IOM Domains of Quality
A hospital-affiliated physician group offers modest performance-based incentives to salaried physicians, leading to sustained improvements in performance on a broad array of quality-related metrics.
The Missouri Medicaid Health Home program provides capitated payments to primary care and mental health medical homes that adopt an integrated staffing model that allows patients to receive both medical and mental health care, leading to better health outcomes and lower utilization and costs.
Community health workers provided culturally tailored workshops and one-on-one counseling and support to Filipino Americans at high risk of cardiovascular disease, leading to greater adherence to medication regimens, better attendance at scheduled appointments, improved blood pressure control, and lower body mass index.
Hospitals use a real-time location system to track employees, patients, and/or major pieces of equipment, leading to lower equipment costs, better infection control processes, faster room turnaround, and high levels of patient, physician, and staff satisfaction.
A hospital uses round-the-clock pulse oximetry monitoring to identify patients who exhibit early signs of deterioration and automatically notify their nurse, leading to reductions in rescue events and transfers to the intensive care unit.
A State-led accountable care collaborative provides comprehensive, coordinated care to Medicaid beneficiaries through primary care medical homes, reducing use of inpatient, imaging, and emergency department services, and generating estimated savings of $6 million for the State.
A group of 14 long-term care facilities cede control of immunization policies to a regional pharmacy, leading to a significant increase in influenza vaccination rates among facility workers.
California legislation enhances access to affordable care by limiting the amount hospitals can collect from low- and moderate-income patients who are uninsured or lack adequate coverage and hence face high out-of-pocket medical expenses.
Patients receive a notepad with sample questions and informational prompts intended to facilitate communication with physicians, leading to more notetaking by patients and a greater likelihood of having their questions answered by physicians.
The Dentists' Partnership offers free oral health care to low-income individuals in exchange for community service, resulting in a 70-percent decline in emergency department visits for urgent dental conditions, a positive return on investment, and high levels of dentist and patient satisfaction.