Comprehensive Screening, Guideline-Based Treatment, and Self-Management Support Enhanced Access to Asthma Care, Reduced Hospitalizations and Costs
The Urban Health Plan Asthma Relief Street program provides standardized, comprehensive asthma screening, guideline-based treatment, education, and self-management support, leading to more people being diagnosed and treated, fewer hospitalizations, and overall cost savings.
Computerized, Multilingual Visual Medication Schedule and Teach-Back Protocols Improve Anticoagulation Control for Low-Literacy Patients
A randomized clinical trial at San Francisco General Hospital used visual medication schedules and brief teach-back protocols in English, Spanish, and Cantonese to improve anticoagulant control among low-literacy patients in the public hospital's anticoagulation clinic.
Disease Management Programs Improve Adherence to Evidence-Based Processes and Outcomes by Targeting Sickest Patients and Working Closely With Physicians
A hospital-based outpatient disease management program serves patients with asthma, chronic heart failure, and diabetes and offers smoking cessation services to smokers. Unlike traditional disease management programs, this initiative heavily involves physicians in the initial referral and throughout the process and targets services toward the sickest patients (rather than to all patients with the condition).
Hospital–Community Organization Partnership Uses Culturally Competent Community Health Workers To Support Latino Families With Asthmatic Children, Reducing Hospitalizations and Emergency Department Visits
In a partnership between a hospital and four community-based organizations, bilingual community health workers help low-income, predominantly Latino families with asthmatic children better manage the disease, leading to fewer asthma-related symptoms, hospitalizations, emergency department visits, and missed school days.
Multidisciplinary Team Brings Palliative Care to Rural Patients, Leading to Improved Symptom Management and High Levels of Satisfaction
A palliative care program brings holistic physical, spiritual, and psychosocial support and care to patients in rural areas in their setting of choice, leading to improved symptom management and high levels of patient and provider satisfaction.
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Practice Facilitation Handbook: Training Modules for New Facilitators and Their Trainers
The Practice Facilitation Handbook is designed to assist in the training of new practice facilitators as they begin to develop the knowledge and skills needed to support meaningful improvement in primary care practices.
A Guide to Group Visits for Chronic Conditions Affected by Overweight and Obesity
This guide provides physicians with detailed information and instructions for conducting group medical visits for patients with chronic conditions affected by overweight and obesity.
Integrating Chronic Care and Business Strategies in the Safety Net: A Practice Coaching Manual
This practice coaching manual and the companion toolkit, Integrating Chronic Care and Business Strategies in the Safety Net, provide the tools and structure for coaches to use in helping teams to improve clinical quality in a wide variety of settings.
Road to Health Toolkit Training Guide
The Road to Health Training Guide is designed for people who develop or offer train-the-trainer workshops and for community health workers who work with people who are Hispanic/Latino or African American/African ancestry.
2011 National Healthcare Disparities Report
The purpose of the National Healthcare Disparities Report is to identify the differences or gaps through which some populations receive poor or worse care than others and to track how these gaps are changing over time.