Primary care

Innovations

Physician–Nurse House Calls Reduce Barriers to Health Care and Social Services for New Refugees 01/24/11

Physicians and nurses provide in-home routine medical care and assessments to newly arrived refugees, leading to enhanced access to health care and social services and better continuity of care for those with chronic illnesses.

Academic Detailing Sessions With Providers Increase Use of Pain- and Anxiety-Reducing Strategies During Childhood Immunizations 01/19/11

A trained educator used “academic detailing” sessions to teach primary care clinicians about proven strategies for reducing the pain and anxiety associated with childhood immunizations, leading to increased use of these strategies and greater satisfaction among clinicians.

Low Overhead Clinic Extends Access to Affordable, Culturally Competent Conventional and Alternative Medicine for Uninsured and Underinsured 12/24/10

A low-overhead clinic enhances access to a broad array of culturally competent, low-cost conventional and alternative medicine services for underinsured, uninsured, and immigrant populations.

Regional Teams Enhance Ability of Primary Care Clinicians Throughout Massachusetts to Serve Children and Adolescents With Mental Health Issues 12/16/10

Regional teams of mental health professionals enhance the ability of primary care clinicians throughout Massachusetts to serve children and adolescents with mental health issues.

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.

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.

Physician "Prescriptions" Written During Medical Visit and "Filled" by Onsite Volunteers Connect Low-Income Families to Vital Community Resources 10/21/10

Physicians in inner-city care settings identify the resource needs of low-income families and write “prescriptions” that these families take to a help desk where college student volunteers connect them to needed resources. The program has successfully connected most clients to these resources, leading to high levels of satisfaction and improved health and well-being.

Hospital Partnership Offers Pathways-Based Case Management Program, Leading to Enhanced Access to Appropriate Care for Uninsured 10/19/10

A joint case management program sponsored by two competing hospitals addresses the health and social needs of uninsured and underinsured individuals who have a history of using the emergency department for nonemergent issues. The program has led to enhanced access to appropriate care and to a significant decline in emergency department use and costs for nonemergent conditions.

Comprehensive Electronic and Personal Health Record System Enhances Patient Engagement and Improves Efficiency of Physician Practice 10/07/10

A large group practice operates an electronic health record system that is closely integrated with a personal health record system that gives patients (and authorized caregivers as proxy users) secure access to key components of their medical records and the ability to request appointments, renew prescriptions, and communicate with physicians electronically. The integrated system has generated high levels of satisfaction among patients and caregivers, who report increased involvement in their health care, and physicians who report being able to practice more efficiently.

Web-Based Service Helps Runaway and Homeless Adolescents Feel More Empowered About Health, Enhances Access to Quality Care 09/28/10

A Web-based service allows adolescents to enter, update, and access critical personal information and to identify key health resources, making them feel more knowledgeable and empowered about their health and enhancing access to high-quality care.

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