In a partnership between a hospital and four community-based organizations, bilingual community health workers help low-income, predominantly Latino families with asthmatic children better manage the disease, leading to fewer asthma-related symptoms, hospitalizations, emergency department visits, and missed school days.
Pharmacists provide ongoing chronic care management support to employees and their physicians, leading to greater adherence to recommended care processes and self-management behaviors, lower costs, higher productivity, and a significant return on investment.
Low-income, African-American, rural HIV patients receive regular self-written text message reminders that encourage them to regularly access HIV/AIDS primary care, leading to greater retention in care and enhanced quality of life.
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.
An integrated health system offered a customized suite of interactive, Web-based education and tools to individuals with diabetes, leading to high levels of engagement, enhanced knowledge and attitudes about the disease, and improvements in hemoglobin A1c levels.
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.
Culturally appropriate videos provide first-person narratives of patients living with hypertension, leading to significant improvements in blood pressure among low-income, inner-city African Americans with previously uncontrolled hypertension.
Rheumatology clinics used information technology and redesigned associated care process to allow clinicians to access relevant patient information and focus scarce visit time on solving problems, leading to improvements in the provision of needed services and patient-reported symptoms.
Hypertensive patients monitor and report multiple blood pressure readings each week and those with elevated readings receive pharmacist feedback and support, leading to better blood pressure control.
Onsite care coordination and support of seniors in affordable housing community leads to fewer falls, reduced hospital admissions, improved nutritional status, and increased levels of physical activity, promoting seniors' ability to remain in their homes as they age.