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Fig 1.

Flow of Patients.

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Table 1.

Characteristics of Care Support Patients.

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Table 2.

Process Measures and Fidelity to GRACE Model.

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Table 3.

Core Components of GRACE and Adaptations for Care Support.

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Fig 2.

Cumulative Number of Emergency Department (ED) Visits in Care Support (CS) Patients Before and After Enrollment.

The cumulative number of ED visits is shown as a function of patient number (sorted by number of ED visits) during the 6 months before enrollment in Care Support (solid line) and the 6 months after enrollment (dashed line). The proportion of patients with zero ED visits increased significantly from 40% pre-enrollment to 54% post-enrollment (McNemar’s test, p = 0.015).

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Fig 3.

Cumulative Number of Inpatient Visits (IP) Visits in Care Support (CS) Patients Before and After Enrollment.

The cumulative number of IP visits is shown as a function of patient number (sorted by number of IP visits) during the 6 months before enrollment in Care Support (solid line) and the 6 months after enrollment (dashed line). The proportion of patients with zero IP visits increased significantly from 33% pre-enrollment to 60% post-enrollment (McNemar’s test, p<0.001).

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Fig 4.

Changes in Self-Rated Health in Care Support Patients Over Time.

The percentage of patients who self-reported good health (defined as good, very good or excellent versus fair or poor) is shown in red, while the percentage of patients who self-reported that their health was better than 3 months ago (defined as somewhat or much better versus about the same, somewhat worse or much worse) is shown in blue. P-values are based on McNemar’s test for paired proportions compared to baseline values.

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