North Carolina

Innovations

Home Visit for All Newborns To Assess Risk of Child Maltreatment Improves Parenting Skills, Reduces Medical Emergencies, and Generates Positive Return on Investment 05/07/13

Nurses come to the home of families with newborns to perform a comprehensive assessment of risk factors and provide education and support, leading to better connections to community resources, improved parenting skills, higher quality and safety in the home environment, and significantly fewer infant medical emergencies.

Public-Private Partnership Supports Medical Homes in Managing Medicaid Enrollees via Disease/Case Management and Other Initiatives, Leading to Higher Quality and Significant Cost Savings 02/22/13

A state-based, public–private partnership supports medical homes in managing the care of Medicaid managed-care enrollees, leading to higher quality and significant reductions in utilization and costs.

Statewide Medical Home Program for Low-Income Pregnant Women Enhances Access to Comprehensive Prenatal Care and Case Management, Improves Outcomes 12/06/12

A State-based, public–private partnership adapted its successful primary care medical home model to serve pregnant Medicaid beneficiaries, leading to enhanced access to comprehensive prenatal care (including intensive case management for high-risk pregnancies), better adherence to evidence-based care standards, and reductions in low–birth weight babies and rate of primary Cesarean sections.

Teams of Diabetes Educators Regularly Visit Rural Clinics to Coach African-American Patients, Leading to Better Glycemic Control and Potential Cost Savings 11/19/12

A traveling team of certified diabetes educators (including a nurse, pharmacist, and dietitian) regularly visits rural clinics to help coordinate diabetes care with clinicians and educate and coach African-American patients with diabetes, leading to improved glycemic control and the potential for meaningful cost savings.

Dedicated Inpatient Unit Improves Outcomes and Generates High Satisfaction for Women With Severe Perinatal Depression 09/07/12

A dedicated inpatient unit features a physical environment, staffing, policies, and services tailored to women with severe perinatal depression, leading to improvements in outcomes and high levels of patient satisfaction.

Remote Interpretation Delivered via Simple and Inexpensive Videoconferencing Technology Generates High Satisfaction Among Patients and Clinicians at Outpatient Clinic 06/25/12

An outpatient clinic pilot tested use of widely available, inexpensive, easily implemented consumer videoconferencing technology to provide Spanish-speaking patients with an offsite interpreter during appointments, generating high levels of satisfaction among both patients and clinicians.

School District Uses Policies and Related Programs to Improve Health, Behavior, and Academic Performance of Students with Asthma and Reduce Absenteeism 05/21/12

A school district's multifaceted, collaborative initiative to reduce the impact of asthma includes multiple policies and subsequent programs such as electronic monitoring, case management, and stakeholder-specific education, leading to fewer asthma-related absences and better academic performance, behavior, health, and quality of life for students with asthma.

Pharmacists Support Employees and Physicians in Managing Chronic Conditions, Leading to Better Care and Disease Control, Lower Costs, and Higher Productivity 01/10/12

Pharmacists provide ongoing chronic care management support to employees and their physicians, leading to greater adherence to recommended care processes and self-management behaviors, lower costs, higher productivity, and a significant return on investment.

School System Renovates High School Track and Promotes Its Availability to the Community, Leading to Increased Use by Students and Residents 08/10/11

A public school system renovated the athletic track at the system's only high school and promoted it as an attractive place to exercise, leading to increased use of the track by students, individual residents, and community groups, and to anecdotal reports of weight loss and improved cardiovascular health.

County, City, and Community Agencies Support Childcare Centers and Parents in Improving Nutrition and Physical Activity Habits of Preschoolers 08/02/11

Local government agencies and nonprofit groups improved the nutrition and physical activity practices of childcare centers by refurbishing a local park, training staff on healthy eating and exercise, and planting gardens at each center.

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