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Health Information Technology: Are Long Term Care Providers Ready?

April 2007

This report explores the readiness for health information technology (HIT) from the perspective of long term care providers: nursing facilities, residential care facilities, and community-based service providers.

Racial, Cultural, and Ethnic Factors Affecting the Quality of End-of-Life Care in California

March 2007

This report shows how Californians' end-of-life care differs by race and ethnicity. It identifies gaps in providing culturally sensitive services and offers recommendations for change.

Disruptive Innovation: Can Health Care Learn from Other Industries? A Conversation with Clayton M. Christensen

March 2007

In this Health Affairs Web Exclusive, CHCF President and CEO Mark Smith interviews Harvard Business School Professor Clayton Christensen about technology and disruptive innovation in health care.

Long Term Care Reform: Ten Years After Little Hoover

December 2006

This issue brief assesses the progress of long term care reform in California since the Little Hoover Commission recommendations in 1996 and introduces new strategies to improve care over the next five years.

Building Peer Support Programs to Manage Chronic Disease: Seven Models for Success

December 2006

Group visits, peer coaches, phone and Internet support, and self-management training are some of the peer support programs that are found to be as effective as they are affordable in managing chronic diseases.

It Takes a Region: Creating a Framework to Improve Chronic Disease Care

November 2006

With the goal of improving health care quality and affordability, this report examines the organization, strategies, and potential for success of regional efforts to improve health care for local populations.

Attitudes Toward End-of-Life Care in California

November 2006

Revealing how California's diverse population views death and dying issues, this study examines attitudes about end-of-life care planning, life support, and pain management.

Snapshot: Hospice in California: A Look at Cost and Quality

November 2006

This report provides a snapshot of hospice utilization, trends, cost, and quality in California from 1996 through 2004.

Snapshot: Death and Dying in California

November 2006

This report examines changing attitudes about death and dying and potential trends through the lens of demographics, the cost and nature of end-of-life care, and culture.

Chronic Disease in California: Facts and Figures

October 2006

Highlighting key trends and statistics ranging from spending to utilization, this report provides important information and perspective on chronic disease care in California and the United States.

Challenging the Status Quo in Chronic Disease Care: Seven Case Studies

September 2006

The culture, structure, and financial incentives of most medical practices limit providers' ability to best treat chronically ill patients. This research explores approaches that avoid the shortfalls of two prototypical strategies.

Health Promotion by Design in Long Term Care Settings

September 2006

This report examines how the design of physical environments in long term care facilities potentially impacts resident and staff wellness, and specifically how it affects quality of life, safety, and stress.

Evaluation of the CHCF Ambulatory Care Redesign Collaborative

August 2006

This report examines the effectiveness of an initiative to redesign ambulatory care processes to improve productivity and provider and patient satisfaction at safety-net clinics in California.

Snapshot: Staffing and Quality in California Nursing Homes

July 2006

This 2006 report examines nursing home staffing and quality issues in California, including compliance with minimum standards, turnover rates, deficiencies, and comparisons of for-profit and nonprofit settings.

Health Care in the Express Lane: The Emergence of Retail Clinics

July 2006

This 2006 report examines the advent of retail-based medical clinics — both nationally and in California — as well as the forces fueling their emergence and their viability as a business model.

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