Improving patient self-management
Before seeing their provider, patients with diabetes complete an easy-to-use assessment tool that helps identify and address their biggest quality-of-life concerns, generating overwhelmingly positive feedback from patients and clinicians.
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.
A dedicated inpatient unit features a physical environment, staffing, policies, and services tailored to women with severe perinatal depression, leading to improvements in outcomes and high levels of patient satisfaction.
A state-funded program gives individuals with mental illness a quarterly allowance for mental health and wellness services that can be spent at their own discretion, allowing them to spend more time living in the community and to function more effectively.
A partnership among a periodontist, hospitals, state-funded health clinics, and area dentists enhances access to comprehensive dental care and education about oral hygiene to thousands of low-income pregnant women.
Kaiser Permanente Colorado and the Visiting Nurse Association in Denver jointly offer intense, consistent education to elderly heart failure patients discharged from the hospital in need of home-based skilled nursing care, leading to improved knowledge and self-management skills and fewer readmissions.
As part of a statewide public-private initiative, the diverse Burlington (Vermont) health service area supports 18 patient-centered medical home practices via a multidisciplinary team, real-time electronic information, and financial incentives, leading to more appropriate care, better health outcomes and patient experiences, and lower utilization and costs.
A supportive housing program for late-stage alcoholics who frequently use crisis services features policies that reduce traditional barriers and restrictions to obtaining housing, leading to reductions in alcohol abuse, alcohol-related symptoms, and costs.
Financial incentives of up to $200 did not produce a meaningful decline in blood glucose levels in African-American veterans with diabetes.
African-American veterans with diabetes who had their blood glucose under control mentored patients with a similar background who did not, leading to significant reductions in blood glucose levels.