Alliance Creates Community Health Workers’ Scope of Practice, Training Curriculum, Certificate Program, and Reimbursement Strategy, Expanding Their Integration Into the Health System to Reduce Health Disparities
A statewide consortium of community health workers, public agencies, and nonprofits aimed to reduce health disparities by developing a standardized scope of practice, creating a training and certificate program and a stable funding strategy to secure reimbursement from Medicaid. Their work resulted in greater integration for these workers in the health care work force.
Collaborative Supports Hospitals in Sharing and Implementing Best Practices, Leading to 33-Percent Decline in Urinary Tract Infections
A 1-year collaborative program; in which 21 Pennsylvania hospitals set target goals for urinary tract infection prevention, developed strategies to meet these goals, and shared best practices, tools, and resources; led to a 32-percent decline in hospital-acquired urinary tract infections.
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).
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.
Formal Processes Ensure System-Wide Focus on Heart Attack, Heart Failure, Pneumonia, and Surgical Care, Improving Performance on Core Measures
A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.
Discharge Risk Assessment
This risk assessment tool helps hospital discharge planners fully understand patient needs, thereby avoiding readmissions.
Payment Adjustments Tool For eHealth Programs
This interactive tool helps practitioners determine their payment adjustments and reimbursements for each of the Medicare incentive programs.
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.
This tool provides patients with information on how well the hospitals in their area care for all their adult patients with certain medical conditions, such as heart attack, heart failure, pneumonia, or surgical infection prevention.
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.