IOM Domains of Quality

Innovations

Daily Patient-Provider Communication and Data Transfer Using Mobile Phones Improves Outcomes and Reduces Costs for Teens With Chronic Asthma 12/20/07

Patients with chronic illnesses communicate with and receive real-time feedback from providers on at least a daily basis using customized mobile phone software, leading to better adherence, increased peak flow assessments, and fewer emergency department visits and missed school days.

Pharmacist-Led, Grocery Store–Based Medication Review Reduces Falls and Enhances Compliance for Medicare Managed Care Members 12/20/07

A plan-sponsored, pharmacist-led prescription and over-the-counter medicine review program at a local supermarket chain helps identify potentially harmful medication interactions, reduces falls, and enhances medication compliance among Medicare beneficiaries.

E-mail Enhances Communication With and Access to Pediatrician for Patients and Families 12/20/07

A pediatric sub specialist offered the families of his patients the opportunity to contact him via e-mail.

Peer Leaders Facilitate Social Engagement Among Dementia Patients in Long-Term Care Facilities 12/20/07

Resident-Assisted Montessori Programming (RAMP) is a peer leadership program in which patients in the early stages of dementia are trained to lead group activities with their peers who have more advanced dementia. Using principles of the Montessori learning method, RAMP teaches early-stage patients to use their strengths, such as procedural memory, to engage patients in meaningful social roles.

Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System 12/20/07

The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.

Donated Care Program Enhances Access to Ongoing Care for Uninsured Patients, Resulting in Significant Reductions in ED Visits, Hospitalizations, and Costs 12/19/07

CarePartners, a donated care program, matches uninsured Maine residents with primary care physicians who are willing to care for up to 10 patients for free. Case managers help enrollees obtain needed services, including hospital care, specialist services, and free or low-cost drugs through prescription assistance programs.

Remote Retinal Screening Facilitates Diagnosis and Treatment of Retinopathy for Poor and/or Uninsured Patients With Diabetes in Rural California 12/18/07

Remote diabetic retinopathy screening using the Eye Picture Archive Communication System digital ocular imaging software facilitated prompt retinopathy diagnosis in California's Central Valley, an area where many residents are poor and uninsured and diabetes is a major health concern.

At-Home, Internet-Enabled Therapy Sessions Enhance Access to Cognitive Rehabilitation for Traumatic Brain Injury Patients, Leading to High Levels of Patient and Therapist Satisfaction 12/18/07

Mayo Clinic therapists conduct remote cognitive rehabilitation sessions with acquired brain injury patients who remain in or near their homes, thus enhancing access to care for those who find it difficult to travel for face-to-face sessions.

Bilingual, Culturally Competent Managers Enhance Access to Prenatal Care for Migrant Women, Leading to Potential for Improved Birth Outcomes 12/17/07

The Migrant Clinicians Network Prenatal Care Program seeks to ensure continuity of care for expectant mothers who begin prenatal care in one location and move for employment purposes during their pregnancy. Bilingual, culturally competent staff link migrant patients with prenatal services and manage their medical records throughout the pregnancy.

Heart Failure Disease Management Improves Outcomes and Reduces Costs 12/14/07

Essentia Health Heart and Vascular Center created a heart failure program combining chronic care and disease management principles to improve outcomes and reduce costs associated with heart failure care.

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