Nurses and nurse aids in intensive care units bathe patients each day using washcloths impregnated with an antiseptic agent, leading to a significant reduction in hospital-acquired infections.
The combination of a small financial incentive and patient education leads to a modest, short-lived increase in physician visits, but has no effect on blood pressure control or on racial and ethnic disparities in management and control of hypertension.
Psychiatric fellows and residents at the University of Virginia Health System in Charlottesville provide care via videoconferencing to patients in rural parts of the state who otherwise would likely not have had access to such care.
Patients track preventive health needs, complete health risk assessments, and obtain educational information through an online interactive health record integrated with their practice's electronic health record, leading to improvements in the provision of preventive care.
Specially trained and certified lay workers known as “Grand-Aides” use illness-specific protocols to ensure that patients receive appropriate treatment in primary care settings and to ease the transition from hospital to home after discharge. The primary care-based program has reduced unnecessary visits and demonstrated the potential to reduce costs. Early data from one hospital program show significant reductions in readmissions.
A health system allows patients to receive certain routine laboratory tests without a physician's order, enhancing access to these tests and generating positive feedback.
Protocol-based care management tools and simplified documentation forms embedded in the electronic medical record improve documentation, the readability of notes, and coding accuracy in military health care facilities.
Small-group discussions and automated, interactive phone calls over a 12-week period helped low-income parents promote healthier behaviors in their overweight children, leading to reductions in body mass index and improvements in health-related quality of life.
Low-income, African-American, rural HIV patients receive regular self-written text message reminders that encourage them to regularly access HIV/AIDS primary care, leading to greater retention in care and enhanced quality of life.
Trained peer mentors guide individuals with mental illness through lectures and interactive exercises that increase their knowledge and ability to manage their illness, making them feel more confident and more connected with others.