Home telemonitoring did not improve blood pressure or blood glucose control in diabetes patients with out-of-range values.
An electronic system allows physicians at two health clinics to easily refer patients who use tobacco to a quitline and subsequently monitor their progress, leading to more clinician referrals to the quitline and enhanced access to cessation services for patients.
A county health department's sexually transmitted disease awareness campaign targeting young minority women offers a free home test kit and improves access to testing and treatment, especially among African Americans and Latinas.
A physician-led practice offers integrated, coordinated care under capitated contracts to high-risk, moderate- and low-income seniors enrolled in Medicare Advantage plans, leading to high levels of adherence to recommended screening services, good blood glucose control among patients with diabetes, below-average use of inpatient services, high patient satisfaction, and improvements in patient access to medications.
Supported by a central data repository, a statewide managed care plan for children and young adults in foster care provides ongoing care coordination, linkages to community-based services, and psychotropic drug utilization reviews, leading to better care access, better followup after mental illness hospitalization, and less use of psychotropic drugs.
As an adjunct to traditional morbidity and mortality reviews, a teaching hospital convenes representatives from its 11 surgical groups on a quarterly basis to review mortality-related data and discuss trends, problems, and opportunities for systematic improvement, leading to lower mortality rates and better performance on a composite quality measure.
An integrated electronic system for scheduling elective surgical procedures and obtaining informed consent eliminates delays and other problems due to incomplete or missing consent forms, illegible handwriting, and missing equipment.
The Quality Health Network used an inclusive design process and invested significant time and resources in promoting and supporting use of its health information exchange, which serves patients and providers in seven counties in rural western Colorado.
Obstetrics/gynecology clinics offered electronic medical record–facilitated education, counseling, and support from a lactation consultant to low-income minority women, leading to a threefold increase in breastfeeding rates.
Primary care practices leverage information technologies to identify patients at risk of undiagnosed hypertension and schedule them for automated office blood pressure measurement, reducing the likelihood of remaining undiagnosed by more than 70 percent.