Disease or Clinical Category
A local foundation developed community-based testing programs and partnerships with medical homes to provide real-time linkages to HIV care to newly diagnosed patients and to support these patients in transitioning to care, nearly doubling the number of patients initiating treatment.
Emergency department and urgent care physicians and nurses use a protocol to help them decide how to treat patients complaining of pain who may be abusing controlled substances, leading to significantly fewer such patients receiving prescriptions for opioids.
A public–private urban health partnership develops multiple initiatives to expand access to high-quality, coordinated health care for vulnerable residents, leading to shorter wait times for appointments, improvements in patient–provider continuity, and reductions in readmissions and emergency department use.
A primary care medical home for patients with disabilities and complex, chronic medical conditions emphasizes patient engagement and care coordination among medical specialties and social service providers, leading to enhanced access to care, better self-management skills, more days of good health, fewer hospitalizations, and lower costs.
Through a statewide telemedicine program, psychiatrists evaluate patients with mental health issues who present at rural hospital emergency departments, leading to reductions in wait times, inpatient admissions, and costs; increased attendance at followup visits; and high levels of patient and clinician satisfaction.
A safety net hospital employs a software application that uses electronic health record data and predictive modeling to identify and allocate scarce resources to high-risk patients, leading to fewer readmissions and lower costs.
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.
User-friendly, secure Web-based and mobile applications facilitate online visits with board-certified dermatologists, enhancing access to care for those with minor and serious skin conditions, increasing physician productivity, and generating high levels of patient satisfaction.
A large health plan offered a 6-month program featuring culturally tailored educational classes and materials and the integration of culturally sensitive approaches into everyday care, leading to increased cultural sensitivity among staff, more engaged patients, and better health outcomes, and contributing (along with other programs) to the elimination of racial disparities.
As an expansion to an existing community-based oral health program for Hispanic and African-American seniors, dental school faculty, staff, and students offer education and screening for hypertension and diabetes, leading to the identification of many seniors with or at high risk for these chronic illnesses and many previously diagnosed individuals who do not have the condition(s) under control.