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HINfographic: The 4 Ws of Home Visits

Visiting medically complex patients at home can shed light on health-related issues that might go undetected during an office visit, reducing the likelihood of unplanned admissions or emergency...

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HINfographic: 7 Care Transition Models for High-Risk Patients

Many current care transitions models support safer transitions for patients with complex comorbid conditions - initiatives aimed at the patient, hospital, community, or in some cases, a state or region...

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Severity Index Drives Patients’ Touch Points with Nurse Navigators

Beyond telephonic outreach, assessment and education, nurse navigators in Bon Secours Health System Advanced Medical Home also manage a case load for face-to-face patient work, explains Robert Fortini,...

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