A nonprofit organization in Baltimore provides programs and services to support at-risk women (particularly African Americans) throughout each stage of the childbearing cycle, leading to fewer deliveries of low- and very low–birthweight babies and associated cost savings.
As an expansion to an existing community-based oral health program for Hispanic and African-American seniors, dental school faculty, staff, and students offer education and screening for hypertension and diabetes, leading to the identification of many seniors with or at high risk for these chronic illnesses and many previously diagnosed individuals who do not have the condition(s) under control.
The Oregon Health Authority (which oversees the State Medicaid program) initiated a series of policy changes to promote earlier detection, more effective referrals, and better coordination of care for pediatric patients with developmental delays, leading to a significant increase in screening rates and enhanced access to early intervention services.
A city health department encourages public and private maternity hospitals to voluntarily adopt various policies to support new mothers who choose to breastfeed exclusively. The program has attracted many participating hospitals, won broad support within the medical community, and increased the proportion of new mothers who breastfeed exclusively during their hospital stay.
The State of Connecticut offers employees, retirees, and dependents significant financial incentives to access appropriate care and engage in their health, leading to high participation rates, more appropriate utilization of health care resources, better medication adherence, and slower growth in costs.
A federally qualified health center serving primarily low-income, minority patients offers telemedicine-based retinal screening as part of a comprehensive annual visit for patients with diabetes, leading to enhanced access to screening, lower costs, and higher patient satisfaction.
A five-question electronic survey given to emergency department patients identifies a high proportion with potential eating disorders, suggesting the potential for the emergency department to be an effective venue for early diagnosis and connections to community-based treatment and support.
Nurses come to the home of families with newborns to perform a comprehensive assessment of risk factors and provide education and support, leading to better connections to community resources, improved parenting skills, higher quality and safety in the home environment, and significantly fewer infant medical emergencies.
Physicians and social workers provide free, convenient, culturally appropriate medical care, counseling, and support group services to African-American men in African-American Chicago neighborhoods, enhancing access to these services for roughly 3,000 to 3,500 men each year.
In partnership with community-based, nonprofit agencies that serve refugees, a county health department uses a culturally tailored screening tool to identify refugees at high risk for mental health problems and connect them to a counselor for more thorough diagnosis and, if necessary, treatment.