Referrals

Innovations

Intensive Case Management Aids Parents With Co-Occurring Disorders and Their Children, Leading to Healthy Families 06/30/10

Ongoing case management, education, and peer support to low-income parents struggling with mental health and substance abuse disorders focuses on reducing the stigma associated with illness, increasing positive family interaction, and identifying and addressing cognitive and behavioral problems in children. Evidence suggests the program leads to less mental health–related stigma and stress, improved parenting skills and social support networks, few psychiatric hospitalizations, enhanced access to needed services for children, and many lasting family reunifications.

Tailored, Home-Based Physical Therapy Reduces Disability in Frail Community-Dwelling Seniors 06/14/10

A tailored, home-based physical therapy program slows functional decline in moderately frail, community-dwelling older adults.

Insurer's Multifaceted Approach Facilitates Cultural and Linguistic Match Between Patient and Mental Health Provider, Leading to Higher Member Satisfaction 06/08/10

CIGNA uses a multifaceted approach to facilitate culturally appropriate behavioral health care for members, including the matching of patients to providers who meet desired characteristics; the program enhanced the diversity of the behavioral health practitioner network and increased member satisfaction.

Telephone Nurse Triage System Reduces Use of Emergency Department by Nonurgent Patients, Reducing Wait Times, Length of Stay, and Patient Walkouts 06/07/10

A hospital-based telephone triage system allows patients to describe their symptoms to a nurse, who uses an algorithm to assess acuity and determine the best setting for treatment, leading to reductions in emergency department patient volumes, wait times, average length of stay, and walkouts.

Hospital-Based Postpartum Support Group Reduces Depression and Increases Life Satisfaction 06/05/10

A 10-week, hospital-based support group offers information, education, and support to women suffering from postpartum depression, leading to reduced incidence of depression and increased life satisfaction.

Co-Located, Independent Primary Care and Specialty Practices Collaborate to Enhance Access, Improve Quality and Satisfaction 06/03/10

A medical complex houses a primary care practice, a wide array of specialty practices, and ancillary service providers who operate independently but collaborate closely to provide same-day access and communicate in real time on individual cases, leading to improvements in breast and colon cancer screening rates and to higher physician and patient satisfaction.

Smoking Cessation Intervention by Thoracic Surgeons Achieves Above Average Pre- and Postoperative Quit Rates 05/29/10

During pre- and postsurgery visits, thoracic surgeons encourage lung cancer patients to quit smoking and provide assistance to help them do so, leading to a 35 percent quit rate, which is above the average quit rate documented in other smoking cessation programs.

Cognitive Behavioral Therapy via Instant Messaging May Enhance Access to Therapy for Some Patients With Depression 05/18/10

General practices in England offered cognitive behavioral therapy via secure, online instant messaging to patients with depression, who could schedule and execute up to 10 online sessions with the same therapist; the program proved effective in helping participants recover from depression, with qualitative patient feedback suggesting that it may be attractive to certain subgroups of patients who lack access to or dislike face-to-face therapy.

Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use 05/17/10

Care staff use software-based protocols to screen older clients' medications and collaborate with pharmacists and physicians to reduce the risk of medication errors and adverse effects, leading to more appropriate medication use and fewer cases of duplicative medications.

Senior Center Provides Coaching and Self-Management Support to Community-Dwelling Elders, Reducing Disability Days and Hospitalizations and Enhancing Activities of Daily Living 05/04/10

A senior center–based practitioner meets with functionally independent, community-dwelling seniors to assess risk factors and develop a targeted self-management plan, and conducts followup visits and telephone calls with the seniors over a 6-month period to help them adhere to the plan. The program has led to fewer disability days and risk factors for disability, improved self-reported health status and ability to perform activities of daily living, and reduced inpatient utilization.

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