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.
Case Management and Home Assessments Reduce Asthma-Related Admissions, Emergency Visits, and Missed School Days in Diverse Urban Children
Case management combined with in-home environmental assessment and remediation of environmental triggers reduce asthma-related hospitalizations, emergency department visits, missed school days, and missed parent work days in diverse, low-income urban children with asthma.
Community Liaisons Facilitate Access to Culturally Competent Care for Orthodox Jewish, Chinese, and Arab Patients
Culturally competent community liaisons help members of the Orthodox Jewish, Arab, and Chinese communities access health care and community-based services, leading to a better patient experience.
Comprehensive Program Featuring Registry, Self-Management Education, Action Plans, and Home Visits Reduces Asthma-Related Admissions and Emergency Department Visits
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.
Comprehensive Program Virtually Eliminates Preventable Birth Trauma
As part of a system-wide effort to transform inpatient care and eliminate preventable injuries and deaths, Seton Healthcare Family developed and implemented a comprehensive set of practices that collectively led to a substantial reduction in the incidence of birth trauma.
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Discharge Risk Assessment
This risk assessment tool helps hospital discharge planners fully understand patient needs, thereby avoiding readmissions.
Mobile Health Roadmap
The Mobile Health Roadmap provides guidance to professionals, organizations, corporations, and health systems on the adoption of mobile and mHealth (mobile health) devices.
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.
Education Health Center Toolkit
The Education Health Center Toolkit is a comprehensive guide to training family medicine residents in community health centers.
Prehospital Medical Information System
The Prehospital Medical Information System (PreMIS) is a State-mandated, Internet-based emergency medical services (EMS) information system that collects data on each EMS call report made within Mississippi, North Carolina, South Carolina, and West Virginia.