Medical record keeping
A mobile health clinic provides a medical home to homeless and other at-risk youth, leading to fewer emergency department visits, more follow up care, and high levels of satisfaction.
Daily, telehealth-enabled symptom monitoring combined with as-needed interactions with a nurse reduced unexpected clinic visits and inpatient use among cancer patients undergoing chemotherapy.
A nurse practitioner–led service to bridge the gap in care for recently discharged patients awaiting a followup appointment did not reduce the rate of unplanned readmissions.
A sexually transmitted infections clinic uses a triage system to identify patients eligible for a testing-only “express visit,” leading to reduced waiting times for patients and enhanced throughput for the clinic.
Real-time clinical decision and documentation support through an electronic health record leads to more appropriate prescribing of antibiotics for respiratory infections and increased use of appropriate therapies and improved documentation for patients with diabetes and coronary artery disease.
A county health department enhanced access to routine care and improved outcomes by enacting a number of systems-based changes across three primary care sites serving patients with HIV/AIDS, including intensive patient tracking and outreach, flexible scheduling, self-management education and peer support, and renewed emphasis on having an annual comprehensive physical examination.
A comprehensive asthma management program that includes a registry of all asthma patients, action plans, home visits from nurses, and specialized services for high-risk children led to a reduction in asthma-related hospitalizations and pediatric emergency department visits.
The West Los Angeles Healthcare Center implemented a program to improve nurses' and patients' awareness and reporting of medication allergies and adverse drug reactions. Key program elements include a training module for nurses, educational brochures for patients, and distribution of an allergy/adverse drug reaction questionnaire to patients.
A patient-centered model of care for controlling hypertension incorporates three elements: education and training on use of an existing Web-based system, home monitoring of blood pressure, and periodic contact from pharmacists to review blood pressure readings and adjust therapy as needed.
An intrahospital transport program, known as Ticket to Ride, standardizes the inpatient transport process by ensuring that critical information accompanies the patient at all times, leading to fewer off-unit adverse events.