An integrated health system offered a customized suite of interactive, Web-based education and tools to individuals with diabetes, leading to high levels of engagement, enhanced knowledge and attitudes about the disease, and improvements in hemoglobin A1c levels.
Rheumatology clinics used information technology and redesigned associated care process to allow clinicians to access relevant patient information and focus scarce visit time on solving problems, leading to improvements in the provision of needed services and patient-reported symptoms.
A community-based coalition in rural Pennsylvania conducts ongoing marketing, supports schools, and sponsors community events in an effort to promote healthier behaviors by students, leading to more physical activity and better food choices.
Nurses perform a baseline skin assessment on every newly admitted patient, leading to improvements in the identification and documentation of pressure ulcers on admission and to lower incidence of pressure ulcers.
Experienced substance abuse counselors offer periodic, telephone-based assessment and counseling to individuals who have attained initial stability in alcohol and/or cocaine dependence, leading to comparable and in some cases better outcomes than traditional, more time-consuming face-to-face interventions.
Medicaid managed care enrollees with type 2 diabetes receive free access to YMCA facilities and have regular meetings with nurses, dietitians, and personal trainers that focus on diet, exercise, and other aspects of disease self-management, leading to weight loss and improvements in body mass index, cholesterol, and blood glucose control.
Rather than being placed on a specialized meal plan, diabetic inpatients order meals from an unrestricted (patient-controlled) menu after receiving education from nutrition staff about how to make appropriate food selections, with additional education provided to those consistently making “incorrect” choices. The program increased patient satisfaction without having a negative impact on the ability to achieve consistent carbohydrate intake and blood glucose control.
School-based, culturally appropriate therapy focused on dealing with trauma helps West African refugee children improve coping skills and academic performance.
A high school–based program provides culturally appropriate education and follow up support to Latino teenagers, leading to reduced likelihood of engaging in risky sexual behaviors.
A three-agency partnership provides a one-stop resource for community-dwelling older adults to learn about and access available resources to help them remain independent, and proactively reaches out to these individuals to assess needs and connect them to services. The program has enhanced access to services and allowed the vast majority of nursing home–eligible individuals to improve or maintain the ability to remain in their home.