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Innovations
Capitated Health Center Uses Health Coaches to Manage Chronic Illnesses, Leading to Improved Clinical Outcomes 7/30/2014
Trained, bilingual medical assistants in a capitated health center serve as health coaches to chronically ill (often diabetic) patients of similar ethnic or racial backgrounds, leading to better disease management and clinical outcomes for those with diabetes, very positive feedback from patients and center staff, and low turnover among medical assistants and coaches.
Community- and Practice-Based Teams, Real-Time Information, and Financial Incentives Help Medical Homes Improve Care, Reduce Utilization and Costs 7/30/2014
As part of a statewide, public-private initiative, a largely rural Vermont community supports its six medical patient-centered medical home practices with a multidisciplinary provider team, real-time electronic information, and insurer-funded financial incentives, leading to more appropriate care and services and lower utilization and growth in health care spending.
Comprehensive Hospital Program Significantly Reduces Clostridium difficile Infections 7/30/2014
Faced with an increase in the number of patients with Clostridium difficile infections, Florida Hospital Tampa implemented a comprehensive program to reduce environmental transmission of the bacterium, leading to a significant reduction in infections.
Comprehensive Program Featuring Registry, Self-Management Education, Action Plans, and Home Visits Reduces Asthma-Related Admissions and Emergency Department Visits 7/30/2014
A comprehensive asthma management program that includes a registry of all asthma patients, action plans, home visits from nurses, and specialized services for high-risk children led to a reduction in asthma-related hospitalizations and pediatric emergency department visits.
Disease Management Programs Improve Adherence to Evidence-Based Processes and Outcomes by Targeting Sickest Patients and Working Closely With Physicians 7/30/2014
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).
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QualityTools
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity 5/7/2014
This toolkit is intended to help primary care practices link to community resources for improving the care of patients struggling with obesity.
Department of Veterans Affairs/Department of Defense (VA/DoD) Clinical Practice Guideline for the Management of Diabetes Mellitus (DM) in Primary Care. Guideline Summary 5/7/2014
This 40-page guideline summary is derived from the evidence-based clinical practice guideline, Management of Diabetes Mellitus, developed by the Department of Veterans Affairs and Department of Defense.
Department of Veterans Affairs/Department of Defense (VA/DoD) Clinical Practice Guideline for the Management of Major Depressive Disorder in Adults: Inpatient Care Key Points Card 5/7/2014
This key points card on inpatient mental health care is derived from the evidence-based clinical practice guideline, Management of Major Depressive Disorder (MDD) in Adults, developed by the Department of Veterans Affairs and Department of Defense (VA/DoD).
Department of Veterans Affairs/Department of Defense (VA/DoD) Clinical Practice Guideline for the Management of Medically Unexplained Symptoms (MUS): Chronic Pain and Fatigue, Guideline Summary 5/7/2014
This 18-page guideline summary is derived from the evidence-based clinical practice guideline, Management of Medically Unexplained Symptoms: Chronic Pain and Fatigue, developed by the Department of Veterans Affairs and Department of Defense.
Management of Diabetes Mellitus in Primary Care Algorithm E: Eye Care 5/7/2014
This algorithm is derived from the evidence-based clinical practice guideline, Management of Diabetes Mellitus, developed by the Department of Veterans Affairs and Department of Defense (VA/DoD).

Last updated: July 30, 2014.