Active care processes: diagnosis and treatment
The County of San Diego Health and Human Services Agency implemented a Mobile Remote Workforce project to increase the amount of time field nurses in the agency's public health nurse home visitation program can spend providing direct services to at-risk families.
An employer-based intervention to systematically screen workers for depression; provide telephonic outreach for needs assessment, monitoring, and support; and conduct telephonic psychotherapy demonstrated significantly improved clinical and workplace outcomes.
Hospital at Home sm provides hospital-level care in a patient's home as a full substitute for acute hospital care for selected conditions common among seniors.
Patients at Dartmouth-Hitchcock Clinic have increased access to their electronic medical record and they may communicate with providers via a secure Web messaging system through an online portal.
GreenField Health in Portland, OR, uses e-mail and telephone communications for the majority of patient contacts, thus saving physician time and freeing up capacity to serve patients who need inperson care more quickly.
Saint Mary's Health Care enhanced its hospital-based rapid response team by implementing a real-time, vital sign monitoring system that identifies and allows a quick response to high-risk patients.
Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.
Group visits allow substantially more patients with dementia to be served with only a modest increase in clinician time, leading to high levels of patient, caregiver, and provider satisfaction.
Abington Memorial Hospital pursued a number of activities to build a culture of safety, including TeamSTEPPS ™ (Strategies and Tools to Enhance Performance and Patient Safety) training and other initiatives to enhance communication and awareness of safety issues.
A health plan-led program that encourages patients with chronic low back pain to increase exercise, use appropriate medications, and reduce stresses on the back led to reduced pain levels and absenteeism.