Preventive care processes

Innovations

Staff Training and Support, Incentives, and Feedback Fails to Generate Sustainable Reductions in Pressure Ulcers at Nursing Home 03/05/08

Guided by a university research team, a 136-bed, not-for-profit nursing home in Pennsylvania implemented a quality improvement program to reduce pressure ulcer incidence. The program included three components: education and tools to increase workers' ability to recognize and prevent pressure ulcers; financial incentives for improved performance; and ongoing performance feedback.

Worksite Wellness Program Uses Financial Incentives and Creative Programming to Reduce Absenteeism and Its Related Costs 02/26/08

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.

Comprehensive, Shelter-Based Clinic Enhances Access to Oral Health Services for Homeless in Los Angeles 02/26/08

A collaborative partnership between the University of Southern California School of Dentistry, Union Rescue Mission shelter, and other community stakeholders has led to free, comprehensive dental services available to homeless individuals in the Skid Row area of Los Angeles.

Onsite Care Teams Enhance Access to Medical and Mental Health/Substance Abuse Services for Homeless Individuals 02/26/08

Penobscot Community Health Center provides onsite services at a community health clinic, with psychiatric and medical professionals offering primary care, disease management, mental health, and substance abuse services, along with referrals to additional mental health and other specialty services that may be needed.

Evidence-Based Bundle for Adults Is Adapted by Pediatric Intensive Care Units, Reducing Ventilator-Acquired Pneumonia and Lowering Costs 02/26/08

Children's Healthcare of Atlanta developed and implemented a program to reduce the incidence of ventilator-associated pneumonia in three intensive care units, including two pediatric intensive care units and one cardiac intensive care unit. The program adapts a bundle of evidence-based interventions commonly used to prevent ventilator-associated pneumonia in adults to the pediatric population.

Placing Mental Health Specialists in Primary Care Settings Enhances Patient Engagement, Produces Favorable Results Relative to Evidence-Based Care 02/26/08

An integrated care program places mental and behavioral health specialists in more than 50 primary care locations to treat patients ages 65 years and older with depression or anxiety and those who engage in risky alcohol use.

Mobile Outreach Program Enhances Access to Culturally Competent Dental, Mental, and Physical Health Care Services for Underserved, Uninsured Immigrants 02/25/08

The Salud Mobile Outreach Program provides medical and dental care, referrals, and patient education, primarily in rural areas, to Mexican immigrants, many of whom are poor, uninsured, and monolingual with limited education.

Faith Community Nurses Work With Local, Trusted Organizations to Enhance Access to Primary and Preventive Care for Low-Income Individuals in Los Angeles 02/25/08

Faith community nurses provide case management, consultation, health education, screenings, and basic care at little or no cost to low-income, uninsured/underinsured individuals.

Six Sigma-Inspired Workflow Redesign Enhances Access to Care and Increases Patient Satisfaction, Visits, and Revenues in Obstetrics and Gynecology Residency Clinic 02/25/08

A hospital's obstetrics and gynecology residency training clinic used Six Sigma methodologies to identify and address inefficiencies in workflow.

Rapid HIV Testing Program Enhances Access to HIV Education and Screening for At-Risk African-American and Hispanic Youth 02/25/08

The HIV Testing Program provides sexual health education, counseling, and HIV testing to at-risk youth in easy-to-access locations, along with individual counseling for those who test positive, leading to the successful identification and linking to treatment of HIV-positive individuals.

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