Active care processes: diagnosis and treatment
Patients with Crohn's disease reported information on nine observations of daily living (cues about health experienced in everyday living) using applications on a tablet computer, leading to more tracking of symptoms and health-related behaviors, better patient self-management and patient-provider communication, and high levels of patient satisfaction.
The Children's Healthcare Access Program offers financial incentives and support services to primary care medical homes serving children covered by Medicaid and their families; the program enhanced access to primary care, increased the percentage of children with asthma action plans, reduced emergency department visits and hospital admissions, increased well-child visits, and reduced costs.
With support from a statewide collaborative, primary care practices in Wisconsin proactively identify and address behavioral health issues in patients, leading to declines in binge drinking, marijuana use, and symptoms of depression, and to high levels of patient satisfaction.
A rural medical practice redesigned its care processes to allow multidisciplinary care teams to use a new electronic health record system that features real-time documentation and information sharing and various tools to facilitate the provision of appropriate care, leading to significant improvements in screening rates and high satisfaction for medically underserved patients in Alaska.
Nurse case managers at a Veterans Affairs hospital provide inhospital and post-discharge, telephone-based support to at-risk, community-dwelling patients and their caregivers, leading to better care transitions, fewer readmissions, and substantial cost savings.
A behavioral health clinic maintains an onsite primary care clinic that provides culturally competent care to low-income Asian Americans with serious mental illness, enhancing access to such care and facilitating modest improvements in physical health.
A hospice offered a dedicated care team trained in culture-specific end-of-life concerns to Hispanic patients and families, and conducted targeted marketing and outreach to Hispanics in the community, leading to greater awareness and acceptance of hospice services.
A State-based, public–private partnership supports quality improvement in pediatric practices, leading to greater adherence to evidence-based care and improved care coordination for children and adolescents, and to higher staff satisfaction in participating practices, and highly rated quality of care for children.
Five clinics in remote parts of Alaska and Washington state receive additional reimbursement from Medicare and dedicated Federal funds that allow them to provide around-the-clock care, leading to fewer medical evacuations (and associated cost savings), better quality care, and high levels of satisfaction in the communities they serve.
As part of a comprehensive initiative, State legislation enables trained primary care medical providers to receive Medicaid reimbursement for preventive dental care provided during well-child visits, enhancing access to these services for low-income children younger than 6 years.