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.
A comprehensive bundle of process improvement strategies improved patient turnaround time in the emergency department, which in turn led to fewer patients leaving before being treated.
The health department in New York City uses subsidies, upfront and ongoing technical support, and quality of care feedback to promote implementation and use of electronic health records by primary care practices in medically underserved areas, leading to better care for patients in these practices.
The Children's Healthcare Access Program offers financial incentives and support services to primary care medical homes serving children covered by Medicaid and their families; the program enhanced access to primary care, increased the percentage of children with asthma action plans, reduced emergency department visits and hospital admissions, increased well-child visits, and reduced costs.
With support from a statewide collaborative, primary care practices in Wisconsin proactively identify and address behavioral health issues in patients, leading to declines in binge drinking, marijuana use, and symptoms of depression, and to high levels of patient satisfaction.