Vulnerable populations

Innovations

Online Communities Foster Data-Sharing, Communication, and Learning Among Patients With Neurologic and Other Chronic Diseases 02/06/08

Web-based communities allow patients with a variety of life-changing illnesses to record functional outcomes, share these data securely with clinicians and caregivers, and communicate with similar patients for support and learning.

Remote Consultations Provide On-Demand Access to Stroke Specialists for Network of 31 Emergency Departments, Facilitating Rapid Stroke Treatment and Patient Transfers 01/31/08

The Michigan Stroke Network provides on-demand remote consultations to emergency department physicians in 30 hospitals and one freestanding emergency department throughout Michigan. These consultations provide the physicians with access to stroke care specialists within 12 to 15 minutes of the physician making a telephone call.

Hourly Testing and As-Needed Dosing Adjustments Significantly Improve Effectiveness of Glycemic Control in Intensive Care Unit Patients 01/31/08

To reduce the high percentage of intensive care unit patients with hyperglycemia, Indiana University Health developed and implemented an hourly testing and as-needed dosing adjustment system that is enabled through use of an automated reminder system and dosing calculator.

Technology-Enabled Reengineering of Referral Intake Process and Case Management System Significantly Improves Field Nurses' Ability To Serve At-Risk Families 01/31/08

The County of San Diego Health and Human Services Agency implemented a Mobile Remote Workforce project to increase the amount of time field nurses in the agency's public health nurse home visitation program can spend providing direct services to at-risk families.

Teen Tobacco Prevention Curriculum Is Adapted for Native American and Latino Communities, Leading to Positive Feedback 01/31/08

Teens Against Tobacco Use ™, a peer-to-peer mentorship program designed to educate youth on the dangers of tobacco use, was adapted for the Native American and Latino communities in Washington state.

Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients 01/30/08

Hospital at Home sm provides hospital-level care in a patient's home as a full substitute for acute hospital care for selected conditions common among seniors.

Automated Pharmacy Alerts Followed by Pharmacist-Physician Collaboration Reduce Inappropriate Prescriptions Among Elderly Outpatients 01/28/08

Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.

Group Visits Expand Capacity to Serve Dementia Patients and Caregivers, Result in High Levels of Patient and Provider Satisfaction 01/28/08

Group visits allow substantially more patients with dementia to be served with only a modest increase in clinician time, leading to high levels of patient, caregiver, and provider satisfaction.

Unit-Based Safety Program Improves Safety Culture, Reduces Medication Errors and Length of Stay 01/25/08

The Comprehensive Unit-Based Safety Program (CUSP) improves patient safety awareness and quality of care by empowering staff to take charge, create partnerships between units, improve organizational culture, and obtain resources for unit efforts.

Public Health-Led Disease Management Programs Improve Outcomes for Individuals With Diabetes and Children With Asthma 01/25/08

A county health department implemented disease management programs for uninsured and underinsured, low-income diabetes, asthma, and heart failure patients, leading to improved outcomes.

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