Care Coordinators Remotely Monitor Chronically Ill Veterans via Messaging Device, Leading to Lower Inpatient Utilization and Costs 10/25/10

Care coordinators remotely monitor veterans with chronic medical conditions via home telehealth devices, leading to reductions in hospital admissions, bed days, and care costs and to high levels of patient satisfaction.

Supported by Nutrition Education, Inpatients with Diabetes Choose from Unrestricted Menu, Leading to Higher Satisfaction and Better Food Choices 10/20/10

Rather than being placed on a specialized meal plan, diabetic inpatients order meals from an unrestricted (patient-controlled) menu after receiving education from nutrition staff about how to make appropriate food selections, with additional education provided to those consistently making “incorrect” choices. The program increased patient satisfaction without having a negative impact on the ability to achieve consistent carbohydrate intake and blood glucose control.

Health Plan Uses Nurse Practitioners to Improve Outcomes for Seniors With Diabetes, Congestive Heart Failure, Hypertension, and Wounds 07/13/10

Supported by sophisticated information technology and a separate outreach team, cross-trained nurse practitioners run disease-specific clinics in which they educate patients about self-management and proactively manage and coordinate care related to diabetes, wounds, congestive heart failure, hypertension, pulmonary disease, and coronary artery disease; the program has led to significant improvements in outcomes across targeted diseases/conditions.

Physician Practice–Based Medical Assistants Have Limited Success in Early, Ongoing Efforts to Engage Diabetes Patients in Self-Management 06/24/10

Guided by a health educator, medical assistants at an internal medicine practice are only modestly successful in encouraging diabetes patients to engage in goal setting, create personal action plans, and communicate home blood pressure and glucose measurements to physicians.

Employer-Sponsored Incentives and Support Designed to Reduce Overweight/Obesity and Other Risks Lead to Improvements in Health-Related Behaviors and Select Health Indicators 02/08/10

Financial incentives and associated support for employees and spouses to remain smoke-free, engage in physical activity, manage weight, achieve specific health-related milestones, and complete an annual physical exam and health risk appraisal lead to high participation rates and improvements in health-related behaviors and select health indicators.

Intensive Case Management Reduces Inpatient Admissions and Emergency Department Visits Among Costly, Medically Complex Patients Without Insurance 10/06/09

Intensive case management and care coordination significantly reduces inpatient admissions and emergency department visits for costly, medically complex patients who lack insurance.

Interactive Workshops Enhance Access to Health Education and Screenings, Improve Outcomes for Low-Income and Minority Women 07/02/09

Interactive educational workshops enhance access to health screenings for low-income and minority women, leading to improved health outcomes for those with diabetes.

Pharmacist Coaches Lower Copayments, Improve Outcomes, and Reduce Costs for Employees With Diabetes 07/01/09

Reduced or waived drug copayments and pharmacist coaches cut costs and improve outcomes for employees with diabetes.

Church-Sponsored, Barbershop-Based Program Enhances Access to Screenings and Followup Care for African-American Men in Harlem 05/26/09

A church-sponsored, barbershop-based program enhances access to screening and treatment for hypertension, diabetes, and prostate and colon cancers for African-American men in Harlem.

Real-Time Decision and Documentation Support Increases Adherence to Recommended Care for Respiratory Infections, Diabetes, and Heart Disease 12/18/08

Real-time clinical decision and documentation support through an electronic health record leads to more appropriate prescribing of antibiotics for respiratory infections and increased use of appropriate therapies and improved documentation for patients with diabetes and coronary artery disease.


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