Primary care

Innovations

Electronic Alerts Related to Black Box Warnings Do Not Affect Overall Physician Prescribing Habits in Outpatient Clinics 03/28/11

Electronic alerts related to black box warnings did not affect overall physician prescribing habits in outpatient clinics; the alerts did influence prescribing related to warnings about the most serious potential drug–drug and drug–pregnancy interactions.

Health System Improves Access to Culturally Competent Interpreters Through Participation in Telephone and Video Interpretation Network 03/24/11

Contra Costa Health Services provides video and telephonic interpretation services to diverse patient populations at its clinics and regional hospital through participation in a shared network of trained interpreters, leading to improved access to interpretation services for patients with limited English proficiency.

In-Office Education via Hand-Held Electronic Device Enhances Patient Knowledge Without Burdening Primary Care Staff 03/22/11

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.

Culturally Responsive Maternity Care Clinic Enhances Access to Care for Expectant Refugee Mothers and Their Children 03/17/11

A hospital-based maternal/child health clinic enhances access to comprehensive, culturally competent prenatal and pediatric care for refugee families, leading to less anxiety among expectant mothers and better attendance at scheduled appointments.

Specialists Train and Support Rural and Prison-Based Primary Care Clinicians, Enhancing Access to Hepatitis C Care 03/15/11

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.

Electronic Standing Orders Highlight Care Gaps and Allow Nonphysicians to Address Them, Leading to Increased Provision of Preventive Services 03/08/11

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.

One-Time Personalized Electronic Reminder From Primary Care Physician to Patient Does Not Increase Colorectal Cancer Screening Rates 02/18/11

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.

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.

Day Hospital Reduces Inpatient Length of Stay and Emergency Department Visits for Patients With Sickle Cell Anemia 01/28/11

A Sickle Cell Day Hospital provides an alternative to inpatient care for patients with sickle cell anemia, with the goal of managing their pain and keeping them out of the hospital, resulting in lower inpatient lengths of stay and emergency department utilization.

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