Medication: ordering, transcription, administration, dispensing
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.
Hospital-based interdisciplinary teams conduct daily reviews of real-time information on all inpatients ages 65 and older to identify and address risk factors that can lead to negative outcomes; the program reduced use of urinary catheters and increased use of physical therapy and social work evaluations.
A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.
An online tutorial and interactive workshop supported family physicians in engaging in shared decisionmaking with patients, reducing use of antibiotics for acute respiratory infections.
Trained health care providers educate patients who use tobacco about the state's free tobacco cessation phone counseling service (called a “quitline”) and then fax a referral form to quitline staff who proactively follow up with the patient; the program led to higher quit rates than among those simply informed about the quitline by their providers.
As part of Kaiser Permanente's Care Management Institute's video ethnography approach, provider teams interview patients about their care experiences, leading to the development of many quality improvement projects that have resulted in better care processes and outcomes.
A comprehensive set of protocols and practices virtually eliminates catheter-related bloodstream infections in the neonatal intensive care unit, generating estimated annual savings of $750,000 to $1,000,000.
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.
A culturally appropriate, interactive decision aid placed at health fairs and in safety net clinics generates high levels of engagement among underserved Hispanic and Latino smokers, leading to well above-average quit rates.
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.