A Medicaid managed care plan offers a patient-specific pay-for-performance program tailored to the needs of both large and small practices serving vulnerable populations, leading to improvements in immunization rates and diabetes care.
Low-income African-American women at risk for cardiovascular disease received culturally appropriate motivational counseling and support tied to their readiness for change, leading to reductions in dietary fat intake.
Public health nurses provide case management services to women with one or more chronic conditions who receive Temporary Assistance for Needy Families, leading to enhanced access to mental health services, fewer depressive symptoms, and improved functional status.
A neonatal palliative care program supports and arranges needed services for families who experience the loss of a baby, generating very positive anecdotal feedback from those served.
Volunteer physicians, supported by paid nurse case managers, provide homeless women with needed medical care in homeless shelters and connect the women to other needed medical and social services. The program has enhanced access to services, improved outcomes, and generated significant cost savings.
Electronic alerts, patient education, and provider performance reports promote adherence to a guideline covering early elective inductions, leading to a significant decline in such inductions, shorter average labor, and fewer newborn complications.
A hospital-based maternal/child health clinic enhances access to comprehensive, culturally competent prenatal and pediatric care for refugee families, leading to less anxiety among expectant mothers and better attendance at scheduled appointments.
The Daylight program uses trained volunteers—recognized and influential women from local refugee and immigrant communities—to provide to their peers culturally sensitive information about breast health and breast cancer, including early detection methods.
A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.
A faith-based exercise program run through churches increased levels of physical activity and reduced blood pressure and pain levels in older African-American women.