Care management processes

Innovations

With Support From Collaborative, Primary Care Practices Identify and Address Behavioral Health Issues, Reducing Binge Drinking, Marijuana Use, and Depression Symptoms 01/31/13

With support from a statewide collaborative, primary care practices in Wisconsin proactively identify and address behavioral health issues in patients, leading to declines in binge drinking, marijuana use, and symptoms of depression, and to high levels of patient satisfaction.

Rural Practice Redesigns Care Processes To Allow Multidisciplinary Teams To Leverage Electronic Health Record, Leading to Better Screening of Medically Underserved 01/29/13

A rural medical practice redesigned its care processes to allow multidisciplinary care teams to use a new electronic health record system that features real-time documentation and information sharing and various tools to facilitate the provision of appropriate care, leading to significant improvements in screening rates and high satisfaction for medically underserved patients in Alaska.

Nurse Case Managers Offer Low-Resource Transitional Care Services, Reducing Readmissions for At-Risk, Community-Dwelling Veterans in Remote Areas 01/25/13

Nurse case managers at a Veterans Affairs hospital provide inhospital and post-discharge, telephone-based support to at-risk, community-dwelling patients and their caregivers, leading to better care transitions, fewer readmissions, and substantial cost savings.

Behavioral Health Clinic Offers Onsite Primary Care to Low-Income Asians With Severe Mental Illness, Enhancing Access and Facilitating Improvements in Physical Health 01/25/13

A behavioral health clinic maintains an onsite primary care clinic that provides culturally competent care to low-income Asian Americans with serious mental illness, enhancing access to such care and facilitating modest improvements in physical health.

Hospice Revamps Staffing and Services To Offer Culturally Competent Care and Outreach to Hispanic Community, Enhancing Awareness and Acceptance of End-of-Life Services 01/23/13

A hospice offered a dedicated care team trained in culture-specific end-of-life concerns to Hispanic patients and families, and conducted targeted marketing and outreach to Hispanics in the community, leading to greater awareness and acceptance of hospice services.

State Partnership Supports Quality Improvement in Pediatric Practices, Leading to More Evidence-Based Care, Better Care Coordination, and High Satisfaction in Participating Practices 01/09/13

A State-based, public–private partnership supports quality improvement in pediatric practices, leading to greater adherence to evidence-based care and improved care coordination for children and adolescents, and to higher staff satisfaction in participating practices, and highly rated quality of care for children.

Comprehensive Statewide Program Combines Training and Higher Reimbursement for Providers With Outreach and Education for Families, Enhancing Access to Dental Care for Low-Income Children 01/03/13

A comprehensive, multi-stakeholder program combines training and higher reimbursement for dental providers with outreach, education, and support to families, leading to enhanced access to dental care, less tooth decay, and lower dental care costs for young, low-income children.

Emergency Medical Technicians Use Checklist To Identify Intoxicated Individuals who Can Safely Go to Detoxification Facility Rather Than Emergency Department 12/24/12

Trained emergency medical technicians use a checklist to identify intoxicated individuals who can safely be transported directly to a local detoxification facility, thus avoiding expensive visits to crowded, resource-constrained emergency departments.

Outpatient Center Evaluates Stable Patients Experiencing Recent Ministroke, Leading to Timely, Comprehensive Care and Lower Costs 12/24/12

As an alternative to inpatient care, an outpatient center located within a hospital with a stroke center evaluates stable patients who have experienced a recent transient ischemic attack, leading to more timely and comprehensive care, and to significant cost savings through the avoidance of unnecessary admissions.

Statewide Medical Home Program for Low-Income Pregnant Women Enhances Access to Comprehensive Prenatal Care and Case Management, Improves Outcomes 12/06/12

A State-based, public–private partnership adapted its successful primary care medical home model to serve pregnant Medicaid beneficiaries, leading to enhanced access to comprehensive prenatal care (including intensive case management for high-risk pregnancies), better adherence to evidence-based care standards, and reductions in low–birth weight babies and rate of primary Cesarean sections.

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