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Innovations
Multispecialty Practice Uses Electronic Templates to Provide Customized Support at Every Visit, Contributing to Improved Patient Behaviors and Outcomes 7/16/2014
Using electronic templates, nurses and physicians provide a personalized report to patients at virtually every visit, with the goal of improving health-related behaviors; the program has contributed to a leveling off in the prevalence of overweight/obesity, above-average quit rates among smokers, better blood glucose control, and fewer racial disparities in chronic care.
Shelter-Based Medical Care and Case Management Enhance Access to Services for Homeless Women, Improve Outcomes, and Lower Costs 7/16/2014
Volunteer physicians, supported by paid nurse case managers, provide homeless women with needed medical care in homeless shelters and connect the women to other needed medical and social services. The program has enhanced access to services, improved outcomes, and generated significant cost savings.
Policy Hospital Gain-Sharing Program Offers Incentives to Physicians Based on Their Efficiency, Producing Significant Cost Savings Without Decline in Quality 7/16/2014
A group of 12 New Jersey hospitals offered upside incentives to individual physicians based on their performance on various efficiency metrics, leading to significant cost savings without negatively affecting quality of care.
Community-Based Provider Training and Education Enhances Access to Oral Health Screenings and Fluoride Treatments for Low-Income Children 7/2/2014
Provider training and education enhances access to oral health screening and fluoride applications for low-income and uninsured children.
Policy Health Department Promotes Implementation and Use of Electronic Health Records in Underserved Areas To Improve Clinical Preventive Services in Primary Care 7/2/2014
The health department in New York City uses subsidies, upfront and ongoing technical support, and quality of care feedback to promote implementation and use of electronic health records by primary care practices in medically underserved areas, leading to better care for patients in these practices.
QualityTools
Improving Asthma Care for Children Toolkit: Best Practices in Medicaid Managed Care 6/18/2014
This toolkit provides strategies to improve asthma care tested by a diverse group of health plans serving Medicaid consumers.
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement 5/7/2014
This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants.
Predictive Modeling: A Guide for State Medicaid Purchasers 1/29/2014
This guide for care managers and State Medicaid agencies provides information on how to use predictive modeling tools to identify patients who are good candidates for care management.
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide 1/15/2014
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide is designed to aid policymakers in understanding the policy issues, research evidence, and methodology related to evaluating the costs, quality, and impact of care management programs.
Designing and Implementing Medicaid Care Management Programs: A User’s Guide 12/18/2013
The Medicaid Care Management Guide helps States design, implement, and evaluate care management programs for the chronically ill.

Last updated: July 16, 2014.