A State-led accountable care collaborative provides comprehensive, coordinated care to Medicaid beneficiaries through primary care medical homes, reducing use of inpatient, imaging, and emergency department services, and generating estimated savings of $6 million for the State.
An emergency department uses an eight-variable risk assessment tool to determine which patients should be tested for undiagnosed HIV, leading to the identification of the same number of HIV-positive patients as through universal screening, thus suggesting greater cost-effectiveness.
A nonprofit, community-based organization matches uninsured and underinsured patients with physicians, hospitals, and other providers who agree to serve them at reduced fees and provides various sources of support to both providers and patients, leading to enhanced access to care and fewer emergency department visits.
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.
A children's hospital requires providers to look at a patient's picture and basic demographic information on a verification screen when entering and signing an order, leading to significant reductions in patients receiving or almost receiving care intended for someone else because of an order being placed in the wrong chart.
Health plan members due for colorectal cancer screening and at low risk for the disease receive an automated educational call and a test kit to compete at home and return by mail, leading to a fourfold increase in the likelihood of screening in this hard-to-reach population.
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.
Hypertensive patients monitor and report multiple blood pressure readings each week and those with elevated readings receive pharmacist feedback and support, leading to better blood pressure control.
Pop-up alerts significantly reduce D-dimer testing to diagnose venous thromboembolism in elderly patients, increasing use of a more accurate alternative imaging test instead.
A high school–based program provides culturally appropriate education and follow up support to Latino teenagers, leading to reduced likelihood of engaging in risky sexual behaviors.