Electronic Health Record–Facilitated Care Process Redesign Enhances Access to Care, Reduces Hospitalizations and Costs for Patients With Chronic Illnesses
The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.
Nurse Case Managers Offer Low-Resource Transitional Care Services, Reducing Readmissions for At-Risk, Community-Dwelling Veterans in Remote Areas
Nurse case managers at a Veterans Affairs hospital provide inhospital and post-discharge, telephone-based support to at-risk, community-dwelling patients and their caregivers, leading to better care transitions, fewer readmissions, and substantial cost savings.
Weekly Feedback to Patients on Use of Rescue Medications Leads to Better Asthma Control
Individuals with asthma receive weekly reports via e-mail that provide detailed information on the use of rescue medications (tracked by a device attached to the rescue inhaler), leading to better asthma control, fewer asthma-related symptoms, enhanced knowledge and awareness, and greater adherence to preventive medication regimens.
Culturally Competent Parent Mentors Support Families of Minority Children with Asthma, Leading to Better Health, Less Missed School and Work
Culturally competent parent mentors helped families better understand and care for their children’s asthma through home visits, monthly telephone calls, and inperson meetings, leading to reductions in wheezing, exacerbations, missed school and parental work days, and emergency department visits.
Employer-Sponsored Incentives and Support Designed to Reduce Overweight/Obesity and Other Risks Lead to Improvements in Health-Related Behaviors and Select Health Indicators
Financial incentives and associated support for employees and spouses to remain smoke-free, engage in physical activity, manage weight, achieve specific health-related milestones, and complete an annual physical exam and health risk appraisal lead to high participation rates and improvements in health-related behaviors and select health indicators.