Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health
Onsite care coordination and support of seniors in affordable housing community leads to fewer falls, reduced hospital admissions, improved nutritional status, and increased levels of physical activity, promoting seniors' ability to remain in their homes as they age.
Care Managers Enhance Access to Medical Care for Low-Income Individuals With Severe Mental Illness, Leading to Improved Physical and Mental Health
Care managers working with low-income patients with severe mental illness in a community mental health clinic enhanced access to recommended preventive, primary, and specialty medical services, leading to the diagnosis of previously undetected conditions and improved physical and mental health.
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.
Culturally Competent Teams Provide Comprehensive Diabetes Care Management and Education, Improving Outcomes for Underserved Patients
Project Dulce enhances diabetes care for underserved individuals by connecting primary care physicians with a team of bilingual, culturally competent professionals who are specially trained in techniques for managing diabetes, including case management, patient education and counseling, and diabetes self-management.
Early Identification and Intervention Leads to Lower-Than-Expected Rates of Schizophrenia for At-Risk Adolescents
The Portland Identification and Early Referral program encourages community members to identify and refer adolescents with early warning signs of psychosis and then intervenes with counseling and medical therapy before the onset of full-syndrome psychosis.
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