Transitional Care Projects by Primary Condition/Disease
Cancer
- Comparative Effectiveness Trial of Perioperative Telemonitoring for Functional Recovery and Symptoms
Cardiovascular Health
- GWTG Interventions to Reduce Disparities in AHF Patients Discharged from the ED -- The GUIDED HF Study
- PATient Navigator to rEduce Readmissions -- The PArTNER Study
- Improving Care Transitions for Acute Stroke Patients Through a Patient-Centered Home-Based Case Management Program
- Improving Measurement of Health Care Transitions through Key Stakeholders’ Eyes
- Improving Delivery of Patient-Centered Cardiac Rehabilitation
- Comparing Recovery Options for Stroke Patients
- Specialized Community Disease Management to Reduce Substance Use and Hospital Readmissions
- Comparing Ways to Improve Daily Functioning for Stroke Survivors After They Leave the Hospital -- The COMPASS Study
- Using Mobile Integrated Health and Telehealth to Support Transitions of Care among Heart Failure Patients
COPD
- An Integrative Multilevel Study for Improving Patient-Centered Care Delivery among Patients with Chronic Obstructive Pulmonary Disease
- Specialized Community Disease Management to Reduce Substance Use and Hospital Readmissions
- PATient Navigator to rEduce Readmissions -- The PArTNER Study
Kidney Disease
- Can a Patient-Centered Approach to Preparing Patients for Kidney Failure Improve Patient Outcomes?
- Specialized Community Disease Management to Reduce Substance Use and Hospital Readmissions
Non-Disease Specific
- Can Peer Support after Newborns are in Intensive Care Improve Parents' Mental Health and Newborns' Outcomes?
- Identifying Which Transitional Care Services Matter Most to Patients and Caregivers -- The ACHIEVE Study
- Using a Transitional Care Program to Prepare Patients to Take Care of Themselves after Leaving the Hospital
- Improving Post-Discharge Outcomes By Facilitating Family-Centered Transitions From Hospital To Home
- Comparing Two Ways to Provide Palliative Care to Older Adults with Serious Illness
- Comparative Effectiveness of Direct Admission & Admission through Emergency Departments for Children
- Examination of the Evidence-Based Care Transitions Intervention Enhanced with Peer Support to Reduce Racial Disparities in Hospital Readmissions and Negative Outcomes Post-Hospitalization
Mental/Behavioral Health
- Can Peer Support after Newborns are in Intensive Care Improve Parents' Mental Health and Newborns' Outcomes?
- Specialized Community Disease Management to Reduce Substance Use And Hospital Readmissions
- Comparing Two Ways to Help Patients with Mental Illness Transition from the Emergency Department to Outpatient Care -- The EPIC Study
- Helping Patients with Mental Illness Engage in Their Transitional Care
- A Comparative Effectiveness Trial of an Information Technology Enhanced Peer-Integrated Collaborative Care Intervention for US Trauma Care Systems
Multiple Chronic Conditions
- Specialized Community Disease Management to Reduce Substance Use and Hospital Readmissions
- PATient Navigator to rEduce Readmissions -- The PArTNER Study
- Rural Options At Discharge Model of Active Planning -- The ROADMAP Study
- An Emergency Department-to-Home Intervention to Improve Quality of Life and Reduce Hospital Use
Sickle Cell Disease
- Comparative Effectiveness of Peer Mentoring versus Structured Education-Based Transition Programming for the Management of Care Transitions in Emerging Adults with Sickle Cell Disease
- Community Health Workers and Mobile Health for Emerging Adults Transitioning Sickle Cell Disease Care -- The COMETS Study
- Evaluating a Program to Improve Patient Experiences after Discharge from the Hospital -- The PArTNER Study
Trauma/Injury
- A Patient-Centered Approach to Successful Community Transition After Catastrophic Injury
- Does Care Management Help Patients Recover from a Serious Injury?
- Improving Transition from Acute to Post-Acute Care Following Traumatic Brain Injury -- The BRITE Study
- A Comparative Effectiveness Trial of an Information Technology Enhanced Peer-Integrated Collaborative Care Intervention for US Trauma Care Systems
- Improving Family-Centered Pediatric Trauma Care -- The Standard of Care versus the Virtual Pediatric Trauma Center
What's Happening at PCORI?
The Patient-Centered Outcomes Research Institute sends weekly emails about opportunities to apply for funding, newly funded research studies and engagement projects, results of our funded research, webinars, and other new information posted on our site.
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