Asthma educators help patients, providers, school nurses, childcare providers, pharmacists, and others in the community achieve optimal asthma treatment, leading to fewer hospitalizations, emergency department visits, and missed work days.
Primary care physicians and offsite clinicians use communications technology to enhance coordination of care for geriatric patients with chronic health problems, leading to fewer emergency department visits, enhanced patient satisfaction and understanding of medications, and more referrals for needed care.
A multidisciplinary, patient-centered approach to care delivery incorporates a variety of strategies designed to offer comprehensive care and encourage the patient–provider connection, leading to enhanced adherence, better outcomes, and fewer deaths.
A chronic care coordination program employs coordinators to provide telephone-based support to recently discharged patients and other high-risk enrollees, leading to fewer hospitalizations and emergency department visits and lower costs.
Four health maintenance organizations send two reminder letters to encourage recent heart attack patients to take their beta blocker medication as prescribed and to renew their prescriptions as needed.
A hospital-based outpatient disease management program serves patients with asthma, chronic heart failure, and diabetes and offers smoking cessation services to smokers. Unlike traditional disease management programs, this initiative heavily involves physicians in the initial referral and throughout the process and targets services toward the sickest patients (rather than to all patients with the condition).
The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.
A nurse-led program did not improve adherence to antiretroviral medications for patients with human immunodeficiency virus who are either homeless or live in marginal housing.
Automatically generated fax alerts did not succeed in improving patients' adherence to their antidepressant treatment plans.