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Innovations
Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System 8/13/2014
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
Policy Medical Center Establishes Infrastructure to Manage Care Under Capitated Contracts, Leading to Better Chronic Care Management and Lower Utilization and Costs 8/13/2014
A university hospital established an infrastructure based on the principles of an accountable care organization, leading to improved management of chronic disease and reduced hospital admissions and medical expenses.
Comprehensive Program Featuring Registry, Self-Management Education, Action Plans, and Home Visits Reduces Asthma-Related Admissions and Emergency Department Visits 7/30/2014
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.
Disease Management Programs Improve Adherence to Evidence-Based Processes and Outcomes by Targeting Sickest Patients and Working Closely With Physicians 7/30/2014
A hospital-based outpatient disease management program serves patients with asthma, chronic heart failure, and diabetes and offers smoking cessation services to smokers. Unlike traditional disease management programs, this initiative heavily involves physicians in the initial referral and throughout the process and targets services toward the sickest patients (rather than to all patients with the condition).
In-Office Education via Hand-Held Electronic Device Enhances Patient Knowledge Without Burdening Primary Care Staff 7/30/2014
A primary care clinic offers patients 3- to 5-minute educational video modules, leading to enhanced patient knowledge without placing incremental demands on physicians and staff.
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QualityTools
Inhaled Corticosteroids for the Treatment of Chronic Asthma in Adults and in Children Aged 12 Years and Over: Audit Support 8/13/2014
This tool can be used in all health care settings to conduct a self-assessment of compliance with guideline recommendations for chronic asthma treatment.
Improving Asthma Care for Children Toolkit: Best Practices in Medicaid Managed Care 6/18/2014
This toolkit provides strategies to improve asthma care tested by a diverse group of health plans serving Medicaid consumers.
Educational Guide on Lung Health for Elementary School Students 5/7/2014
This lung health curriculum features lessons and a resource section designed with both the teacher and the student in mind. The lessons are specifically tailored for delivery to elementary school children in grades 3/4 and 5/6.
Asthma Return-on-Investment Calculator 4/9/2014
The Asthma Return-on-Investment (ROI) Calculator is a tool for exploring potential financial returns from quality improvement and disease management programs for populations diagnosed with asthma.
Implementing High Quality Telephone Care in Pediatric Practice 2/12/2014
This presentation provides pediatricians and their staff with information about the use of telephone care in pediatric practice, citing examples for the management of chronic diseases such as asthma.

Last updated: August 13, 2014.