A Web-based registry assists primary care physicians, pediatricians, and school nurses in managing childhood asthma, leading to significant reductions in inpatient admissions and emergency department visits.
Pediatric practices receive training and in-office support designed to enhance their knowledge and comfort related to screening for risk factors for child abuse and neglect, leading to significantly more screening and significantly less maltreatment.
A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.
A hospital-based maternal/child health clinic enhances access to comprehensive, culturally competent prenatal and pediatric care for refugee families, leading to less anxiety among expectant mothers and better attendance at scheduled appointments.
A hospital-based program for young victims of penetrating trauma identifies those at risk of future violence, educates them about the need to change behaviors to reduce those risks, and connects them to community-based organizations that can help them in doing so, leading to fewer repeat episodes.
A trained educator used “academic detailing” sessions to teach primary care clinicians about proven strategies for reducing the pain and anxiety associated with childhood immunizations, leading to increased use of these strategies and greater satisfaction among clinicians.
Regional teams of mental health professionals enhance the ability of primary care clinicians throughout Massachusetts to serve children and adolescents with mental health issues.
Screening of fifth graders in West Virginia identifies those with a genetic predisposition that can lead to early onset of heart disease and other health risks, with those identified (and their family members) receiving treatment for the condition. The program has screened 100,000 fifth graders and secured treatment for the vast majority of those identified as being at risk.
The Santa Clara Family Health Plan encouraged health care practitioners to document body mass index and to provide weight management consultations and referrals to obese adolescents during well visits. While the initiative did not have a major impact on practitioner behavior, it does offer insights into how to develop effective programs to address childhood obesity.
On-call, pediatric intensive care unit attending physicians consult with onsite clinicians and patient/family members from their homes via audiovisual technology that allows real-time communication, leading to improved quality and timeliness of care and high levels of patient/family satisfaction.