Washington

Innovations

Online Patient Access to Visit Notes Generates Positive Early Reviews From Patients and Primary Care Physicians 03/01/12

Primary care doctors offer patients online access to office visit notes, generating high levels of satisfaction and multiple benefits for both patients and physicians.

Case Managers Remotely Monitor Chronically Ill Medicare Beneficiaries Each Day, Reducing Mortality and Costs 01/09/12

Case managers remotely monitor Medicare beneficiaries with chronic conditions via a messaging device that asks and records answers to disease-specific and general health questions each day, leading to lower mortality and costs.

Mental Health Clinicians Integrate Cessation Treatment Into Regular Care of Smokers With Posttraumatic Stress Disorder, Increasing Likelihood of Quitting 01/06/11

Mental health practitioners provide smoking cessation counseling and treatment to patients with posttraumatic stress disorder as part of their regular mental health care, leading to higher quit rates and fewer relapses.

Long-Term Expressive Therapy and Caregiver Support Improves Emotional Health of Low-Income Children Affected by Trauma 08/12/10

Jumping Mouse Children's Center, a nonprofit mental health center, provides free or heavily subsidized long-term expressive mental health therapy to low-income children affected by trauma, advocates for their rights, and provides support to their parents. The program has led to improved emotional health for the children and greater knowledge and confidence among parents and other primary caregivers.

Senior Center Provides Coaching and Self-Management Support to Community-Dwelling Elders, Reducing Disability Days and Hospitalizations and Enhancing Activities of Daily Living 05/04/10

A senior center–based practitioner meets with functionally independent, community-dwelling seniors to assess risk factors and develop a targeted self-management plan, and conducts followup visits and telephone calls with the seniors over a 6-month period to help them adhere to the plan. The program has led to fewer disability days and risk factors for disability, improved self-reported health status and ability to perform activities of daily living, and reduced inpatient utilization.

Checklist-Guided Process Reduces Surgery-Related Mortality and Complications 01/14/10

A checklist-guided process helps to ensure that surgical teams perform all appropriate care and necessary processes before and after surgery, leading to reductions in surgery-related mortality and complications.

Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization 11/18/09

A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.

Counselor-Led House Calls Reduce Symptoms and Hospitalizations, Improve Quality of Life Among Elders With Depression 06/11/09

Home visits from counselors reduce depression symptoms and hospitalizations, and they improve quality of life among homebound elders with mild depression and adults with epilepsy.

Home Visits Using Reflective Approach Improve Functional Health Literacy Among Low-Income Pregnant Women and New Parents 04/28/09

Reflective questions and conversations integrated into home visitation programs increased the health literacy of low-income pregnant women and new parents, thus empowering them to better manage their family's health and medical care.

Standardized Ordering and Administration of Total Parenteral Nutrition Reduces Errors in Children's Hospital 09/23/08

A pediatric academic medical center adopted a standardized ordering and administration process for total parenteral nutrition, leading to a significant reduction in errors and other improvements.

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