Organizational Processes Affected by the Innovation
The American Academy of Pediatrics and four of its state chapters trained and supported pediatric practices on asthma care, leading to better adherence to established guidelines and improved asthma control.
A state-based, public–private partnership supports medical homes in managing the care of Medicaid managed-care enrollees, leading to higher quality and significant reductions in utilization and costs.
A program known as Cash & Counseling gives Medicaid enrollees a monthly allowance for home care and related services that they can spend at their own discretion, leading to enhanced access to services, fewer unmet needs, improved health outcomes, and high levels of beneficiary satisfaction.
Connecticut's 78 school-based health centers offer a broad array of confidential mental health services to elementary, middle, and high school students co-located with traditional primary and acute medical services. The school-based centers have enhanced access to mental health services and generated high levels of satisfaction for students (particularly African-American and Hispanic males), and have led to less missed class time.
A collaborative initiative features standardized care elements and fixed per-patient payments for treatment of depression in the primary care setting, leading to high rates of remission and response to treatment and high levels of provider satisfaction.
A multistakeholder collaborative, the Rochester Blood Pressure Initiative supports the development and implementation of a variety of provider-, employer-, and community-based programs that have collectively improved blood pressure control among hypertensive individuals in metropolitan Rochester, NY.
A New York State law requires hospitals and primary care providers to offer an HIV test to all patients between the ages of 13 and 64 years, streamlines the consent process, and requires providers to schedule patients with positive results for followup care; the law increased testing rates and helped link HIV-positive patients to care.
A health plan supports providers in orthopedic clinics in distributing decision aids to patients and using shared decisionmaking, contributing to reductions in joint replacement surgeries and overall health care costs.
A county-based accountable care organization integrates medical, behavioral health, and social services and assigns a care coordinator to newly enrolled Medicaid beneficiaries to promote use of appropriate services, leading to fewer readmissions and emergency department visits and lower costs.
An HIV clinic proactively encourages men with HIV to be screened for anal cancer each year and makes it easy for them to do so, leading to enhanced access to screening and the identification and removal of precancerous lesions.