California

Innovations

Text Messaging Program Increases Awareness and Concern About Sexually Transmitted Diseases Among At-Risk Youth, Particularly African Americans 04/23/09

SexInfo provided free basic information and referrals for inperson health consultations to at-risk youth in San Francisco via an opt-in text-messaging service.

County-Wide Collaborative Uses Pathways Model to Enhance Access to Insurance, Primary Care, and Mental Health Services for Low-Income Children 11/17/08

Using the Pathways model, Access El Dorado helps low-income families navigate the health care system, obtain health information, and access appropriate medical and mental health services, leading to fewer emergency department visits.

In-Home Palliative Care Allows More Patients to Die at Home, Leading to Higher Satisfaction and Lower Acute Care Utilization and Costs 10/27/08

A home-based model of palliative care uses an interdisciplinary team of providers to manage symptoms and pain, provide emotional and spiritual support, and educate patients and family members about changes in the patient's condition.

Countywide Partnership Promotes Culturally Appropriate Outreach and Education, Leading to Increased Breast Cancer Screening and Earlier Detection in Underserved Minorities 10/15/08

A community partnership developed culturally appropriate outreach and education, leading to enhanced access to breast cancer screening and earlier detection of the disease in African-American and Hispanic women.

Educational Programs Bridge Communication Gaps Between Providers and Deaf Community, Leading to Enhanced Knowledge About Cancer Among Deaf and Hard-of-Hearing Patients 10/03/08

Targeted educational initiatives, including videos on cancer education and a fellowship program on American Sign Language and the deaf culture, increase the knowledge of patients who are deaf or hard of hearing, and improve the cultural competency of providers.

Family Violence Prevention Program Significantly Improves Ability to Identify and Facilitate Treatment for Patients Affected by Domestic Violence 10/02/08

Kaiser Permanente Northern California's Family Violence Prevention Program seeks to improve the identification, prevention, and treatment of domestic violence through a coordinated “systems model” approach, which includes a supportive environment that encourages disclosure of domestic violence to providers, routine screening of high-risk patients, referrals to onsite and community mental health services, and linkages to community resources.

Multiagency Collaboration Improves Access to Culturally Sensitive Care and Support Services for Lesbian, Gay, Bisexual, and Transgender Seniors 09/29/08

A community-based collaboration enhanced access to a safe and caring network of health, legal, and social services for lesbian, gay, bisexual, and transgender seniors in San Diego County, leading to better mental health and an increased willingness to disclose sexual orientation to providers and others.

Increasing Patient Health Literacy Leads to Improved Reporting of Medication Allergies 09/24/08

The West Los Angeles Healthcare Center implemented a program to improve nurses' and patients' awareness and reporting of medication allergies and adverse drug reactions. Key program elements include a training module for nurses, educational brochures for patients, and distribution of an allergy/adverse drug reaction questionnaire to patients.

Culturally Competent Teams Provide Comprehensive Diabetes Care Management and Education, Improving Outcomes for Underserved Patients 09/17/08

Project Dulce enhances diabetes care for underserved individuals by connecting primary care physicians with a team of bilingual, culturally competent professionals who are specially trained in techniques for managing diabetes, including case management, patient education and counseling, and diabetes self-management.

24-Hour, Bilingual Nurse Line Provides Advice and Interpreter Services for Plan Members, Leading to Wiser Decisions and Cost Savings 08/28/08

Molina Healthcare, a Medicaid managed care organization, instituted a 24-hour bilingual advice line to address the health and language needs of its low-income, Spanish-speaking members; the program helped members make wiser choices, leading to fewer emergency department visits and significant cost savings.

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