Maryland

Innovations

Navy Medical Home Clinics, Staffed by Integrated Primary Care Teams and Supported by Web-Based Systems, Improve Screening Rates, Access to Care, and Patient-Provider Communication 08/17/09

Integrated primary care teams in medical home clinics, supported by a Web-based portal and personal health records, provide proactive, coordinated care, leading to higher screening rates, better access to care, and improved patient–provider communication.

Medicaid Plan-Sponsored Support of Case Managers Serving High-Cost Enrollees With Substance Abuse Disorders Enhances Access to Services Without Increasing Costs 08/06/09

Ongoing support to nurse case managers improves their ability to serve high-cost Medicaid managed care enrollees with co-occurring medical conditions and substance abuse problems, enhancing access to services and treatment without significantly raising costs.

Multipronged Strategy Reduces Use of Seclusion and Restraints to Manage Aggression at Inpatient Behavioral Health Facility 02/04/09

An ongoing evaluation suggests that a multipronged strategy to reduce use of seclusion and restraints to manage episodes of aggression in behavioral health patients has reduced seclusion and restraint use, patient and staff injuries, “code green” calls (calls for staff assistance), and workers' compensation claims.

Community Health Centers Integrate Rapid HIV Screening Into Routine Primary Care, Leading to Significant Increases in Testing Rates 01/09/09

Health centers offer rapid HIV testing to patients as part of routine primary care, leading to a significant increase in testing rates.

Cardiac Unit Features Acuity-Adjustable Rooms and Other Patient-Centered Programs, Leading to Well-Above Average Outcomes and Patient Satisfaction 09/02/08

A cardiothoracic care unit uses a multifaceted approach to patient- and family-centered care, leading to a well-above-average performance with respect to patient outcomes and satisfaction.

Advocacy Firm Assists Patients in Choosing Providers/Treatments and Coordinating Care, Leading to Quick Access to Services and High Satisfaction 08/26/08

PinnacleCare provides individualized care management services that include an initial health assessment, an annual health plan/consultation, round-the-clock access to medical advocates and advisers, facilitated access to top specialists and medical institutions, and management of electronic medical records.

Revamped Chemotherapy Dispensing Process Based on Expected Patient Arrival Time Increases Timeliness of Medication Administration 06/17/08

An enhanced chemotherapy dispensing process prioritizes orders for pharmacy processing based on when patients are expected to be on the unit and ready for their chemotherapy, leading to more timely medication administration.

Interim Methadone Maintenance Program Reduces Heroin Use and Increases Treatment Entry Rates for Addicts Awaiting Comprehensive Services 05/02/08

Operating within U.S. Federal regulations, the Baltimore Interim Methadone Maintenance program provides interim care (in the form of daily methadone with emergency counseling) to heroin addicts awaiting placement for comprehensive methadone treatment programs.

Supplemental Remote Physician Rounds Lead to Reduced Length of Stay and Readmissions After Laparoscopic Gastric Bypass Surgery 02/22/08

Physicians at Sinai Hospital in Baltimore, MD, conduct periodic, remote bedside rounds to augment regular physician rounds for patients who undergo uncomplicated gastric bypass laparoscopy.

Community Partnerships and Provider Training Increase Service Capacity and Access to Long-Term Treatment for Individuals With Heroin Addiction 02/13/08

Community partnerships and provider training increase service capacity and access to long-term treatment for individuals addicted to heroin.

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