Kaiser Permanente Colorado and the Visiting Nurse Association in Denver jointly offer intense, consistent education to elderly heart failure patients discharged from the hospital in need of home-based skilled nursing care, leading to improved knowledge and self-management skills and fewer readmissions.
A regional health system with 21 hospitals implemented a comprehensive sepsis care initiative featuring proactive screening in the emergency department, algorithms to guide evidence-based treatment, and tools to support the provision of appropriate care, leading to better diagnosis, more appropriate care, lower mortality rates, and more patients meeting clinical targets.
A large health plan's multifaceted program promotes appropriate prescribing and monitoring of opioid therapy for patients with chronic pain not caused by cancer, leading to enhanced physician knowledge and confidence related to prescribing, greater use of care plans and drug screening, and fewer patients on high-dose therapy.
In combination with training and support for pediatric providers, a large health maintenance organization offered separate parent and teen group meetings in primary care clinics to promote behavior changes in overweight and obese teenage girls, leading to improvements in eating habits, body mass index, and psychosocial outcomes.
Registered nurses travel to farms to provide free preventive health and occupational safety screenings to farmers, leading to better eating habits and cholesterol levels, high attendance at followup appointments, and anecdotal reports of safety improvements.
A Medicaid managed care plan offers a patient-specific pay-for-performance program tailored to the needs of both large and small practices serving vulnerable populations, leading to improvements in immunization rates and diabetes care.
A large insurer offers financial incentives and other support to provider-led quality improvement collaborations, leading to high levels of provider participation, higher quality, lower costs, and a positive return on investment.
A school district's multifaceted, collaborative initiative to reduce the impact of asthma includes multiple policies and subsequent programs such as electronic monitoring, case management, and stakeholder-specific education, leading to fewer asthma-related absences and better academic performance, behavior, health, and quality of life for students with asthma.
The California Department of Health provides education and support to hospitals throughout the state, allowing many to create programs to address appropriate use of antimicrobials in response to State legislation.
A statewide program supports physician practices through multidisciplinary community-based health teams, preventive health expertise, easy access to needed information via electronic systems, and financial incentives, leading to lower utilization and growth in health care spending and enhanced provision of appropriate services.