American Indian or Alaska native
A rural medical practice redesigned its care processes to allow multidisciplinary care teams to use a new electronic health record system that features real-time documentation and information sharing and various tools to facilitate the provision of appropriate care, leading to significant improvements in screening rates and high satisfaction for medically underserved patients in Alaska.
Five clinics in remote parts of Alaska and Washington state receive additional reimbursement from Medicare and dedicated Federal funds that allow them to provide around-the-clock care, leading to fewer medical evacuations (and associated cost savings), better quality care, and high levels of satisfaction in the communities they serve.
A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.
An inner-city clinic hosts a weekly group program with parents and children that includes an individual medical visit, group education, and time for exercise, leading to improved health-related behaviors, stable body mass index in children, and weight loss in adults who participate frequently.
The Full Circle Diabetes program provides comprehensive care and self-management support to Native Americans with diabetes, leading to improvements in health-related behaviors, clinical outcomes, and emotional health.
A Native American tribe–owned skilled nursing facility provides culturally competent services using a holistic approach to health and well-being, leading to high patient and family member satisfaction and low staff turnover.
University-based specialists provide initial training and host weekly, case-based consultations with primary care clinicians, enhancing access to hepatitis C care for prisoners and rural patients throughout New Mexico.
A care “pathway” helps pregnant substance abusers obtain health insurance, obstetrics care, substance abuse counseling, and other services, allowing the vast majority of these women to give birth to babies with viable birth weight who are free of illicit substances.
CIGNA uses a multifaceted approach to facilitate culturally appropriate behavioral health care for members, including the matching of patients to providers who meet desired characteristics; the program enhanced the diversity of the behavioral health practitioner network and increased member satisfaction.
Using the Pathways model, Access El Dorado helps low-income families navigate the health care system, obtain health information, and access appropriate medical and mental health services, leading to fewer emergency department visits.