Care management processes
A safety-net hospital enhances access to timely specialist care by revamping its critical results reporting system to immediately notify surgical oncologists of imaging results that suggest a possible gastrointestinal malignancy.
A city health department encourages public and private maternity hospitals to voluntarily adopt various policies to support new mothers who choose to breastfeed exclusively. The program has attracted many participating hospitals, won broad support within the medical community, and increased the proportion of new mothers who breastfeed exclusively during their hospital stay.
A partnership between a hospital and retail pharmacy company provides inhospital and postdischarge support to patients at high risk of readmission, leading to fewer readmissions and high levels of patient satisfaction.
A federally qualified health center serving primarily low-income, minority patients offers telemedicine-based retinal screening as part of a comprehensive annual visit for patients with diabetes, leading to enhanced access to screening, lower costs, and higher patient satisfaction.
An online clinic enhances access to and reduces the costs of care for 40 minor health problems that can safely be handled without a face-to-face visit, generating significant time savings and positive feedback from patients, physicians, and payers.
A multiagency, cross-disciplinary mayoral task force develops and supports implementation of policies and programs to reduce prescription painkiller abuse and its associated problems in New York City—efforts that have prompted many public and private hospital emergency departments to adopt recommended prescribing guidelines, resulting in preliminary indications that fewer opioid painkiller prescriptions are being written and filled in some of the city's emergency departments.
A public health plan developed a Web-based software platform that enables primary care physicians in federally qualified health centers to consult electronically with “specialist reviewers” before referring the patient to a specialist, leading to fewer unnecessary referrals and shorter wait times for patients who need to see a specialist.
A breast clinic co-located in a radiology department and staffed by an advanced registered nurse practitioner enables prompt evaluation and diagnosis of patients with breast symptoms, leading to lower utilization and costs, increased efficiency for breast surgeons, and high levels of patient satisfaction.
A recuperative care program provides homeless clients with housing, food, medical care, case management, and connections to social services after hospital discharge, resulting in improvements in their medical and housing status, fewer emergency department visits, and meaningful cost savings for participating hospitals.
A combined State-Federal program pays health plans a capitated fee to provide and coordinate acute, primary, long-term care as well as social services to those eligible for Medicare and Medicaid, leading to enhanced access to care, fewer inpatient admissions and nursing home placements, and high levels of beneficiary and provider satisfaction.