Setting of Care
A federally qualified health center offers comprehensive, integrated medication therapy and disease management services to at-risk patients, leading to reductions in actual and potential adverse drug events, admissions, and readmissions; better chronic disease management and control; and high levels of patient satisfaction.
A rehabilitation hospital revamped its patient education and transition services to incorporate a variety of patient-centered, peer-led approaches, leading to enhanced patient engagement and self-efficacy and fewer readmissions.
Multidisciplinary teams embedded within primary care practices provide care management and other support services to medically and psychosocially complex patients, enhancing patient engagement and self-management skills and reducing hospitalizations and emergency department visits.
A multistakeholder statewide consortium increases the adoption and use of pharmacist-led medication therapy management services in federally qualified health centers, leading to better management of diabetes and hypertension and fewer adverse drug events.
A community paramedic works onsite at a homeless shelter during afternoon and evening hours 4 days a week during periods when an onsite primary care clinic is not open, significantly reducing unnecessary 911 calls and connecting shelter residents to primary care.
A city fire department offers on-the-scene video consultants between emergency physicians and non-emergent 911 callers, leading to fewer unnecessary ambulance transports and emergency department visits, lower costs, more connections of patients to primary care medical homes, and more time for ambulance crews to deal with true emergencies.
Pharmacy teams provide comprehensive medication management services to at-risk patients at safety net clinics via video consultations, leading to better chronic disease outcomes, fewer emergency department visits and hospitalizations, and high levels of patient and provider satisfaction.
A children’s hospital created a paid position where parents work to promote patient- and family-centered care, leading to an eightfold increase in the number of patient and family advisors working on hospital committees and to many committee-generated improvements that have increased parent and staff satisfaction.
Three hospitals within the University of Pennsylvania Health System succeeded in changing physician behavior through a Professionalism Committee that handles cases of alleged disruptive, unprofessional behavior by a physician, as an alternative to a formal investigation under medical staff bylaws.
Community Health Access Program helps patients who call 911with nonemergent needs. The dispatcher sends a specially trained paramedic, known as an advanced practice paramedic, to the scene along with the ambulance to confirm that the patient does not need emergency care and then either provide treatment, schedule an appointment with a primary care provider, or arrange for same-day transport to a health resource center.