Setting of Care

Innovations

Statewide Measurement and Reporting System Stimulates Quality Improvement in Targeted Clinical Areas, Becomes Standard for Local and National Pay-for-Performance Programs 04/23/13

A statewide measurement and reporting system serves as a single, comprehensive, credible source of information on provider performance, leading to significant improvements in performance over time and to adoption and use of the system by local and national payers and other organizations.

Electronic Specialist Consultations Reduce Unnecessary Referrals and Wait Times for Specialty Appointments for Uninsured and Underinsured Patients 04/23/13

A public health plan developed a Web-based software platform that enables primary care physicians in federally qualified health centers to consult electronically with “specialist reviewers” before referring the patient to a specialist, leading to fewer unnecessary referrals and shorter wait times for patients who need to see a specialist.

State Health Department and Community Agencies Save Lives by Teaching Potential Bystanders To Recognize and Respond to Opioid-Related Overdoses 04/17/13

Public health and community-based agencies throughout Massachusetts teach thousands of potential bystanders how to prevent, recognize, and respond to an opioid-related overdose (including administering a drug to reverse the effects), leading to a significant decline in deaths.

Nurse Practitioner–Staffed Clinic Offers Same-Day, Comprehensive Appointments to Patients With Breast Symptoms, Leading to Faster Diagnosis and Lower Costs 03/22/13

A breast clinic co-located in a radiology department and staffed by an advanced registered nurse practitioner enables prompt evaluation and diagnosis of patients with breast symptoms, leading to lower utilization and costs, increased efficiency for breast surgeons, and high levels of patient satisfaction.

State–Federal Program Provides Capitated Payments to Plans Serving Those Eligible for Medicare and Medicaid, Leading to Better Access to Care and Less Hospital and Nursing Home Use 03/13/13

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.

Primary Care Clinic Simultaneously Offers Influenza Shot and Home Testing Kit to Eligible Patients During Influenza Season, Boosting Colorectal Cancer Screening Rate 03/13/13

A primary care clinic serving primarily Cantonese patients offers eligible individuals who come in for a visit during influenza season an influenza shot and a home fecal occult blood test, leading to a significant increase in colorectal cancer screening.

Short-Term Housing and Care for Homeless Individuals After Discharge Leads to Improvements in Medical and Housing Status, Fewer Emergency Department Visits, and Significant Cost Savings 03/13/13

A recuperative care program provides homeless clients with housing, food, medical care, case management, and connections to social services after hospital discharge, resulting in improvements in their medical and housing status, fewer emergency department visits, and meaningful cost savings for participating hospitals.

State Legislation Requires Inclusion of Cultural and Linguistic Competence in Continuing Medical Education, Increasing Acceptance of Their Importance by Educational Programs and Clinicians 03/06/13

State legislation requires continuing medical education courses to include curricula related to cultural and linguistic competence in medical practice, leading to a deeper understanding of the importance of these competencies by those offering such courses and the clinicians they serve.

State Legislation Promotes Use of Shared Decisionmaking Through Demonstration Project, Learning Collaborative, and Recognition of Decision Aids as Informed Consent 03/05/13

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.

Coordinated, Intensive Medical, Social, and Behavioral Health Services Improve Outcomes and Reduce Utilization for Frequent Emergency Department Users 03/04/13

Intensive, concurrent medical and behavioral health care, addiction services, and social service coordination improve patient outcomes and reduce health system use among patients who historically have been frequent users of emergency departments.

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