Medical Center Establishes Infrastructure to Manage Care Under Capitated Contracts, Leading to Better Chronic Care Management and Lower Utilization and Costs
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.
Capitated Health Center Uses Health Coaches to Manage Chronic Illnesses, Leading to Improved Clinical Outcomes
Trained, bilingual medical assistants in a capitated health center serve as health coaches to chronically ill (often diabetic) patients of similar ethnic or racial backgrounds, leading to better disease management and clinical outcomes for those with diabetes, very positive feedback from patients and center staff, and low turnover among medical assistants and coaches.
Mental Health Court Links Eligible Offenders With Treatment and Monitoring, Reducing Recidivism, and Improving Outcomes
The Brooklyn Mental Health Court links eligible defendants to long-term treatment and monitoring of their mental health problems as an alternative to incarceration. Early evidence suggests that the program has been successful in reducing recidivism, homelessness, psychiatric hospitalizations, alcohol use, and substance abuse.
Intensivists Make Placement Decisions and Manage Critically Ill Patients Throughout Hospital, Leading to Lower Mortality and Better Management of Intensive Care Unit Capacity
Working as part of an “intensive care unit without walls,” critical care physicians (called intensivists) decide which patients require intensive care unit admission and oversee the care of all critically ill patients throughout the hospital, leading to declines in hospital and intensive care unit mortality, improved management of intensive care unit bed capacity, and low intensive care unit length of stay for terminally ill patients.
Diabetes Education Program in Health Center Waiting Room Improves Health Literacy
Lincoln Medical and Mental Health Center implemented a diabetes education program in the waiting room to improve patients' health literacy and self-management skills.
Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship
The aim of this toolkit is to assist hospital staff and leadership in developing an effective antimicrobial stewardship program with the potential to reduce Clostridium difficile infection.
Antimicrobial Stewardship Toolkit
This toolkit is designed to provide health care facilities with a general guide to the implementation of a successful antimicrobial stewardship program.
Community Resource Inventory Tool
Using this worksheet, social service and health care providers in a naturally occurring retirement community (NORC) can regularly inventory the community's resources and identify untapped ones to help contribute to the NORC program’s success.
Next Step in Care: Family Caregivers and Health Care Professionals Working Together
Next Step in Care: Family Caregivers and Health Care Professionals Working Together is a campaign that provides information and advice to help family caregivers and health care providers plan safe and smooth transitions for patients when patients move from one care setting to another.