The patient and family are at the center of quality health care. Engaging patients in the their care supports improved outcomes, increases satisfaction for patient and provider, and restores dignity and control. Core concepts include: respect and dignity, information sharing, participation, and collaboration.

View the Logic Model

Guided Care®

Guided Care® helps primary care practices meet the complex needs of patients with multiple chronic conditions. In this proven care model, a trained Guided Care nurse works closely with patients, physicians and others to provide coordinated, patient-centered care.

The Value of Nursing Care Coordination - ANA White Paper

As recent studies suggest, professional nurses have the potential for significant contributions to patient-centered, cost-effective care through the care coordination role. In order to fully achieve this potential, clear models and outcome measures are needed which specify the context for care coordination, identify nursing competencies, and value the nurse’s role within the health care team.

Transitions of Care in the Long-Term Continuum

This clinical practice guideline (CPG) has been developed under a project conducted by the American Medical Directors Association (AMDA), and is intended for the members of the interdisciplinary team in long-term care facilities, including the medical director, director of nursing, practitioners, nursing staff, consultant pharmacist, and other professionals such as therapists, social workers, dietitians, and nursing assistants who care for residents of long-term care facilities.