Community-based clinic enhances access to medical care and reduces emergency department visits for chronically ill individuals who have recently been released from prison.
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.
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.
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.
University-based specialists provide initial training and host weekly, case-based consultations with primary care clinicians, enhancing access to hepatitis C care for prisoners and rural patients throughout New Mexico.
Multidisciplinary, clinic-based teams work with obese children and their families to implement a weight control self-management plan tailored to the child's needs, leading to lower or stabilized body mass index, reductions in screen time and intake of sweetened beverages, and increased physical activity and fruit/vegetable consumption.
Primary care practices incorporate standing orders for preventive care services into the electronic health record, allowing nonphysician clinical staff to fill gaps in care; the program substantially increased the provision of needed services to eligible patients.
Weekly text messaging service for teens and young adults enhances access to sexual health information and services and generates positive changes in behavior and knowledge.
A one-time personalized electronic message from a patient's primary care physician did not increase colorectal cancer screening rates in eligible adults overdue for such screening.