Primary care

Innovations

Culturally Competent Outreach Programs Increase Cervical Cancer Screening Among Chinese Women 06/18/08

The Chinese Women's Health Project used two approaches to promote cervical cancer screening among Chinese women—mailing Chinese-language written materials to women and home visits by bicultural, trilingual outreach workers.

Automated Clinician Prompts and Referrals Facilitate Access to Counseling Services, Leading to Positive Behavior Changes Among Patients 06/13/08

Automated clinician prompts and referrals facilitates access to behavior counseling, leading to improved behaviors related to diet and exercise and higher quit rates among smokers.

Weekly Group Classes Lead to Significant Weight Loss and High Levels of Satisfaction Among Low-Income, Racial and Ethnic Minorities 06/06/08

Health Not Cosmetics is a lifestyle modification program administered by medical students that includes educational classes, group training, and individual sessions; the program targets overweight and obese inner-city residents, many of whom are racial and ethnic minorities living in poverty.

Comprehensive School-Based Program Increases Positive Health Behaviors and Reduces Risk Factors for Type 2 Diabetes Among Mexican-American and Other At-Risk Youth 05/14/08

The Bienestar Health Program is a comprehensive and culturally competent school-based behavior modification program intended to prevent or delay the onset of type 2 diabetes among Mexican-American and other at-risk youth.

Remote Visits by Pediatricians for Sick Children at Inner-City and Other Child Care Centers/Schools Reduce Absences and Emergency Department Use 05/13/08

Childcare centers and elementary schools in the Rochester area have access to a Web-based telemedicine system that allows clinicians to provide remote diagnoses and recommendations for sick children.

Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Fewer Emergency Department Visits for Low-Income Seniors 04/25/08

As part of the Geriatric Resources for Assessment and Care of Elders (GRACE) program, social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and primary care physicians to develop and implement individualized care plans for low-income seniors, leading to significant improvements in health status.

Specialty-Specific Medical Librarians Provide Quick Access to Evidence-Based Research, Leading to Reports of Improvements in Clinician Decisionmaking 04/22/08

Medical librarians at Vanderbilt University Medical Center's Eskind Biomedical Library developed a rapid turnaround service to provide answers to medical queries from clinicians that are based on the latest evidence-based research.

Health Plan–Financed, Nurse-Led Care Coordination Improves Quality of Care and Reduces Costs for Latinos With Chronic Illnesses and Disabilities 04/21/08

A community-based primary care clinic uses nurses to provide culturally competent care coordination to Latino patients with chronic illnesses and disabilities, leading to greater provision of recommended care, lower health care costs, and enhanced self-management capabilities.

Bilingual, Bicultural Asthma Intervention Program Significantly Improves Outcomes for Poor, Inner-City Youth 04/07/08

The El Rio Inner-City Asthma Intervention Program is a comprehensive bilingual, bicultural program that primarily serves low-income, inner-city Latino children with moderate or severe persistent asthma.

Voluntary Error Reporting Program Focusing on Systems Issues Increases Reporting and Contributes to Reduction in Liability Claims at Outpatient Clinic 04/03/08

A hospital outpatient clinic's confidential, voluntary error reporting system, which focuses on identifying faulty systems instead of individual mistakes, has substantially increased error reports and has been associated with a reduction in liability claims.

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