A partnership among a periodontist, hospitals, state-funded health clinics, and area dentists enhances access to comprehensive dental care and education about oral hygiene to thousands of low-income pregnant women.
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.
An outpatient clinic pilot tested use of widely available, inexpensive, easily implemented consumer videoconferencing technology to provide Spanish-speaking patients with an offsite interpreter during appointments, generating high levels of satisfaction among both patients and clinicians.
As part of a statewide public-private initiative, the diverse Burlington (Vermont) health service area supports 18 patient-centered medical home practices via a multidisciplinary team, real-time electronic information, and financial incentives, leading to more appropriate care, better health outcomes and patient experiences, and lower utilization and costs.
A supportive housing program for late-stage alcoholics who frequently use crisis services features policies that reduce traditional barriers and restrictions to obtaining housing, leading to reductions in alcohol abuse, alcohol-related symptoms, and costs.
Emergency department–based case managers at nine Milwaukee hospitals use electronic technologies to schedule and track attendance at follow-up clinic appointments for low-income, uninsured patients who come to the emergency department with nonurgent needs, allowing many such patients to establish a medical home.
Financial incentives of up to $200 did not produce a meaningful decline in blood glucose levels in African-American veterans with diabetes.
African-American veterans with diabetes who had their blood glucose under control mentored patients with a similar background who did not, leading to significant reductions in blood glucose levels.
A practitioner-run, multispecialty center uses various policies, including an independent contracting model, strict credentialing processes, self-governance initiatives, and alternative payment systems, to enhance access to conventional and complementary medical care and improve the health status of underserved patients.
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.