Current Projects

Project ACHIEVE (Achieving Patient-Centered Care and Optimized Health In Care Transitions by Evaluating the Value of Evidence)—Patients in the U.S. suffer harm too often as they move between sites of health care, and their caregivers ex perience significant burden. Poorly managed patient care transitions can lead to worsening symptoms, adverse effects from medications, unaddressed test results, and excess re-hospitalizations and emergency visits. Project ACHIEVE is a collaboration among patients, family caregivers, and nationally recognized leaders in health care transitions and research to evaluate the effectiveness of current efforts at improving care transitions. Funded by the Patient Centered Outcome Research Institute (PCORI), the ACHIEVE team aims to develop recommendations on best practices for patient-centered care transitions and guidance for dissemination.

For more information, please visit the Project ACHIEVE web page by clicking here.

Kentucky Consortium for Accountable Health Communities (KC-AHC)—Funded by the Centers for Medicare & Medicaid Services, CHSR has established the KC-AHC to address the health-related social needs of vulnerable patients across the Commonwealth. KC-AHC will implement and test an Alignment model, which seeks to determine whether providing a combination of tailored community service referrals and patient navigation services assistance, as well as clinical and community partner alignment, will yield improvement in patient outcomes, health care utilization and costs. One component of this project is an online registry of resources to help address health-related social needs (CARE KY: Community Asset Registry for the Empowerment of Kentucky).

Visit the CARE KY social resource asset registry by clicking here.

For more information, please visit the KC-AHC project website by clicking here.

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Project MISSION (Developing a multicomponent, Multilevel Implementation Strategy for Syncope OptImalCare thrOugh eNgagement)—Syncope is a complex presenting symptom that requires thoughtful and efficient evaluation to determine the etiology of a patient’s loss of consciousness. Prevalence rates of syncope have been reported as high as 41%, with recurrent syncope occurring in 13.5%. A common symptom, approximately 1% to 3% of all emergency department (ED) visits (as many ED visits as atrial fibrillation) and up to 6% of all hospital admissions are due to syncope.The proposed study will identify barriers and facilitators for implementation of an evidence-based, high value approach to diagnosis and management of patients presenting with syncope. The research team will develop a multi-level, multi-component implementation strategy for evidence-based syncope evaluation and management and plan for a subsequent hybrid effectiveness-implementation trial, guided by the Consolidated Framework for Implementation Research (CFIR).