Preventive care processes
Community-based clinic enhances access to medical care and reduces emergency department visits for chronically ill individuals who have recently been released from prison.
Physician–nurse infection prevention teams round on hospital units at least weekly, leading to a 70-percent decline in central line–associated infections and very low rates of surgical site infections.
With support from a Web-based program, pharmacists provide weekly feedback and host monthly group sessions to help individuals adopt healthier behaviors that reduce cardiovascular risk, leading to increased levels of physical activity, weight loss, and lower systolic blood pressure.
Hospital-based program increases use of pertussis vaccinations for mothers who have just given birth and others who will be in regular contact with the infant at home (and who therefore represent a potential source of infection to the infant).
Volunteer physicians, supported by paid nurse case managers, provide homeless women with needed medical care in homeless shelters and connect the women to other needed medical and social services. The program has enhanced access to services, improved outcomes, and generated significant cost savings.
A team-based program combines competition with online and inperson social support to increase physical activity and promote weight loss in adults throughout Rhode Island.
An algorithm-driven program combines hospital-wide inpatient screening for alcohol withdrawal risk, monitoring of at-risk patients, and medical treatment of symptoms, leading to more patients being diagnosed, fewer acute episodes of delirium, and improved care for patients experiencing such episodes.
Electronic alerts related to black box warnings did not affect overall physician prescribing habits in outpatient clinics; the alerts did influence prescribing related to warnings about the most serious potential drug–drug and drug–pregnancy interactions.
A primary care clinic offers patients 3- to 5-minute educational video modules, leading to enhanced patient knowledge without placing incremental demands on physicians and staff.
Medicaid managed care enrollees with type 2 diabetes receive free access to YMCA facilities and have regular meetings with nurses, dietitians, and personal trainers that focus on diet, exercise, and other aspects of disease self-management, leading to weight loss and improvements in body mass index, cholesterol, and blood glucose control.