Organizational Processes Affected by the Innovation
A low-cost, community-based, culturally tailored education program led by a bilingual nurse practitioner helped Korean immigrants with type 2 diabetes improve self-management behaviors and achieve better control of the disease.
The Oregon Health Authority (which oversees the State Medicaid program) initiated a series of policy changes to promote earlier detection, more effective referrals, and better coordination of care for pediatric patients with developmental delays, leading to a significant increase in screening rates and enhanced access to early intervention services.
A Medicaid health plan uses a range of direct and indirect information sources to collect accurate data on race, ethnicity, and preferred language for a high proportion of members.
Psychiatric fellows and residents at the University of Virginia Health System in Charlottesville provide care via videoconferencing to patients in rural parts of the state who otherwise would likely not have had access to such care.
A city health department encourages public and private maternity hospitals to voluntarily adopt various policies to support new mothers who choose to breastfeed exclusively. The program has attracted many participating hospitals, won broad support within the medical community, and increased the proportion of new mothers who breastfeed exclusively during their hospital stay.
A safety-net hospital enhances access to timely specialist care by revamping its critical results reporting system to immediately notify surgical oncologists of imaging results that suggest a possible gastrointestinal malignancy.
A partnership between a hospital and retail pharmacy company provides inhospital and postdischarge support to patients at high risk of readmission, leading to fewer readmissions and high levels of patient satisfaction.
The State of Connecticut offers employees, retirees, and dependents significant financial incentives to access appropriate care and engage in their health, leading to high participation rates, more appropriate utilization of health care resources, better medication adherence, and slower growth in costs.
A federally qualified health center serving primarily low-income, minority patients offers telemedicine-based retinal screening as part of a comprehensive annual visit for patients with diabetes, leading to enhanced access to screening, lower costs, and higher patient satisfaction.
A five-question electronic survey given to emergency department patients identifies a high proportion with potential eating disorders, suggesting the potential for the emergency department to be an effective venue for early diagnosis and connections to community-based treatment and support.