The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.
A mental health clinical assessment service provides remote (telephone-based) screening, diagnosis, and clinical guidance for patients seen in primary care practices who have or are suspected of having mental health or substance abuse problems.
The Alaska Dental Health Aide Program enhances access to oral health care by training dental therapists to provide culturally appropriate education and routine dental services to high-risk residents of rural villages.
Ethica Health and Retirement Communities developed a falls management program, the cornerstone of which is an interdisciplinary “falls team” at each nursing home that regularly assesses residents for risk of falling and develops intervention plans for those found at high risk.
Work Healthy brought together an interdisciplinary team of certified nurse practitioners, health educators, and community health workers to provide onsite health education, health promotion, and primary care services to low-income, uninsured workers in the mushroom industry.
Community partnerships and provider training increase service capacity and access to long-term treatment for individuals addicted to heroin.
A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.
The University of Rochester Medical Center placed a clinical pharmacist in the emergency department to serve as an integral member of the health care team, leading to an increase in quality care.
A multipronged strategy involving ties between hand hygiene performance and compensation systems, adoption and constant reinforcement of clear hand hygiene protocols, a comprehensive auditing program to review hand hygiene adherence, and other program elements improved adherence to appropriate hand hygiene protocols.
The patient lift team initiative employs three two-person teams of physically fit adults, working overlapping shifts, who assist with lifting immobile patients who need assistance in an 800-bed hospital.