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The Patient-Centered Medical Home Without Walls: Clinicians and Community Health Workers Partner to Provide Care for Frail Older Adults—The CARIÑOS Model

  • Neela K. Patel,
  • Christine Lam,
  • Jasmine Rodriguez,
  • Angelica E. Davila,
  • Zaldy S. Tan,
  • James W. Tysinger

摘要

Two major challenges led to our team’s developing the CARINOS Model. The first was the limitations in the care we experienced after becoming a National Committee for Quality Assurance (NCQA)-recognized Patient-Centered Medical Home (PCMH) and Geriatric Care Medical Neighborhood. The second, and the more pressing challenge, was the inability to see our patients in the clinic due to the COVID-19 Pandemic. These two challenges are described in detail below.