Improving patient self-management

Innovations

System-Integrated Program Coordinates Care for People With Advanced Illness, Leading to Greater Use of Hospice Services, Lower Utilization and Costs, and High Satisfaction 12/20/11

The Advanced Illness Management program supports Medicare patients with advanced illness and their families in making patient-centered decisions, leading to greater use of hospice care, lower inpatient and ambulatory utilization and overall care costs, and high levels of patient, family, and physician satisfaction.

Mobile Clinic and In-Home Educator Generate Small, Short-Term Increases in Symptom-Free Days in Inner-City Preschool Children With Asthma But No Improvements in Other Key Outcomes 12/19/11

A mobile pediatric asthma clinic combined with home visits generated small, short-term increases in symptom-free days in preschool children, and no improvements in other key outcomes.

Group Sessions and Automated Phone Counseling Help Overweight Children in Low-Income Families Improve Health-Related Behaviors, Quality of Life, and Body Mass Index 11/20/11

Small-group discussions and automated, interactive phone calls over a 12-week period helped low-income parents promote healthier behaviors in their overweight children, leading to reductions in body mass index and improvements in health-related quality of life.

Hospital-Based Social Workers Follow Up With Recently Discharged Older Adults to Resolve Transition Problems, Reducing Readmissions and Deaths 11/11/11

Hospital-based social workers support recently discharged older patients and their caregivers in resolving problems related to their transition back home, leading to enhanced patient and caregiver knowledge, better attendance at followup appointments, and fewer readmissions and deaths.

Partnership Supports Patients With Dementia and Their Caregivers Through Care Coordinator Team, Leading to Improved Psychosocial Outcomes 11/11/11

Through a partnership between the Veterans Administration and the Alzheimer's Association, a two-person care coordinator team provided support to patients with dementia and their caregivers over a 12-month period. The program led to improved psychosocial outcomes for veterans and caregivers, fewer readmissions and institutional placements, enhanced access to outpatient services, and higher overall health care costs.

Trained Paramedics Provide Ongoing Support to Frequent 911 Callers, Reducing Use of Ambulance and Emergency Department Services 11/10/11

An emergency medical system provider uses advance practice paramedics to provide in-home and telephone-based support to patients who frequently call 911, reducing the use of ambulance and emergency department services.

In-School, Portable Clinic Brings Comprehensive Dental Care to Impoverished Hispanic Children 10/19/11

A portable clinic uses specially designed equipment to bring full-service dental care to elementary schools serving impoverished, immigrant, and uninsured children.

Low-Income, Rural HIV/AIDS Patients Receive Regular Text Messages, Leading to Higher Quality of Life and Greater Engagement in Care 10/04/11

Low-income, African-American, rural HIV patients receive regular self-written text message reminders that encourage them to regularly access HIV/AIDS primary care, leading to greater retention in care and enhanced quality of life.

Interactive, Web-Based Educational Program Enhances Knowledge, Attitudes, and Health Outcomes in Individuals With Diabetes 09/19/11

An integrated health system offered a customized suite of interactive, Web-based education and tools to individuals with diabetes, leading to high levels of engagement, enhanced knowledge and attitudes about the disease, and improvements in hemoglobin A1c levels.

Comprehensive Wellness Program Improves Employees' Health-Related Behaviors and Risk Factors, Stems Rise in Employer Health Care Costs 08/23/11

A large employer offers a comprehensive wellness program combined with financial incentives to use its various components, leading to broad participation, improvements in health-related behaviors and risk factors, and a leveling off of overall health care costs.

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