Policies and procedures
A breast clinic co-located in a radiology department and staffed by an advanced registered nurse practitioner enables prompt evaluation and diagnosis of patients with breast symptoms, leading to lower utilization and costs, increased efficiency for breast surgeons, and high levels of patient satisfaction.
A primary care clinic serving primarily Cantonese patients offers eligible individuals who come in for a visit during influenza season an influenza shot and a home fecal occult blood test, leading to a significant increase in colorectal cancer screening.
A combined State-Federal program pays health plans a capitated fee to provide and coordinate acute, primary, long-term care as well as social services to those eligible for Medicare and Medicaid, leading to enhanced access to care, fewer inpatient admissions and nursing home placements, and high levels of beneficiary and provider satisfaction.
State legislation requires continuing medical education courses to include curricula related to cultural and linguistic competence in medical practice, leading to a deeper understanding of the importance of these competencies by those offering such courses and the clinicians they serve.
Multiple pieces of legislation in Washington state are starting to have an impact on use of shared decisionmaking in clinical practice, including a mandated demonstration project, recognition of use of decision aids as informed consent in malpractice cases, and formation of a learning collaborative.
A statewide campaign provides education and technical support to city officials throughout California, leading many cities to pass policies and resolutions that promote changes in the physical environment that help residents to adopt healthy behaviors.
A statewide collaborative supports schools, after-school programs, primary care practices, child care centers, work sites, and communities in promoting increased physical activity and healthy eating in Maine youth, leading to favorable behavior changes and a halt in the increase in childhood overweight/obesity.
A statewide initiative combining policy and practice change—supported by tools, technical assistance, and social marketing—has led to favorable behavior changes that have helped to halt the increase in overweight and obesity among Delaware children and youth.
As part of a larger statewide, collaborative initiative targeting four key settings, a pediatric health system promotes policy and practice changes in childcare settings, leading to enhanced provider knowledge, policy changes within childcare centers, and improved health-related behaviors in children.
As part of a larger statewide, collaborative initiative targeting four key settings, a pediatric health system promotes policy and practice changes in schools and school districts, leading to increased efforts to promote healthier behaviors and to improvements in physical fitness among students.