24-Hour, Bilingual Nurse Line Provides Advice and Interpreter Services for Plan Members, Leading to Wiser Decisions and Cost Savings
Molina Healthcare, a Medicaid managed care organization, instituted a 24-hour bilingual advice line to address the health and language needs of its low-income, Spanish-speaking members; the program helped members make wiser choices, leading to fewer emergency department visits and significant cost savings.
Alliance Creates Community Health Workers’ Scope of Practice, Training Curriculum, Certificate Program, and Reimbursement Strategy, Expanding Their Integration Into the Health System to Reduce Health Disparities
A statewide consortium of community health workers, public agencies, and nonprofits aimed to reduce health disparities by developing a standardized scope of practice, creating a training and certificate program and a stable funding strategy to secure reimbursement from Medicaid. Their work resulted in greater integration for these workers in the health care work force.
Baby-Friendly Hospital Initiative Leads to Sustained Increases in Breastfeeding Among Low-Income Whites and Minorities
Boston Medical Center adopted the Baby-Friendly™ Hospital Initiative, a 10-step program that has led to sustained increases in the initiation of breastfeeding.
Capitated Health Center Uses Health Coaches to Manage Chronic Illnesses, Leading to Improved Clinical Outcomes
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
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.
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Electronic Preventive Services Selector (ePSS)
This tool, based on the current evidence-based recommendations of the U.S. Preventive Services Task Force (USPSTF), is designed to help primary care clinicians identify the screening, counseling, and preventive medication services that are appropriate for their patients.
A Family Guide: Integrating Mental Health and Pediatric Primary Care
This guide for families provides practical information about the integrated care movement and how this approach can improve the quality of care children receive in pediatric primary care settings.
Quality Indicators in Epilepsy Treatment Tool
The Quality Indicators in Epilepsy Treatment Tool (QUIET) is designed to help primary care and general neurology clinics benchmark the quality of care for adults with epilepsy.
Care Coordination Measures Atlas
The Care Coordination Measures Atlas lists existing measures of care coordination, with a focus on ambulatory care, and presents a framework for understanding care coordination measurement.
Safety Net Medical Home Initiative: Resources and Tools
This library of publicly available resources and tools can help safety net providers understand and implement the patient-centered medical home model of care.