Medicaid managed care enrollees with type 2 diabetes receive free access to YMCA facilities and have regular meetings with nurses, dietitians, and personal trainers that focus on diet, exercise, and other aspects of disease self-management, leading to weight loss and improvements in body mass index, cholesterol, and blood glucose control.
A statewide text messaging service provides minority youth and young adults in Illinois with accurate information on HIV/AIDS and connects them to free HIV testing and related services.
Multidisciplinary, clinic-based teams work with obese children and their families to implement a weight control self-management plan tailored to the child's needs, leading to lower or stabilized body mass index, reductions in screen time and intake of sweetened beverages, and increased physical activity and fruit/vegetable consumption.
Primary care practices incorporate standing orders for preventive care services into the electronic health record, allowing nonphysician clinical staff to fill gaps in care; the program substantially increased the provision of needed services to eligible patients.
Weekly text messaging service for teens and young adults enhances access to sexual health information and services and generates positive changes in behavior and knowledge.
A 2-day influenza vaccination program based on emergency preparedness plans for mass vaccination or prophylaxis, features in-unit vaccinations and a morning “lockdown” where employees must enter the hospital through a single entrance manned by vaccination teams, leading to significant increases in employee vaccination rates.
A one-time personalized electronic message from a patient's primary care physician did not increase colorectal cancer screening rates in eligible adults overdue for such screening.
Through its commercial electronic medical record system, a large internal medicine practice provides physicians with unobtrusive reminders related to 16 standardized measures and makes it easy for them to order recommended tests or treatment or document legitimate exceptions, leading to better performance on these measures.
Through electronic flagging of infected patients and weekly surveillance rounds, infection control staff increased adherence to contact precautions from 58 to 90 percent.
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.