A combined State-Federal program pays health plans a capitated fee to provide and coordinate acute, primary, long-term care as well as social services to those eligible for Medicare and Medicaid, leading to enhanced access to care, fewer inpatient admissions and nursing home placements, and high levels of beneficiary and provider satisfaction.
Multiple pieces of legislation in Washington state are starting to have an impact on use of shared decisionmaking in clinical practice, including a mandated demonstration project, recognition of use of decision aids as informed consent in malpractice cases, and formation of a learning collaborative.
A large medical group developed a comprehensive strategy to increase the number of physicians who speak languages other than English in order to improve access for patients with limited English proficiency.
A medical center implemented new policies, systems, communication protocols and training programs to serve lesbian, gay, bisexual, and transgender patients, leading to more equitable, culturally competent care.
The nation's first statewide health information exchange, the Delaware Health Information Network gives clinicians immediate access to patient-specific health data from other providers, leading to higher quality and more efficient care.
Five clinics in remote parts of Alaska and Washington state receive additional reimbursement from Medicare and dedicated Federal funds that allow them to provide around-the-clock care, leading to fewer medical evacuations (and associated cost savings), better quality care, and high levels of satisfaction in the communities they serve.
Pharmacist staff use autonomous mobile robots to track and deliver certain medications to nursing units, resulting in faster and more reliable medication delivery, lower costs, fewer lost medications, and increased nurse efficiency.
A children's hospital requires providers to look at a patient's picture and basic demographic information on a verification screen when entering and signing an order, leading to significant reductions in patients receiving or almost receiving care intended for someone else because of an order being placed in the wrong chart.
A pediatric radiology department uses theme-based room designs, multisensory distractions, and age-appropriate interactions and techniques to engage and distract young patients, leading to significantly less use of sedation, shorter scheduling lead times, increased throughput, and higher parent and staff satisfaction.
Computerized alerts did not influence physician ordering habits or improve clinical outcomes for elderly, hospitalized patients with cognitive impairment.