Preventive care

Innovations

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.

Real-Time Clinical Reminder System Improves Performance on Quality Measures 01/25/08

Researchers at the University of Michigan Medical School transformed the way services are delivered at their family practice clinics using an electronic clinical reminder and tracking system designed to support evidence-based quality improvement efforts.

Retail Walk-In Clinics Provide Easy Access to Low-Cost Primary Care Services 01/25/08

MinuteClinic operates walk-in, low-cost primary care clinics located within retail stores.

Comprehensive Program Focused on Culture Change, Education and Training, and Solicitation of Employee Ideas Significantly Reduces Incidence of Common Hospital-Acquired Infection 01/25/08

The Billings Clinic, an integrated health system in Billings, MT, addressed its rising rate of methicillin-resistant Staphylococcus aureus infections by making infection control a top institutional priority and by creating a comprehensive package that combines adoption and monitoring of strict infection control protocols, active surveillance, training and education, and the solicitation and implementation of employee ideas through an approach known as “positive deviance.” This term refers to the focus on uncommon strategies that lead to positive changes and results.

Strict Adherence to System-Wide Standards and Protocols Significantly Reduces Infections Associated With Central Venous Catheters 01/25/08

The North Shore-Long Island Jewish Health System uses a standard, system-wide process to reduce central venous catheter–related infections, with a focus on adhering to evidence-based standards and protocols related to inserting, maintaining, and removing the catheters.

Comprehensive Program That Includes Standardized Protocols and Pain Management Team Significantly Reduces Narcotic Oversedation in Hospital Setting 01/25/08

A comprehensive hospital program that includes standardized protocols and various support systems to encourage adherence to these protocols led to an 81-percent decline in serious narcotic oversedations.

Telemedicine-Based Diabetes Management Program Focusing on Education and Eye Exams Improves Self-Management Capabilities and Outcomes For Low-Income Rural Patients 01/24/08

A diabetes disease management program provides remote education and eye screenings for low-income individuals in rural South Carolina, leading to increased eye examination rates, reduced blood glucose and cholesterol levels, improved self-management behaviors, and high levels of patient satisfaction.

Community Collaborative Improves Accuracy of Medication Lists for Elderly Patients in Outpatient Clinic Setting 01/24/08

Aurora Health Care spearheaded a community-wide medication reconciliation initiative, involving health care consumers, providers, pharmacists, and community stakeholders, to improve the accuracy of elderly patients' medication lists.

Patient Education and Staff Training Significantly Improves Medication Reconciliation in Outpatient Clinics 01/23/08

Mayo Clinic researchers developed a medication reconciliation intervention program for outpatient primary care settings that improved the accuracy of medication lists in the practice's electronic medical records.

Airport Clinics Provide Quick Access to Low-Cost, Routine Services for Travelers, Airport/Airline Employees 01/22/08

AeroClinic operated walk-in health care clinics that provided minor ill-care/well-care services for travelers and airport employees as well as occupational health services for airport employers in the Philadelphia and Atlanta airports.

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