Setting of Care

Innovations

Integrated Patient Care and Pharmacist-Led Medication Therapy Improve Chronic Disease Management for At-Risk, Underserved Patients 08/17/16

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. 

Patient-Centered, Peer-Led Education and Support Enhance Patient Engagement and Self-Efficacy and Reduce Hospital Readmissions for Patients with Spinal Cord Injury 06/28/16

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.

Primary Care–Based, Multidisciplinary Teams Provide Care Management Services to Complex Patients, Enhancing Patient Engagement and Reducing Hospitalizations 06/27/16

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.

Statewide Consortium Increases Use of Pharmacist-Led Medication Therapy Management in Federally Qualified Health Centers, Improves Management of Hypertension and Diabetes 06/20/16

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.

Community Paramedic Works Onsite in Homeless Shelter, Significantly Reducing Unnecessary 911 Calls and Connecting Residents to Primary Care 04/27/16

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.

On-the-Scene Video Consultations With Emergency Physicians Reduce Unnecessary Ambulance Transports and Emergency Department Visits, Connect People to Medical Homes 11/05/15

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 Use Telepharmacy To Provide Medication Management to At-Risk Patients in Safety Net Clinics, Leading to Better Outcomes and Lower Utilization and Costs 08/29/15

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. 

Children’s Hospital Hires Parents To Promote Patient- and Family-Centered Care, Leading to Eightfold Increase in Patient and Family Advisors and Higher Satisfaction 06/16/15

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. 

Committee Reviews and Advises on Cases of Alleged Unprofessional Behavior as Alternative to Formal Investigation, Leading to Improvements in Physician Behavior 12/19/14

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.

Specially Trained Paramedics Respond to Nonemergency 911 Calls and Proactively Care for Frequent Callers, Reducing Inappropriate Use of Emergency Services 12/19/14

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.

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