Safety-Net Hospital Enhances Access to Specialty Care by Immediately Notifying Surgical Oncologists About Patients With Imaging Results That Suggest Possible Gastrointestinal Malignancy
A safety-net hospital enhances access to timely specialist care by revamping its critical results reporting system to immediately notify surgical oncologists of imaging results that suggest a possible gastrointestinal malignancy.
Clinics and Hospitals Use Trained, Certified Community Members To Screen and Support Primary Care and Postdischarge Patients, Reducing Physician Visits and Costs
Specially trained and certified lay workers known as "Grand-Aides" use illness-specific protocols to ensure that patients receive appropriate treatment in primary care settings and to ease the transition from hospital to home after discharge. The primary care-based program has reduced unnecessary visits and demonstrated the potential to reduce costs. Early data from one hospital program show significant reductions in readmissions.
Remote Interpretation Delivered via Simple and Inexpensive Videoconferencing Technology Generates High Satisfaction Among Patients and Clinicians at Outpatient Clinic
An outpatient clinic pilot tested use of widely available, inexpensive, easily implemented consumer videoconferencing technology to provide Spanish-speaking patients with an offsite interpreter during appointments, generating high levels of satisfaction among both patients and clinicians.
Statewide Medical Home Program for Low-Income Pregnant Women Enhances Access to Comprehensive Prenatal Care and Case Management, Improves Outcomes
A State-based, public–private partnership adapted its successful primary care medical home model to serve pregnant Medicaid beneficiaries, leading to enhanced access to comprehensive prenatal care (including intensive case management for high-risk pregnancies), better adherence to evidence-based care standards, and reductions in low–birth weight babies and rate of primary Cesarean sections.
Telephone-Based Case Management and Periodic Home Visits Reduce Neonatal Intensive Care Unit Utilization and Overall Costs for High-Risk Pregnant Women and Their Babies
The Partners in Pregnancy program combines telephone-based case management with periodic home visits from registered nurses and community-based workers to improve pregnancy outcomes for high-risk pregnancies in a Medicaid managed care population.
Designing and Implementing Medicaid Care Management Programs: A User’s Guide
The Medicaid Care Management Guide helps States design, implement, and evaluate care management programs for the chronically ill.
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide
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.
Medicaid and CHIP Learning Collaboratives Toolbox
This online toolbox, for use by collaboratives, partners, and stakeholders, provides practical tools and resources to address common challenges and pursue innovations in Medicaid program design and operations.
Children's Electronic Health Record Format
The Children’s EHR Format, for EHR system developers, provides information about critical functionality, data elements, and other requirements needed in an EHR system to improve quality measurement and collection of clinical quality data.
Customized State Medicaid Fact Sheets
This tool produces customized Medicaid fact sheets by comparing each State to the United States or to any other State in terms of demographics, health resources, and Medicaid enrollment.