Missouri

Innovations

Home Telemonitoring Does Not Improve Blood Pressure or Glycemic Control in Diabetes Patients 11/06/14

Home telemonitoring did not improve blood pressure or blood glucose control in diabetes patients with out-of-range values.

Regional Commission Made Up of Diverse Stakeholders Enhances Access to Coverage and Services for Low-Income Residents, Reducing Readmissions and Emergency Department Visits 11/04/14

A regional health commission made up of a diverse group of stakeholders promotes various activities and policies to support the safety-net health system, enhancing access to coverage, medical and dental care, and medical homes, and reducing readmissions and inappropriate use of the emergency department.

State Medicaid Program Pays Additional Capitated Fee to Integrated Primary Care and Mental Health Homes, Leading to Better Outcomes and Lower Costs 03/01/14

The Missouri Medicaid Health Home program provides capitated payments to primary care and mental health medical homes that adopt an integrated staffing model that allows patients to receive both medical and mental health care, leading to better health outcomes and lower utilization and costs.

Health System Makes Annual Influenza Immunization a Condition of Ongoing Employment, Leading to Near-Complete Vaccination of Workforce 08/02/12

BJC HealthCare requires employees to get an annual influenza vaccination as a condition of employment, resulting in the vaccination of virtually the entire workforce.

Family Caregiver Participation in Hospice Care Planning Meetings via Videophone Might Improve Understanding of Practices Related to Pain Management 06/21/11

Every other week, family caregivers participated in interdisciplinary patient care planning meetings with hospice staff via videophone. The pilot program did not result in any statistically significant changes in caregivers' overall perceptions of pain medication or management, and did not determine impact on their pain management practices.

Trained Peers Provide Culturally Appropriate Education and Support to Refugees, Improving Access to Breast Cancer Screening and Treatment 02/08/11

The Daylight program uses trained volunteers—recognized and influential women from local refugee and immigrant communities—to provide to their peers culturally sensitive information about breast health and breast cancer, including early detection methods.

Hospital-Based "Quick Clinic" Treats Minor Acute Illnesses, Reducing Employee Absenteeism and Generating High Levels of Patient Satisfaction 06/30/10

Heartland Regional Medical Center operates a walk-in “Quick Clinic” that treats minor acute conditions for employees and their spouses and dependents, leading to reductions in employee absenteeism, high user satisfaction, and cost savings.

Three-Tiered Emotional Support System Generates Positive Feedback From Providers Who Become "Second Victims" of an Unanticipated Clinical Event 06/08/10

A three-tiered system consisting of unit-level support, access to trained peer supporters, and referral to formal counseling services provides emotional support to health care professionals involved in an adverse event, leading to positive anecdotal feedback from these professionals.

Concurrent and Retrospective Chart Review, Performance Reporting, and Other Support Significantly Improve Adherence to Core Measures in Four Clinical Areas 10/27/09

Concurrent and postdischarge nurse chart review, performance feedback, and other support lead to near-perfect adherence to recommended care processes for heart attack, heart failure, pneumonia, and surgery.

Real-Time, Resident-Specific Medication Information and Alerts, Supported by Medication Safety Teams, Enhance Efficiency and Reduce Medication Errors in Nursing Homes 09/30/09

Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhanced the efficiency of medication administration and reduce medication errors.

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