The Oregon Health Authority (which oversees the State Medicaid program) initiated a series of policy changes to promote earlier detection, more effective referrals, and better coordination of care for pediatric patients with developmental delays, leading to a significant increase in screening rates and enhanced access to early intervention services.
A plan-supported medical home model used by clinics serving Medicaid managed care beneficiaries enhances access to care, improves quality, and reduces inpatient admissions.
The American Academy of Pediatrics and four of its state chapters trained and supported pediatric practices on asthma care, leading to better adherence to established guidelines and improved asthma control.
In combination with training and support for pediatric providers, a large health maintenance organization offered separate parent and teen group meetings in primary care clinics to promote behavior changes in overweight and obese teenage girls, leading to improvements in eating habits, body mass index, and psychosocial outcomes.
A large employer offers a comprehensive wellness program combined with financial incentives to use its various components, leading to broad participation, improvements in health-related behaviors and risk factors, and a leveling off of overall health care costs.
Trained dental practitioners in public health centers offered cessation assistance to low-income smokers as part of routine oral health visits in public health centers, leading to higher quit rates (especially among African-American smokers).
Clinic providers compare patients' self-reported medication lists (generated through an easy-to-use automated system featuring a computer kiosk and simple touchscreen interface) to medications listed in the electronic medical record, allowing them to adhere more closely to established medication reconciliation practices and to identify and address more medication discrepancies, including potentially lethal ones.
An interdisciplinary, hospital-based outpatient clinic staffed by geriatricians and other health professionals cares for seniors with one or more chronic health conditions, leading to improved outcomes and lower costs.
Four health maintenance organizations send two reminder letters to encourage recent heart attack patients to take their beta blocker medication as prescribed and to renew their prescriptions as needed.
Reconciling patient and provider medication lists reduces discrepancies, leading to enhanced medication safety and high levels of patient and provider satisfaction in the outpatient setting.