District of Columbia
The combination of a small financial incentive and patient education leads to a modest, short-lived increase in physician visits, but has no effect on blood pressure control or on racial and ethnic disparities in management and control of hypertension.
An inner-city clinic hosts a weekly group program with parents and children that includes an individual medical visit, group education, and time for exercise, leading to improved health-related behaviors, stable body mass index in children, and weight loss in adults who participate frequently.
A free, online personal health record assists diabetes patients and their clinicians in monitoring key clinical indicators, communicating during and between office visits, and sharing information with other relevant individuals, leading to enhanced levels of patient engagement and improved blood glucose control.
Reduced or waived drug copayments and pharmacist coaches cut costs and improve outcomes for employees with diabetes.
Providence Hospital's culturally sensitive palliative care service ensures appropriate medical and pain management, provides emotional support, and dispenses accurate information about palliative care to help the hospital's largely African-American population cope with end-of-life issues.
An interdisciplinary team of geriatricians, nurse practitioners, and social workers provide primary health care via house calls to homebound frail elders.