massachusetts
Project: "Total Elder Care"
Medstar Washington Hospital Center
Washington DC
Project: "Hennepin Health"
Hennepin County
Minnesota
Project: "Advance Care Planning: Ensuring Patients’ Wishes are Honored"
University of Louisville School of Medicine
Kentucky
Project: "Triggered Palliative Care Consultation for Older Adults Transferred to the ED from Long-Term Care"
Mount Sinai Medical Center
New York
Project: "Enhanced Primary Care in a Retirement Community"
Mountain Area Health Education Center, Inc.
North Carolina
Project: "Re-engineering the Geriatric Inpatient Stay and Transition Home (REGISTRY)"
Trustees of Dartmouth College
New Hampshire
Project: "Care Transitions from Hospital to Home"
Mercy Health
Ohio
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
Rhode Island