The Boston University/Chelsea Partnership Dental Program is a city-wide, school-based program designed to increase access to dental services for low-income children by providing oral health education, dental screening and referrals, fluoride varnish applications, dental sealants, examinations, x-rays, cleanings, and restorations.
The Gonorrhea Community Action Project was a national, multisite project to design and implement interventions to increase access to and the quality of health care services in communities with high rates of gonorrhea.
The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.
Bi-Lingual International Assistant Services provides psychotherapy, counseling, social support, and citizenship assistance services to frail and disabled elderly who speak little or no English and have no other means of accessing such services.
Healthy Hair Starts with a Healthy Body ™ is a salon-based campaign to educate African-American adults in urban areas of Michigan about how to reduce the risks of chronic kidney disease, diabetes, and hypertension.
Work Healthy brought together an interdisciplinary team of certified nurse practitioners, health educators, and community health workers to provide onsite health education, health promotion, and primary care services to low-income, uninsured workers in the mushroom industry.
A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.
An organizational transformation focused on patient- and family-centered care leads to consistently high levels of patient satisfaction.
Thedacare, a four-hospital system, has redesigned its musculoskeletal care process to make it more efficient and effective for patients and providers. Improvements include a centralized orthopedics center that houses physicians (orthopedic surgeons, sports medicine physicians, and rehabilitation specialists), therapists, and supplies; changed the traditional process of most patients with musculoskeletal injuries seeing an orthopedic surgeon first; and the creation of referral protocols and a triage system designed to get patients the level of care they need quickly.
Web-based communities allow patients with a variety of life-changing illnesses to record functional outcomes, share these data securely with clinicians and caregivers, and communicate with similar patients for support and learning.