Stage of Care
A plan-sponsored, pharmacist-led prescription and over-the-counter medicine review program at a local supermarket chain helps identify potentially harmful medication interactions, reduces falls, and enhances medication compliance among Medicare beneficiaries.
A pediatric sub specialist offered the families of his patients the opportunity to contact him via e-mail.
Resident-Assisted Montessori Programming (RAMP) is a peer leadership program in which patients in the early stages of dementia are trained to lead group activities with their peers who have more advanced dementia. Using principles of the Montessori learning method, RAMP teaches early-stage patients to use their strengths, such as procedural memory, to engage patients in meaningful social roles.
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
CarePartners, a donated care program, matches uninsured Maine residents with primary care physicians who are willing to care for up to 10 patients for free. Case managers help enrollees obtain needed services, including hospital care, specialist services, and free or low-cost drugs through prescription assistance programs.
Remote diabetic retinopathy screening using the Eye Picture Archive Communication System digital ocular imaging software facilitated prompt retinopathy diagnosis in California's Central Valley, an area where many residents are poor and uninsured and diabetes is a major health concern.
Mayo Clinic therapists conduct remote cognitive rehabilitation sessions with acquired brain injury patients who remain in or near their homes, thus enhancing access to care for those who find it difficult to travel for face-to-face sessions.
The Migrant Clinicians Network Prenatal Care Program seeks to ensure continuity of care for expectant mothers who begin prenatal care in one location and move for employment purposes during their pregnancy. Bilingual, culturally competent staff link migrant patients with prenatal services and manage their medical records throughout the pregnancy.
Essentia Health Heart and Vascular Center created a heart failure program combining chronic care and disease management principles to improve outcomes and reduce costs associated with heart failure care.
MedStar Franklin Square Medical Center in Baltimore, MD, set up a program in which all employees are encouraged to use their own experiences to devise and implement successful solutions for reducing hospital-acquired, methicillin-resistant Staphylococcus aureus infections.