Hospital inpatient—hospital type
A city health department encourages public and private maternity hospitals to voluntarily adopt various policies to support new mothers who choose to breastfeed exclusively. The program has attracted many participating hospitals, won broad support within the medical community, and increased the proportion of new mothers who breastfeed exclusively during their hospital stay.
A partnership between a hospital and retail pharmacy company provides inhospital and postdischarge support to patients at high risk of readmission, leading to fewer readmissions and high levels of patient satisfaction.
A five-question electronic survey given to emergency department patients identifies a high proportion with potential eating disorders, suggesting the potential for the emergency department to be an effective venue for early diagnosis and connections to community-based treatment and support.
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.
A statewide initiative combining policy and practice change—supported by tools, technical assistance, and social marketing—has led to favorable behavior changes that have helped to halt the increase in overweight and obesity among Delaware children and youth.
Financial incentives used by all Maryland public and private payers significantly reduce hospital-acquired conditions in hospitals throughout the state.
A medical center implemented new policies, systems, communication protocols and training programs to serve lesbian, gay, bisexual, and transgender patients, leading to more equitable, culturally competent care.
A statewide, all-payer initiative creates financial incentives tied to hospital performance on process, patient experience, and outcomes measures, leading to better and less variable performance.
A New York State law requires hospitals and primary care providers to offer an HIV test to all patients between the ages of 13 and 64 years, streamlines the consent process, and requires providers to schedule patients with positive results for followup care; the law increased testing rates and helped link HIV-positive patients to care.
A county-based accountable care organization integrates medical, behavioral health, and social services and assigns a care coordinator to newly enrolled Medicaid beneficiaries to promote use of appropriate services, leading to fewer readmissions and emergency department visits and lower costs.