Policies and procedures


Formalized, Technology-Enabled Referral Relationships Between Medical Center and Community Clinics Enhance Access and Reduce Inappropriate Emergency Department Visits 06/15/12

A collaborative program leverages information technology to connect ED patients to a medical home and patients receiving care at FQHCs and county health clinics to specialists, leading to enhanced access to care, fewer ED visits, and significant cost savings.

Emergency Department–Based Case Managers Throughout County Electronically Schedule Clinic Appointments for Underserved Patients, Allowing Many to Establish a Medical Home 06/12/12

Emergency department–based case managers at nine Milwaukee hospitals use electronic technologies to schedule and track attendance at follow-up clinic appointments for low-income, uninsured patients who come to the emergency department with nonurgent needs, allowing many such patients to establish a medical home.

Multispecialty Practice Uses Time Credit Payments and Other Policies to Enhance Access to Conventional and Alternative Care, Improving Health Status of Low-Income Patients 05/29/12

A practitioner-run, multispecialty center uses various policies, including an independent contracting model, strict credentialing processes, self-governance initiatives, and alternative payment systems, to enhance access to conventional and complementary medical care and improve the health status of underserved patients.

Multihospital System Uses Proactive Screening, Algorithms, and Tools To Improve Sepsis Care, Leading to More Appropriate Care and Better Outcomes 05/29/12

A regional health system with 21 hospitals implemented a comprehensive sepsis care initiative featuring proactive screening in the emergency department, algorithms to guide evidence-based treatment, and tools to support the provision of appropriate care, leading to better diagnosis, more appropriate care, lower mortality rates, and more patients meeting clinical targets.

Multifaceted Program Featuring Guideline, Training, and Incentives Reduces Prescribing of High-Dose Opioid Therapy in Patients With Chronic Pain 05/25/12

A large health plan's multifaceted program promotes appropriate prescribing and monitoring of opioid therapy for patients with chronic pain not caused by cancer, leading to enhanced physician knowledge and confidence related to prescribing, greater use of care plans and drug screening, and fewer patients on high-dose therapy.

Kidney Transplant Center Required Completion of Education Class Prior to Medical Assessment, Leading to More Patients Completing Evaluation 05/21/12

A transplant center established a mandatory education session for newly referred patients, leading to a significant increase in the percentage of patients (particularly African Americans and people of lower socioeconomic status) completing the enrollment process.

School District Uses Policies and Related Programs to Improve Health, Behavior, and Academic Performance of Students with Asthma and Reduce Absenteeism 05/21/12

A school district's multifaceted, collaborative initiative to reduce the impact of asthma includes multiple policies and subsequent programs such as electronic monitoring, case management, and stakeholder-specific education, leading to fewer asthma-related absences and better academic performance, behavior, health, and quality of life for students with asthma.

State Health Department Support Spurs Development of Many Antimicrobial Stewardship Programs After Passage of Legislative Mandate 05/18/12

The California Department of Health provides education and support to hospitals throughout the state, allowing many to create programs to address appropriate use of antimicrobials in response to State legislation.

State Agency Promotes Integrated Mental Health and Addiction Treatment for Co-Occurring Disorders, Leading to Better Access and Positive Outcomes 05/17/12

A state mental health and addiction services agency implemented policies to promote integrated treatment for those with both mental health and substance use disorders, leading to enhanced access to high-quality services and positive patient outcomes.

Health System Offers Routine Tests Without Need for Physician Order, Enhancing Access for Small but Growing Number of Satisfied Patients 05/04/12

A health system allows patients to receive certain routine laboratory tests without a physician's order, enhancing access to these tests and generating positive feedback.


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