November 3, 2009 -
To be successful, "culture change" initiatives—efforts to help nursing homes transform from institutional hospital-like settings to homes that focus on residents' preferences—depend critically on the care provided for and directed by nursing homes' professional nursing staff.
November 3, 2009 -
By combining the core tenets of primary care with high-tech practice innovations like electronic medical records, the patient-centered medical home model can improve quality of care and lower costs. However, it faces several challenges. How can it provide incentives for outside providers to work collaboratively with primary care clinicians? And, how can primary care practices share in the savings that result from decreased need for such services as hospitalizations or emergency room treatment?