Secondary prevention

Innovations

Unobtrusive, Actionable Reminders and Performance Feedback Improve Physician Performance on Standardized Quality Measures 02/17/11

Through its commercial electronic medical record system, a large internal medicine practice provides physicians with unobtrusive reminders related to 16 standardized measures and makes it easy for them to order recommended tests or treatment or document legitimate exceptions, leading to better performance on these measures.

Culturally Sensitive, Multidisciplinary Assessment, Treatment, and Support Significantly Increase Treatment Rates for Depressed Chinese Americans in Primary Care 02/16/11

A multidisciplinary, primary care center–based team used a culturally sensitive approach to screen, evaluate, and treat depressed Chinese Americans, leading to a sevenfold increase in treatment rates.

Electronic Isolation Flags and Weekly Rounds by Infection Control Staff Improve Adherence to Contact Precautions 02/13/11

Through electronic flagging of infected patients and weekly surveillance rounds, infection control staff increased adherence to contact precautions from 58 to 90 percent.

Trained Peers Provide Culturally Appropriate Education and Support to Refugees, Improving Access to Breast Cancer Screening and Treatment 02/08/11

The Daylight program uses trained volunteers—recognized and influential women from local refugee and immigrant communities—to provide to their peers culturally sensitive information about breast health and breast cancer, including early detection methods.

Identification and Support of Refugees With Disabilities Enhances Access to Culturally Competent Rehabilitation and Social Services 01/30/11

The Community Connections for Refugees with Disabilities program proactively identifies newly arriving refugees with disabilities, and then supports them in accessing culturally competent rehabilitation and community-based social services.

Emergency Medical Technician Screening of Rural-Dwelling Older Adults Enhances Access to Needed Health and Social Services 12/17/10

Emergency medical technicians screen rural-dwelling older adults for depression, medication-related problems, and falls. A case manager follows up with at-risk individuals to conduct an in-home assessment and provide needed referrals, leading to enhanced access to medical and social services and high levels of satisfaction.

Easily Accessible, Welcoming Center Enhances Access to Medical and Social Services for Lesbian, Gay, Bisexual, and Transgender Homeless Youth 12/07/10

An easily accessible center offers a safe, welcoming, nonjudgmental environment in which homeless youth, particularly those who identify themselves as being lesbian, gay, bisexual, or transgender, can access a wide array of medical and social services.

Barber-Based Monitoring, Education, and Referral Support Improve Treatment Rates and Blood Pressure Control in African-American Men 12/06/10

Trained barbers provide ongoing blood pressure monitoring, education, and referral support to African-American male patrons, leading to improved treatment rates and blood pressure control in hypertensive patrons.

Proactive Office Encounter Systematically Identifies and Addresses Preventive and Chronic Care Needs at Every Primary Care and Specialty Visit 11/30/10

Nurses and medical assistants use electronic tools and standardized workflows and processes before, during, and after the patient encounter to identify and address preventive, screening, and chronic care needs at every primary and specialty care visit, leading to greater adherence to recommended care processes and better blood pressure control in those with diabetes and hypertension.

Breast Examination Center Assists Low-Income, Minority Women in Accessing Colorectal Cancer Screening 11/29/10

An inner-city breast examination center serving low-income, minority women educates patients about colorectal cancer screening and assists them in getting a colonoscopy screening test, leading to enhanced interest in and access to such screening.

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