Organizational Processes Affected by the Innovation
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.
A plan-supported medical home model used by clinics serving Medicaid managed care beneficiaries enhances access to care, improves quality, and reduces inpatient admissions.
A statewide campaign provides education and technical support to city officials throughout California, leading many cities to pass policies and resolutions that promote changes in the physical environment that help residents to adopt healthy behaviors.
HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.
A statewide initiative combining policy and practice change—supported by tools, technical assistance, and social marketing—has led to favorable behavior changes that have helped to halt the increase in overweight and obesity among Delaware children and youth.