Medical record keeping
As part of the Geriatric Resources for Assessment and Care of Elders (GRACE) program, social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and primary care physicians to develop and implement individualized care plans for low-income seniors, leading to significant improvements in health status.
A hospital outpatient clinic's confidential, voluntary error reporting system, which focuses on identifying faulty systems instead of individual mistakes, has substantially increased error reports and has been associated with a reduction in liability claims.
Reconciling patient and provider medication lists reduces discrepancies, leading to enhanced medication safety and high levels of patient and provider satisfaction in the outpatient setting.
A hospital-based outpatient disease management program serves patients with asthma, chronic heart failure, and diabetes and offers smoking cessation services to smokers. Unlike traditional disease management programs, this initiative heavily involves physicians in the initial referral and throughout the process and targets services toward the sickest patients (rather than to all patients with the condition).
Penobscot Community Health Center provides onsite services at a community health clinic, with psychiatric and medical professionals offering primary care, disease management, mental health, and substance abuse services, along with referrals to additional mental health and other specialty services that may be needed.
Faith community nurses provide case management, consultation, health education, screenings, and basic care at little or no cost to low-income, uninsured/underinsured individuals.
In collaboration with several community partners, the University of Texas Medical Branch provides remote mental health assessment and treatment services via videoconferencing technology and onsite case management to low-income, minority, and other students and parents in seven school-based primary care clinics in the Galveston Independent School District.
Advanced practice nurses provide primary, preventive, and mental health care to individuals with severe mental illness, leading to improvements in health outcomes.
Heritage Valley Health System streamlined its patient registration process through use of electronic kiosks that its patients use to register and check in for appointments at outpatient clinics and hospitals.
The Automated Telephone Diabetes Management program, a part of the IDEALL project, provided automated telephone monitoring of individuals with poorly controlled type II diabetes who receive their care at four safety net clinics in San Francisco.