A children's hospital–based, nonprofit store offers low-cost and/or free child safety products, including products specifically designed for children with special needs; anecdotal evidence suggests that the program has saved lives and prevented injuries.
The Center for African American Health Focus on Diabetes project offered a culturally competent diabetes self-management course and related services to people with or at risk for diabetes and their caregivers.
A patient-centered model of care for controlling hypertension incorporates three elements: education and training on use of an existing Web-based system, home monitoring of blood pressure, and periodic contact from pharmacists to review blood pressure readings and adjust therapy as needed.
Four health maintenance organizations send two reminder letters to encourage recent heart attack patients to take their beta blocker medication as prescribed and to renew their prescriptions as needed.
The Connecticut Collaboration for Fall Prevention initiative encourages clinicians and other individuals who work with seniors to incorporate assessment and management of the risk of falls into their everyday practices.
A health plan's individualized, in-home, environmental asthma intervention program targets all pediatric members with confirmed allergies to indoor allergens and symptomatic asthma. During multiple in-home visits, trained asthma counselors provide education, perform an environmental assessment, demonstrate intervention equipment, devise a written care plan, and assess and address psychosocial issues.
Beacon Hill Village offers a membership program that provides access to or discounts on a wide array of health care and social support services that are designed to allow people 50 years and older to maintain their health status and independence and thus stay in their own homes as they age (rather than moving to an expensive long-term care facility).
The Washoe County School District in Reno, NV, developed a worksite wellness program that promotes personal responsibility for health by offering fun and creative wellness programs and instituting a monthly payroll deduction that is waived if the employee meets certain screening criteria.
The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.
A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.