Preventive care processes
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.
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.
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.
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.
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.
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.
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 provide case management, consultation, health education, screenings, and basic care at little or no cost to low-income, uninsured/underinsured individuals.
A hospital's obstetrics and gynecology residency training clinic used Six Sigma methodologies to identify and address inefficiencies in workflow.
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.