Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization
A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.
Public-Private Partnership Supports Medical Homes in Managing Medicaid Enrollees via Disease/Case Management and Other Initiatives, Leading to Higher Quality and Significant Cost Savings
A state-based, public–private partnership supports medical homes in managing the care of Medicaid managed-care enrollees, leading to higher quality and significant reductions in utilization and costs.
Online Tools and Services Activate Plan Enrollees and Engage Them in Their Care, Enhance Efficiency, and Improve Satisfaction and Retention
An array of Web-based, interactive tools and services, including an online, shared health record, empowers health plan enrollees to take greater responsibility for their health and health care.
Multifaceted Program Featuring Guideline, Training, and Incentives Reduces Prescribing of High-Dose Opioid Therapy in Patients With Chronic Pain
A large health plan's multifaceted program promotes appropriate prescribing and monitoring of opioid therapy for patients with chronic pain not caused by cancer, leading to enhanced physician knowledge and confidence related to prescribing, greater use of care plans and drug screening, and fewer patients on high-dose therapy.
Family Violence Prevention Program Significantly Improves Ability to Identify and Facilitate Treatment for Patients Affected by Domestic Violence
Kaiser Permanente Northern California's Family Violence Prevention Program seeks to improve the identification, prevention, and treatment of domestic violence through a coordinated "systems model" approach, which includes a supportive environment that encourages disclosure of domestic violence to providers, routine screening of high-risk patients, referrals to onsite and community mental health services, and linkages to community resources.