Individuals with asthma receive weekly reports via e-mail that provide detailed information on the use of rescue medications (tracked by a device attached to the rescue inhaler), leading to better asthma control, fewer asthma-related symptoms, enhanced knowledge and awareness, and greater adherence to preventive medication regimens.
Ongoing case management, education, and peer support to low-income parents struggling with mental health and substance abuse disorders focuses on reducing the stigma associated with illness, increasing positive family interaction, and identifying and addressing cognitive and behavioral problems in children. Evidence suggests the program leads to less mental health–related stigma and stress, improved parenting skills and social support networks, few psychiatric hospitalizations, enhanced access to needed services for children, and many lasting family reunifications.
Culturally competent parent mentors helped families better understand and care for their children's asthma through home visits, monthly telephone calls, and inperson meetings, leading to reductions in wheezing, exacerbations, missed school and parental work days, and emergency department visits.
Financial incentives and associated support for employees and spouses to remain smoke-free, engage in physical activity, manage weight, achieve specific health-related milestones, and complete an annual physical exam and health risk appraisal lead to high participation rates and improvements in health-related behaviors and select health indicators.
Standardized, community-wide education, trained facilitators, and improved management processes lead to more advance care planning by patients, high levels of consistency between such plans and actual end-of-life decisions, and low care costs in the last 2 years of life.
A comprehensive program to promote adoption of a “fair and just” culture improves employee perceptions of how a health system responds to errors.
The Timeslips program uses group storytelling to enhance the lives of people with Alzheimer's disease and related dementia.
An integrated care program places mental and behavioral health specialists in more than 50 primary care locations to treat patients ages 65 years and older with depression or anxiety and those who engage in risky alcohol use.
Marquette University College of Nursing runs a 1-year residency program for first-year nurses at 53 Wisconsin hospitals. Known as the Wisconsin Nurse Residency Program, the initiative is intended to help first-year nurses better adjust to their new careers. The junior nurses are paired with veteran nurses who provide clinical coaching on the job; they also attend monthly 6.5-hour classes on critical issues and follow a professional development plan tailored to their needs.
Thedacare, a four-hospital system, has redesigned its musculoskeletal care process to make it more efficient and effective for patients and providers. Improvements include a centralized orthopedics center that houses physicians (orthopedic surgeons, sports medicine physicians, and rehabilitation specialists), therapists, and supplies; changed the traditional process of most patients with musculoskeletal injuries seeing an orthopedic surgeon first; and the creation of referral protocols and a triage system designed to get patients the level of care they need quickly.