Disease Management Programs Improve Adherence to Evidence-Based Processes and Outcomes by Targeting Sickest Patients and Working Closely With Physicians
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).
Hospital Successfully Links Recently Released, HIV-Positive Prisoners to Medical, Mental Health, and Social Services, Reducing Recidivism
A hospital links HIV-positive prisoners to medical care and other social services before and after release to enable successful reentry into the community, leading to enhanced access to these services and less recidivism.
Proactive Assessment and Management of At-Risk Patients Reduces Pressure Ulcers and Saves $11 Million Annually in Two-Hospital System
The NCH Healthcare System's multifaceted program to prevent pressure ulcers in high-risk patients dramatically reduced their prevalence and saved the system more than $11 million annually.
Case Managers Remotely Monitor Chronically Ill Medicare Beneficiaries Each Day, Reducing Mortality and Costs
Case managers remotely monitor Medicare beneficiaries with chronic conditions via a messaging device that asks and records answers to disease-specific and general health questions each day, leading to lower mortality and costs.
Creation of Unit-Based, Clinically Focused Nurse Leader Position Expedites Discharge, Improves Quality, and Reduces Turnover
A hospital created a new nursing position, the clinical resource nurse, to ensure continuity of care, facilitate care planning, coordinate with physicians, encourage adherence to evidence-based practices, and mentor less experienced nurses, leading to more timely discharges, fewer falls and pressure ulcers, lower nurse turnover, and higher patient, nurse, and physician satisfaction.
Medicare Plan Finder
This database enables users to view and print a personalized chart comparing Medicare health plans in their area and provides information about the various types of Medicare plans.
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement
This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants.
Asthma Care Quality Improvement: A Resource Guide for State Action
This 151-page resource guide was developed as a learning tool for State officials who want to improve the quality of health care for people with asthma in their States. The guide is designed to help officials assess quality of care, using State-level data, and fashion quality improvement strategies suited to State conditions.
Facility-Assessment: Checklists for Delirium
Nursing home staff can use this self-assessment checklists to use assess processes related to delirium in the facility, in order to identify areas that need improvement.
Improving the Quality of Home and Community Based Services and Supports, Work Book
This workbook helps States improve the quality of home- and community-based programs and supports (HCBS) programs. It will help users understand, design, implement, document, and monitor the components of a quality improvement process for HCBS programs.