Avoidable hospitalizations

Innovations

Emergency Medical Technicians Use Checklist To Identify Intoxicated Individuals who Can Safely Go to Detoxification Facility Rather Than Emergency Department 12/24/12

Trained emergency medical technicians use a checklist to identify intoxicated individuals who can safely be transported directly to a local detoxification facility, thus avoiding expensive visits to crowded, resource-constrained emergency departments.

Outpatient Center Evaluates Stable Patients Experiencing Recent Ministroke, Leading to Timely, Comprehensive Care and Lower Costs 12/24/12

As an alternative to inpatient care, an outpatient center located within a hospital with a stroke center evaluates stable patients who have experienced a recent transient ischemic attack, leading to more timely and comprehensive care, and to significant cost savings through the avoidance of unnecessary admissions.

Teams of Diabetes Educators Regularly Visit Rural Clinics to Coach African-American Patients, Leading to Better Glycemic Control and Potential Cost Savings 11/19/12

A traveling team of certified diabetes educators (including a nurse, pharmacist, and dietitian) regularly visits rural clinics to help coordinate diabetes care with clinicians and educate and coach African-American patients with diabetes, leading to improved glycemic control and the potential for meaningful cost savings.

Community-Based Oncology Practice Redesigns Processes Based on Patient-Centered Medical Home Model To Enhance Access, Improve Quality, and Reduce Costs 11/12/12

A community-based oncology practice's patient-centered medical home model features oncology-specific information technology, a standardized assessment, multidisciplinary care plan, patient navigators, telephone triage line, patient education and engagement, and ongoing performance monitoring, leading to improvements in access, quality, and costs.

State Automatically Enrolls Low-Income Children in Medicaid Based on Information From Food Program Application, Reducing Number of Uninsured and Administrative Costs 10/29/12

Using a data-matching program, the state of Louisiana allows qualified, low-income children to be automatically enrolled in Medicaid based on information submitted on applications to the state's Supplemental Nutrition Assistance Program, enhancing access to Medicaid coverage and health care services and significantly reducing administrative costs.

Hospital–Community Organization Partnership Uses Culturally Competent Community Health Workers To Support Latino Families With Asthmatic Children, Reducing Hospitalizations and Emergency Department Visits 09/10/12

In a partnership between a hospital and four community-based organizations, bilingual community health workers help low-income, predominantly Latino families with asthmatic children better manage the disease, leading to fewer asthma-related symptoms, hospitalizations, emergency department visits, and missed school days.

Managed Care Organization and Visiting Nurse Association Offer Standardized Education to Elderly Heart Failure Patients, Improving Self-Management and Reducing Readmissions 07/03/12

Kaiser Permanente Colorado and the Visiting Nurse Association in Denver jointly offer intense, consistent education to elderly heart failure patients discharged from the hospital in need of home-based skilled nursing care, leading to improved knowledge and self-management skills and fewer readmissions.

Multidisciplinary Team, Real-Time Information, and Incentives Help Medical Homes Improve Mental Health and Patient Experience, Reduce Utilization and Costs 06/25/12

As part of a statewide public-private initiative, the diverse Burlington (Vermont) health service area supports 18 patient-centered medical home practices via a multidisciplinary team, real-time electronic information, and financial incentives, leading to more appropriate care, better health outcomes and patient experiences, and lower utilization and costs.

Formalized, Technology-Enabled Referral Relationships Between Medical Center and Community Clinics Enhance Access and Reduce Inappropriate Emergency Department Visits 06/15/12

A collaborative program leverages information technology to connect ED patients to a medical home and patients receiving care at FQHCs and county health clinics to specialists, leading to enhanced access to care, fewer ED visits, and significant cost savings.

Emergency Department–Based Case Managers Throughout County Electronically Schedule Clinic Appointments for Underserved Patients, Allowing Many to Establish a Medical Home 06/12/12

Emergency department–based case managers at nine Milwaukee hospitals use electronic technologies to schedule and track attendance at follow-up clinic appointments for low-income, uninsured patients who come to the emergency department with nonurgent needs, allowing many such patients to establish a medical home.

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