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