A nonprofit organization in Baltimore provides programs and services to support at-risk women (particularly African Americans) throughout each stage of the childbearing cycle, leading to fewer deliveries of low- and very low–birthweight babies and associated cost savings.
An online system provides real-time review and eligibility determination for applicants to Oklahoma's Medicaid and the Children's Health Insurance Program, leading to much quicker enrollment, significant cost savings, and a decline in the number of uninsured.
Care coordinators in a large integrated system engage in culturally tailored discussions with low-income seniors about completing advance directives, leading to higher completion rates and a narrowing of the gap in completion rates between African Americans/black immigrants and whites.
A multifaceted program featuring education and feedback, ultraviolet room disinfection devices, and a dedicated housekeeping team significantly improved the thoroughness of room cleanings and reduced the percentage of rooms housing patients with Clostridium difficile infections that tested positive for the pathogen at patient discharge.
A children's hospital uses an enterprise data warehouse to assist multidisciplinary teams in identifying and addressing opportunities to improve quality, leading to better adherence to evidence-based guidelines, less unnecessary care, and significant cost savings.
A partnership between a hospital and retail pharmacy company provides inhospital and postdischarge support to patients at high risk of readmission, leading to fewer readmissions and high levels of patient satisfaction.
A federally qualified health center serving primarily low-income, minority patients offers telemedicine-based retinal screening as part of a comprehensive annual visit for patients with diabetes, leading to enhanced access to screening, lower costs, and higher patient satisfaction.
A multiagency, cross-disciplinary mayoral task force develops and supports implementation of policies and programs to reduce prescription painkiller abuse and its associated problems in New York City—efforts that have prompted many public and private hospital emergency departments to adopt recommended prescribing guidelines, resulting in preliminary indications that fewer opioid painkiller prescriptions are being written and filled in some of the city's emergency departments.
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.
Intensive, concurrent medical and behavioral health care, addiction services, and social service coordination improve patient outcomes and reduce health system use among patients who historically have been frequent users of emergency departments.