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.
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.
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.
A statewide measurement and reporting system serves as a single, comprehensive, credible source of information on provider performance, leading to significant improvements in performance over time and to adoption and use of the system by local and national payers and other organizations.
A primary care clinic serving primarily Cantonese patients offers eligible individuals who come in for a visit during influenza season an influenza shot and a home fecal occult blood test, leading to a significant increase in colorectal cancer screening.
A recuperative care program provides homeless clients with housing, food, medical care, case management, and connections to social services after hospital discharge, resulting in improvements in their medical and housing status, fewer emergency department visits, and meaningful cost savings for participating hospitals.
A combined State-Federal program pays health plans a capitated fee to provide and coordinate acute, primary, long-term care as well as social services to those eligible for Medicare and Medicaid, leading to enhanced access to care, fewer inpatient admissions and nursing home placements, and high levels of beneficiary and provider satisfaction.
State legislation requires continuing medical education courses to include curricula related to cultural and linguistic competence in medical practice, leading to a deeper understanding of the importance of these competencies by those offering such courses and the clinicians they serve.
Multiple pieces of legislation in Washington state are starting to have an impact on use of shared decisionmaking in clinical practice, including a mandated demonstration project, recognition of use of decision aids as informed consent in malpractice cases, and formation of a learning collaborative.
Intensive, concurrent medical and behavioral health care, addiction services, and social service coordination improve patient outcomes and reduce health system use among patients who historically have been frequent users of emergency departments.