Setting of Care

Innovations

E-mail Enhances Communication With and Access to Pediatrician for Patients and Families 12/20/07

A pediatric sub specialist offered the families of his patients the opportunity to contact him via e-mail.

Peer Leaders Facilitate Social Engagement Among Dementia Patients in Long-Term Care Facilities 12/20/07

Resident-Assisted Montessori Programming (RAMP) is a peer leadership program in which patients in the early stages of dementia are trained to lead group activities with their peers who have more advanced dementia. Using principles of the Montessori learning method, RAMP teaches early-stage patients to use their strengths, such as procedural memory, to engage patients in meaningful social roles.

Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System 12/20/07

The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.

Donated Care Program Enhances Access to Ongoing Care for Uninsured Patients, Resulting in Significant Reductions in ED Visits, Hospitalizations, and Costs 12/19/07

CarePartners, a donated care program, matches uninsured Maine residents with primary care physicians who are willing to care for up to 10 patients for free. Case managers help enrollees obtain needed services, including hospital care, specialist services, and free or low-cost drugs through prescription assistance programs.

Remote Retinal Screening Facilitates Diagnosis and Treatment of Retinopathy for Poor and/or Uninsured Patients With Diabetes in Rural California 12/18/07

Remote diabetic retinopathy screening using the Eye Picture Archive Communication System digital ocular imaging software facilitated prompt retinopathy diagnosis in California's Central Valley, an area where many residents are poor and uninsured and diabetes is a major health concern.

At-Home, Internet-Enabled Therapy Sessions Enhance Access to Cognitive Rehabilitation for Traumatic Brain Injury Patients, Leading to High Levels of Patient and Therapist Satisfaction 12/18/07

Mayo Clinic therapists conduct remote cognitive rehabilitation sessions with acquired brain injury patients who remain in or near their homes, thus enhancing access to care for those who find it difficult to travel for face-to-face sessions.

Bilingual, Culturally Competent Managers Enhance Access to Prenatal Care for Migrant Women, Leading to Potential for Improved Birth Outcomes 12/17/07

The Migrant Clinicians Network Prenatal Care Program seeks to ensure continuity of care for expectant mothers who begin prenatal care in one location and move for employment purposes during their pregnancy. Bilingual, culturally competent staff link migrant patients with prenatal services and manage their medical records throughout the pregnancy.

Encouraging Solicitation and Supporting Implementation of Employee-Generated Ideas Leads to Significant Reduction in Incidence of Common Hospital-Acquired Infection 12/14/07

MedStar Franklin Square Medical Center in Baltimore, MD, set up a program in which all employees are encouraged to use their own experiences to devise and implement successful solutions for reducing hospital-acquired, methicillin-resistant Staphylococcus aureus infections.

Heart Failure Disease Management Improves Outcomes and Reduces Costs 12/14/07

Essentia Health Heart and Vascular Center created a heart failure program combining chronic care and disease management principles to improve outcomes and reduce costs associated with heart failure care.

Multifaceted Program Increases Reporting of Potential Errors, Leads to Action Plans to Enhance Safety 12/13/07

A multifaceted initiative known as the Good Catch Program dramatically increases the reporting of events that could potentially cause harm and spurs the development of action plans designed to address the common causes of potential errors.

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