Partners’ Publications

Partners in Care Foundation seeks to continuously educate and share our learnings through publications. Our wide range of curated journals and publications deliver up-to-date critical information from industry experts that relate to our various programs and services and highlight topics that include, but are not limited to, geriatrics, social determinants of health, and care transition for those with complex care needs. 


Proven Results
2020, Partners in Care Foundation

Care Transition

Complexities of Care: Common Components of Models of Care in Geriatrics
April 29, 2022, Journal of the American Geriatrics Society

Ten Years of the Hospital Readmission Penalty: Lessons Learned & Best Practice Providers
January 12, 2022, Independently Published by Dr. Josh Luke

Impact of a Combined Coleman Care Transitions Interventions® and Bridge Model Intervention on Readmissions and Medicare Spending
July 1, 2020


Health for Safe Medicines Use
March 2022, Journal Patient Safety, Volume 18, Number 2

Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use
March 31, 2021, Patient Safety Network

Evidence-Based Program: HomeMeds
September 1, 2020, National Council on Aging

A Collaboration Among Primary Care–Based Clinical Pharmacists and Community-Based Health Coaches
January 9, 2020, Journal of the American Geriatrics Society

Reducing In-Home Medication Issues Using an Alternative Workforce
Summer 2019, Journal of the America’s Physician Groups

eMeds Intervention Summary
Administration for Community Living

Community Wellness

Effectiveness of chronic disease self-management education (CDSME) programs to reduce loneliness
August 11, 2022, Sage Journals, Volume 19, Issue 3 of Chronic Illness

The Leveraging Exercise to Age in Place (LEAP) Study: Engaging Older Adults in Community-Based Exercise Classes to Impact Loneliness and Social Isolation
October 16, 2020, The American Journal of Geriatric Psychiatry

What’s Working – Peer Workshops Help Participants Help Themselves
June 2017, UNITE HERE HEALTH Benefits Magazine

Report to Congress: The Centers for Medicare & Medicaid Services’ Evaluation of Community-based Wellness and Prevention Programs under Section 4202 (b) of the Affordable Care Act
July 10, 2009


Covid-19: A Critical Time for Cross-Sector Social Work Care Management
March 21, 2021, Social Work in Health Care

Developing Geriatric Social Work Competencies for Field Education
September 22, 2008, Journal of Gerontological Social Work Volume 48, 2006 – Issue 1-2

Creating Consortia across the Continuum of Care: Geriatric Social Work Field Education
June 1, 2004, Social Work Education – The International Journal Volume 25, 2006 – Issue 6