Primary care

Innovations

Reconciliation of Patient and Provider Medication Lists Reduces Discrepancies and Enhances Medication Safety in Physician Clinics 04/02/08

Reconciling patient and provider medication lists reduces discrepancies, leading to enhanced medication safety and high levels of patient and provider satisfaction in the outpatient setting.

Integrating Behavioral Health and Nutrition Services Into Primary Care Clinics Significantly Reduces Mental Health-Related Hospitalizations for Staff-Model Health Maintenance Organization 03/28/08

A health maintenance organization integrated mental and behavioral health care and nutrition services with primary care delivery, leading to a more than 50-percent reduction in mental health–related hospitalizations.

Enhancements to Interpreter Program Lead to Better Productivity for Interpreters, More Depression Screening, and Potential Reduction in Readmissions for Non–English-Speaking Patients 03/24/08

Cambridge Health Alliance enhanced its round-the-clock interpreter services by tracking key indicators that gauge the quality of these services; analyses of these data led to significant improvements in the program's telephone-based services and staff efficiency and the decision to implement depression screening in patients with limited English proficiency.

Open Scheduling and Related Strategies Lead to Zero Wait Time for Appointments and Few No Shows at Family Practice 03/18/08

Community Physician Network Family Medicine Care–Saxony, a seven-physician family practice in the suburbs of Indianapolis, ensures maximum patient access through a variety of scheduling and related strategies, including same-day appointments, extended hours, direct telephone access to physicians after hours, and electronic visits.

Revised Processes Related to Daily Opening Reduce Wait Times and Enhance Patient Satisfaction at Two Urban Clinics 03/16/08

Reformed first-hour operational processes at two clinic sites reduced wait times, increased patient satisfaction, and improved patient–provider interactions.

Voluntary, Anonymous, Non-Punitive System Leads to a Significant Increase in Reporting of Errors in Ambulatory Pediatric Practice 03/13/08

A hospital's ambulatory pediatrics department developed a voluntary, anonymous, and nonpunitive medical error reporting system that includes a quick response team to review reports and enact interventions to prevent recurrences, leading to a significant increase in error reporting.

Pediatric Center Offers Coordinated, Culturally Appropriate Services, Increasing Access to Comprehensive Care for Low-Income Children With Special Health Care Needs 03/07/08

A pediatric center provides comprehensive, coordinated services within a primary care medical home for low-income and immigrant children with special health care needs.

Group Primary Care Visits Improve Outcomes for Patients With Chronic Conditions 02/29/08

Hill Physicians Medical Group offers 60- to 90-minute group appointments for patients with chronic conditions such as diabetes, hypertension, and chronic obstructive pulmonary disease, as well as menopause, prenatal care, and precolonoscopy; the program has led to improved outcomes for diabetes patients and anecdotal reports of higher patient and physician satisfaction and reduced downstream utilization.

Comprehensive, Shelter-Based Clinic Enhances Access to Oral Health Services for Homeless in Los Angeles 02/26/08

A collaborative partnership between the University of Southern California School of Dentistry, Union Rescue Mission shelter, and other community stakeholders has led to free, comprehensive dental services available to homeless individuals in the Skid Row area of Los Angeles.

Onsite Care Teams Enhance Access to Medical and Mental Health/Substance Abuse Services for Homeless Individuals 02/26/08

Penobscot Community Health Center provides onsite services at a community health clinic, with psychiatric and medical professionals offering primary care, disease management, mental health, and substance abuse services, along with referrals to additional mental health and other specialty services that may be needed.

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