IOM Domains of Quality

Innovations

Hospital-Affiliated Physician Group Offers Modest Performance-Based Incentives to Salaried Physicians, Leading to Sustained Improvement on Quality-Related Metrics 03/07/14

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.

State Medicaid Program Pays Additional Capitated Fee to Integrated Primary Care and Mental Health Homes, Leading to Better Outcomes and Lower Costs 03/01/14

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 Offer Culturally Tailored Interactive Workshops and Counseling to Filipino Americans, Leading to Improvements in Medication Adherence and Cardiovascular Risk Factors 02/28/14

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.

Real-Time Location System Tracks Staff, Patients, and Equipment, Reducing Costs, Improving Infection Control and Room Turnaround, and Generating High Satisfaction 02/27/14

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.

24-Hour Inpatient Pulse Oximetry Monitoring Reduces Rescue Events and Intensive Care Unit Transfers 02/11/14

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.

State-Financed, Primary Care–Led, Accountable Care Collaborative Provides Comprehensive, Coordinated Care to Medicaid Beneficiaries, Reducing Admissions, Use of Imaging Services, and Costs 02/05/14

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.

Long-Term Care Facilities Cede Control of Immunization Policies to Regional Pharmacy, Significantly Increasing Influenza Vaccination Rates Among Workers 01/30/14

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 Law Enhances Access to Affordable Care by Limiting Amount Hospitals Can Collect From Low-Income Uninsured and Underinsured Patients 01/30/14

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.

Patient Notepad Improves Communication With Physicians, Including Likelihood of Having Questions Answered 01/28/14

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.

Program Offering Free Dental Care in Exchange for Community Service Significantly Reduces Dental-Related Emergency Department Visits by Uninsured Individuals 01/26/14

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.

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