A State-based, public–private partnership adapted its successful primary care medical home model to serve pregnant Medicaid beneficiaries, leading to enhanced access to comprehensive prenatal care (including intensive case management for high-risk pregnancies), better adherence to evidence-based care standards, and reductions in low–birth weight babies and rate of primary Cesarean sections.
School-based health centers provide comprehensive reproductive and sexual health services to inner-city public school students, leading to enhanced access to contraception, prenatal care, and screening and treatment for sexually transmitted diseases.
A traveling team of certified diabetes educators (including a nurse, pharmacist, and dietitian) regularly visits rural clinics to help coordinate diabetes care with clinicians and educate and coach African-American patients with diabetes, leading to improved glycemic control and the potential for meaningful cost savings.
An Arizona clinic for women refugees provides comprehensive, culturally sensitive care across the reproductive life span, leading to enhanced access to services, high patient satisfaction, greater awareness of breast cancer and mammography, and better planning for childbirth.
A community-based oncology practice's patient-centered medical home model features oncology-specific information technology, a standardized assessment, multidisciplinary care plan, patient navigators, telephone triage line, patient education and engagement, and ongoing performance monitoring, leading to improvements in access, quality, and costs.
Local organizations and volunteers provide free skin cancer education and screenings at beaches and other outdoor venues each summer, enhancing access to these services for thousands of at-risk individuals, identifying many with suspected cancer, and increasing knowledge about strategies to reduce the risk of skin cancer.
Health plan members due for colorectal cancer screening and at low risk for the disease receive an automated educational call and a test kit to compete at home and return by mail, leading to a fourfold increase in the likelihood of screening in this hard-to-reach population.
An alliance of government and not-for-profit agencies aided the passage of various legislative provisions in Massachusetts designed to create a more stable, systemic role for community health workers, leading to greater professional recognition, an expanded workforce and training infrastructure, and increased funding of services.
Patients track preventive health needs, complete health risk assessments, and obtain educational information through an online interactive health record integrated with their practice's electronic health record, leading to improvements in the provision of preventive care.
A series of automated text messages to predominantly low-income, Latino parents about influenza and the importance of influenza vaccines leads to a small but meaningful increase in the percentage of children vaccinated.