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Innovations
Mental Health Center Provides Integrated Primary Care and Care Coordination to Medicaid Beneficiaries With Severe Mental Illness, Enhancing Access to Services and Improving Outcomes 8/13/2014
With support from State funding, a community mental health center provides integrated mental health, primary care, care coordination, and wellness services to Medicaid beneficiaries with severe and persistent mental illness, leading to better chronic disease outcomes.
Mobile Clinic Delivers Culturally Competent Services to Underserved Neighborhoods, Leading to Identification of Untreated Chronic Conditions, Better Blood Pressure Control, and Significant Return on Investment 8/13/2014
A mobile clinic provides screening, education, coaching, and health navigation services to residents of four underserved communities, leading to the identification of many previously undetected chronic conditions, better blood pressure control, and a substantial return on investment.
Policy Multistakeholder Community Collaborative Spurs Development of Initiatives That Collectively Have Improved Blood Pressure Control Among Hypertensive Individuals 8/13/2014
A multistakeholder collaborative, the Rochester Blood Pressure Initiative supports the development and implementation of a variety of provider-, employer-, and community-based programs that have collectively improved blood pressure control among hypertensive individuals in metropolitan Rochester, NY.
Teams of Diabetes Educators Regularly Visit Rural Clinics to Coach African-American Patients, Leading to Better Glycemic Control and Potential Cost Savings 8/13/2014
A traveling team of certified diabetes educators (including a nurse, pharmacist, and dietitian) regularly visits rural clinics to help coordinate diabetes care with clinicians and educate and coach African-American patients with diabetes, leading to improved glycemic control and the potential for meaningful cost savings.
With Support From Web-Based Tools, Pharmacists Help Individuals Adopt Healthier Behaviors, Reduce Cardiovascular Risk 8/13/2014
With support from a Web-based program, pharmacists provide weekly feedback and host monthly group sessions to help individuals adopt healthier behaviors that reduce cardiovascular risk, leading to increased levels of physical activity, weight loss, and lower systolic blood pressure.
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QualityTools
Team Up. Pressure Down. 5/8/2013
This nationwide program aims to lower blood pressure and prevent hypertension through patient–pharmacist engagement.
Million Hearts™ Toolkits 12/19/2012
Million Hearts toolkits were designed to help partners incorporate Million Hearts into their everyday work and enhance their heart disease and stroke prevention efforts.
Heart Attack Risk Calculator 3/28/2012
This risk assessment tool, for people age 20 or older, provides information to assess a person’s risk for heart disease, heart attack, or other future heart problems.
My Life Check 3/28/2012
This online assessment tool can help consumers learn the state of their heart and what they can do to live a better life.
Heart360® 9/14/2011
Heart360® is a tool that provides a convenient and secure way to help patients track and monitor their blood pressure, cholesterol, blood glucose, diet, and physical activity.

Last updated: August 13, 2014.