IOM Domains of Quality
A medical center implemented new policies, systems, communication protocols and training programs to serve lesbian, gay, bisexual, and transgender patients, leading to more equitable, culturally competent care.
A personal health record for hypertensive patients to monitor blood pressure and other health data had no impact on blood pressure control; health services utilization; and patient activation, empowerment, and satisfaction.
The American Academy of Pediatrics and four of its state chapters trained and supported pediatric practices on asthma care, leading to better adherence to established guidelines and improved asthma control.
The nation's first statewide health information exchange, the Delaware Health Information Network gives clinicians immediate access to patient-specific health data from other providers, leading to higher quality and more efficient care.
A statewide, all-payer initiative creates financial incentives tied to hospital performance on process, patient experience, and outcomes measures, leading to better and less variable performance.
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.
A program known as Cash & Counseling gives Medicaid enrollees a monthly allowance for home care and related services that they can spend at their own discretion, leading to enhanced access to services, fewer unmet needs, improved health outcomes, and high levels of beneficiary satisfaction.
Connecticut's 78 school-based health centers offer a broad array of confidential mental health services to elementary, middle, and high school students co-located with traditional primary and acute medical services. The school-based centers have enhanced access to mental health services and generated high levels of satisfaction for students (particularly African-American and Hispanic males), and have led to less missed class time.
A collaborative initiative features standardized care elements and fixed per-patient payments for treatment of depression in the primary care setting, leading to high rates of remission and response to treatment and high levels of provider satisfaction.
A multistakeholder collaborative, the Rochester Blood Pressure Initiative supports the development and implementation of a variety of provider-, employer-, and community-based programs that have collectively improved blood pressure control among hypertensive individuals in metropolitan Rochester, NY.