A clinic uses a team-based collaborative care model that involves a team asessment, an individualized care plan, followup monitoring, and collaboration with primary care providers to treat patients with dementia and support their caregivers, leading to reductions in emergency department visits, inpatient use, readmissions, and medication problems, and to significant cost savings.
A statewide health information exchange provides health plans and accountable care organizations with daily alerts on patients visiting the emergency department or being admitted to an inpatient facility, allowing them to take steps to curb use of these high-cost venues and replace them with lower-cost primary care visits.
Computerized alerts did not influence physician ordering habits or improve clinical outcomes for elderly, hospitalized patients with cognitive impairment.
A neonatal palliative care program supports and arranges needed services for families who experience the loss of a baby, generating very positive anecdotal feedback from those served.
A combination of telephone-based nurse case management and automated symptom monitoring leads to significant reductions in the severity of pain and depression in cancer patients being treated in urban and rural oncology practices.
Daily, telehealth-enabled symptom monitoring combined with as-needed interactions with a nurse reduced unexpected clinic visits and inpatient use among cancer patients undergoing chemotherapy.
A children's hospital–based, nonprofit store offers low-cost and/or free child safety products, including products specifically designed for children with special needs; anecdotal evidence suggests that the program has saved lives and prevented injuries.
A sound monitoring and alert system in a neonatal intensive care unit alerts clinicians and visitors when sound levels are too high.
As part of the Geriatric Resources for Assessment and Care of Elders (GRACE) program, social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and primary care physicians to develop and implement individualized care plans for low-income seniors, leading to significant improvements in health status.
Community Physician Network Family Medicine Care–Saxony, a seven-physician family practice in the suburbs of Indianapolis, ensures maximum patient access through a variety of scheduling and related strategies, including same-day appointments, extended hours, direct telephone access to physicians after hours, and electronic visits.