A series of interventions to reduce “alarm fatigue” on an inpatient cardiac unit leads to significant declines in the number of alarms with no adverse events attributed to the changes and to increases in nurse and patient satisfaction.
Supported by mobile technology, trained health coaches and nurse care coordinators use home visits and telephone-based monitoring to identify and address declines in health status in recently discharged Medicare patients, leading to a significant reduction in readmissions and associated cost savings.
A hospital-affiliated physician group offers modest performance-based incentives to salaried physicians, leading to sustained improvements in performance on a broad array of quality-related metrics.
A mobile clinic provides screening, education, coaching, and health navigation services to residents of four underserved communities, leading to the identification of many previously undetected chronic conditions, better blood pressure control, and a substantial return on investment.
Massachusetts banned ambulance diversions and helped hospitals respond to the ban by improving patient flow, leading to reductions in emergency department length of stay for admitted patients, shorter turnaround times for ambulances, and strong support from emergency department leaders who believe the ban has yielded multiple benefits.
A Medicaid health plan uses a range of direct and indirect information sources to collect accurate data on race, ethnicity, and preferred language for a high proportion of members.
Public health and community-based agencies throughout Massachusetts teach thousands of potential bystanders how to prevent, recognize, and respond to an opioid-related overdose (including administering a drug to reverse the effects), leading to a significant decline in deaths.
A program known as Cash & Counseling gives Medicaid enrollees a monthly allowance for home care and related services that they can spend at their own discretion, leading to enhanced access to services, fewer unmet needs, improved health outcomes, and high levels of beneficiary satisfaction.
An alliance of government and not-for-profit agencies aided the passage of various legislative provisions in Massachusetts designed to create a more stable, systemic role for community health workers, leading to greater professional recognition, an expanded workforce and training infrastructure, and increased funding of services.
A large insurer offers provider organizations 5-year contracts that feature accountability for costs and quality across the continuum of care, leading to broad participation, significant provider investments in delivery system redesign, a slowdown in spending growth, and higher quality.