A mobile pediatric asthma clinic combined with home visits generated small, short-term increases in symptom-free days in preschool children, and no improvements in other key outcomes.
A scoring system assists hospital staff in selecting approaches and, if needed, assistive devices for lifting, moving, and/or repositioning patients, leading to significant reductions in staff injuries and the near elimination of lost and restricted work days caused by these injuries.
Pediatricians in community practice use computer software and a manual to diagnose and manage attention-deficit/hyperactivity disorder, leading to significant improvements in symptoms.
Low-income African-American women at risk for cardiovascular disease received culturally appropriate motivational counseling and support tied to their readiness for change, leading to reductions in dietary fat intake.
Hospital-based social workers support recently discharged older patients and their caregivers in resolving problems related to their transition back home, leading to enhanced patient and caregiver knowledge, better attendance at followup appointments, and fewer readmissions and deaths.
An emergency medical system provider uses advance practice paramedics to provide in-home and telephone-based support to patients who frequently call 911, reducing the use of ambulance and emergency department services.
Public health nurses provide case management services to women with one or more chronic conditions who receive Temporary Assistance for Needy Families, leading to enhanced access to mental health services, fewer depressive symptoms, and improved functional status.
Two safety net clinics offered low-income Hispanic patients with both diabetes and depression culturally appropriate care (including medication and/or psychotherapy) and ongoing support led by trained, bilingual social workers, leading to improvements in medication adherence, depression-related symptoms, and patient satisfaction.
Hospital-based interdisciplinary teams conduct daily reviews of real-time information on all inpatients ages 65 and older to identify and address risk factors that can lead to negative outcomes; the program reduced use of urinary catheters and increased use of physical therapy and social work evaluations.
A large employer offers a comprehensive wellness program combined with financial incentives to use its various components, leading to broad participation, improvements in health-related behaviors and risk factors, and a leveling off of overall health care costs.