IOM Domains of Quality

Innovations

Hospital–Retail Pharmacy Partnership Provides Inhospital and Postdischarge Support to At-Risk Patients, Leading to Fewer Readmissions and High Patient Satisfaction 05/22/13

A partnership between a hospital and retail pharmacy company provides inhospital and postdischarge support to patients at high risk of readmission, leading to fewer readmissions and high levels of patient satisfaction.

State Plan Offers Employees Incentives To Access Needed Services and Health Enhancement Activities, Leading to High Participation, More Appropriate Utilization, and Slower Cost Growth 05/20/13

The State of Connecticut offers employees, retirees, and dependents significant financial incentives to access appropriate care and engage in their health, leading to high participation rates, more appropriate utilization of health care resources, better medication adherence, and slower growth in costs.

Telemedicine-Based Eye Examinations Enhance Access, Reduce Costs, and Increase Satisfaction for Low-Income and Minority Patients with Diabetes 05/14/13

A federally qualified health center serving primarily low-income, minority patients offers telemedicine-based retinal screening as part of a comprehensive annual visit for patients with diabetes, leading to enhanced access to screening, lower costs, and higher patient satisfaction.

Emergency Department Screening Identifies Many Patients With Possible Eating Disorders, Suggesting Potential to Facilitate Earlier Diagnosis and Connection to Treatment 05/08/13

A five-question electronic survey given to emergency department patients identifies a high proportion with potential eating disorders, suggesting the potential for the emergency department to be an effective venue for early diagnosis and connections to community-based treatment and support.

Home Visit for All Newborns To Assess Risk of Child Maltreatment Improves Parenting Skills, Reduces Medical Emergencies, and Generates Positive Return on Investment 05/07/13

Nurses come to the home of families with newborns to perform a comprehensive assessment of risk factors and provide education and support, leading to better connections to community resources, improved parenting skills, higher quality and safety in the home environment, and significantly fewer infant medical emergencies.

Online Clinic Enhances Access to and Reduces Costs of Care for Minor Health Problems, Generates Significant Time Savings and High Satisfaction Among Patients 05/03/13

An online clinic enhances access to and reduces the costs of care for 40 minor health problems that can safely be handled without a face-to-face visit, generating significant time savings and positive feedback from patients, physicians, and payers.

Free Weekly Clinic for Low-Income, African-American Men Enhances Access to Culturally Appropriate Primary Care, Counseling, and Support Group Services 05/02/13

Physicians and social workers provide free, convenient, culturally appropriate medical care, counseling, and support group services to African-American men in African-American Chicago neighborhoods, enhancing access to these services for roughly 3,000 to 3,500 men each year.

Resettlement Agencies Team With County To Enhance Access to Culturally Sensitive Screening and Followup for Arriving Refugees at Risk of Mental Health Problems 05/01/13

In partnership with community-based, nonprofit agencies that serve refugees, a county health department uses a culturally tailored screening tool to identify refugees at high risk for mental health problems and connect them to a counselor for more thorough diagnosis and, if necessary, treatment.

Cross-Agency Mayoral Task Force Promotes Policies and Initiatives To Reduce Prescription Opioid Misuse and Related Problems, Achieves Some Early Successes 04/25/13

A multiagency, cross-disciplinary mayoral task force develops and supports implementation of policies and programs to reduce prescription painkiller abuse and its associated problems in New York City—efforts that have prompted many public and private hospital emergency departments to adopt recommended prescribing guidelines, resulting in preliminary indications that fewer opioid painkiller prescriptions are being written and filled in some of the city's emergency departments.

Trained Physicians and Staff in Family Practices Screen for, Treat, and Manage Postpartum Depression, Improving Timeliness of Diagnosis, Access to Treatment, and Outcomes 04/24/13

Family medicine practices received training, tools, and support to assist them in screening, treating, and managing postpartum depression, leading to greater likelihood of diagnosis, enhanced access to treatment and followup support, and better outcomes.

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