Clinical-Community Linkages to Improve Chronic Disease Care
Clinical-Community Linkages to Improve Chronic Disease Care Tuesday, July 3, 2012
Managing chronic diseases such as diabetes, asthma, and cardiovascular disease presents challenges both for maintaining optimal patient health and keeping health care costs in check. Partnerships between clinical practices, health departments, and community organizations can promote the delivery of high-quality health care and improve chronic disease management while controlling costs.
The featured Innovations describe a community-level partnership that used lay health advisers and a public-private initiative that leveraged community health teams to improve chronic disease care.
The featured QualityTools include a toolkit to help communities develop asthma management programs and a toolkit designed to support providers of self-management education programs focused on chronic conditions.
- Community Partnership Uses Lay Health Advisers to Reduce Chronic Disease Risk Factors, Leading to Improvements in Lifestyle and Health in Low-Income African Americans
- Statewide Program Supports Medical Homes Through Multidisciplinary Teams, Easy Access to Information, and Incentives, Leading to Lower Costs and Better Care
Also in This Issue:
- Round-the-Clock Intensivists Eliminate Ventilator-Associated Pneumonia, Central Line Infections, and Pressure Ulcers in Intensive Care Unit
- Community- and Practice-Based Teams, Real-Time Information, and Financial Incentives Help Medical Homes Improve Care, Reduce Utilization and Costs
- Medicaid Managed Care Plan Offers Patient-Specific, Pay-for-Performance Program, Leading to Improvements in Immunization Rates and Diabetes Care
- Alerts and Decision Support for Abnormal Laboratory Values Do Not Improve Clinical Management or Reduce Adverse Events