Washington

Innovations

Resettlement Agencies Team With County To Enhance Access to Culturally Sensitive Screening and Followup for Arriving Refugees at Risk of Mental Health Problems 05/01/13

In partnership with community-based, nonprofit agencies that serve refugees, a county health department uses a culturally tailored screening tool to identify refugees at high risk for mental health problems and connect them to a counselor for more thorough diagnosis and, if necessary, treatment.

Nurse Practitioner–Staffed Clinic Offers Same-Day, Comprehensive Appointments to Patients With Breast Symptoms, Leading to Faster Diagnosis and Lower Costs 03/22/13

A breast clinic co-located in a radiology department and staffed by an advanced registered nurse practitioner enables prompt evaluation and diagnosis of patients with breast symptoms, leading to lower utilization and costs, increased efficiency for breast surgeons, and high levels of patient satisfaction.

State Legislation Promotes Use of Shared Decisionmaking Through Demonstration Project, Learning Collaborative, and Recognition of Decision Aids as Informed Consent 03/05/13

Multiple pieces of legislation in Washington state are starting to have an impact on use of shared decisionmaking in clinical practice, including a mandated demonstration project, recognition of use of decision aids as informed consent in malpractice cases, and formation of a learning collaborative.

Health Plan Leadership Promotes Shared Decisionmaking Through Use of Decision Aids by Surgeons, Contributing To Lower Joint Replacement Rates and Overall Health Care Costs 02/15/13

A health plan supports providers in orthopedic clinics in distributing decision aids to patients and using shared decisionmaking, contributing to reductions in joint replacement surgeries and overall health care costs.

Increased Reimbursement and Dedicated Funds Allow Remote Primary Care Clinics to Provide Around-the-Clock Care, Leading to Fewer Medical Evacuations and Higher Quality of Care 01/07/13

Five clinics in remote parts of Alaska and Washington state receive additional reimbursement from Medicare and dedicated Federal funds that allow them to provide around-the-clock care, leading to fewer medical evacuations (and associated cost savings), better quality care, and high levels of satisfaction in the communities they serve.

Medicaid Reimbursement and Training Enable Primary Care Providers to Deliver Preventive Dental Care at Well-Child Visits, Enhancing Access for Low-Income Children 01/03/13

As part of a comprehensive initiative, State legislation enables trained primary care medical providers to receive Medicaid reimbursement for preventive dental care provided during well-child visits, enhancing access to these services for low-income children younger than 6 years.

Comprehensive Statewide Program Combines Training and Higher Reimbursement for Providers With Outreach and Education for Families, Enhancing Access to Dental Care for Low-Income Children 01/03/13

A comprehensive, multi-stakeholder program combines training and higher reimbursement for dental providers with outreach, education, and support to families, leading to enhanced access to dental care, less tooth decay, and lower dental care costs for young, low-income children.

Removing Restrictions and Barriers to Supportive Housing for Late-Stage Alcoholics Reduces Alcohol Abuse, Alcohol-Related Symptoms, and Costs 06/20/12

A supportive housing program for late-stage alcoholics who frequently use crisis services features policies that reduce traditional barriers and restrictions to obtaining housing, leading to reductions in alcohol abuse, alcohol-related symptoms, and costs.

Multifaceted Program Featuring Guideline, Training, and Incentives Reduces Prescribing of High-Dose Opioid Therapy in Patients With Chronic Pain 05/25/12

A large health plan's multifaceted program promotes appropriate prescribing and monitoring of opioid therapy for patients with chronic pain not caused by cancer, leading to enhanced physician knowledge and confidence related to prescribing, greater use of care plans and drug screening, and fewer patients on high-dose therapy.

Separate Teen and Parent Group Classes Combined With Pediatrician Support Reduce Body Mass Index and Improve Self-Image of Overweight Girls 05/25/12

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.

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