Case Studies: Care Coordination and Medical Homes

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The Business Case for Drop-In Group Medical Appointments: A Case Study of Luther Midelfort Mayo System

August 23, 2004 - Group medical appointments have the potential to increase access to physicians, improve patient satisfaction, and increase physician productivity.

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The Business Case for Pharmaceutical Management: A Case Study of Henry Ford Health System

August 23, 2004 - To shorten hospitalization for deep vein thrombosis, Henry Ford experimented with the use of an expensive new drug, low molecular weight heparin, and set up a lipid clinic to maximize the benefit of powerful new cholesterol-lowering drugs.

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CareOregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner

July 22, 2010 - This case study looks at how CareOregon, an Oregon-based nonprofit Medicaid health plan, is transforming its role from payer to integrator of care on behalf of its members by partnering with health care providers to create and pursue a common vision for improving primary care delivery.

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Case Study : Addressing Patient Safety During Multidisciplinary Collaborative Rounds at Concord Hospital

September 26, 2008 - Concord Hospital is a 295-bed, not-for-profit community hospital, located in Concord, N.H.

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Case Study: Applying the Quality Improvement Techniques of Manufacturing Industries to Medical Practice

September 19, 2008 - With the help of consultants with expertise in the automotive industry, a large ophthalmology practice in Lansing, Mich., reduced patient wait times and its need for clinical support staff.

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Case Study: Improving Quality and Efficiency in Response to Pay-for-Performance Incentives Under the Medicare Physician Group Practice Demonstration

March 12, 2007 - Marshfield Clinic of Wisconsin's experience suggests that information systems, care management, process redesign, and physician involvement are important to improving the quality and efficiency of care in response to pay-for-performance incentives.

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Case Study: Indian Health Council Creates a Medical Home for Patients

November 20, 2008 - To build trust with patients and improve continuity of care, a tribally run ambulatory clinic in Southern California assigned patients with chronic conditions to one of several teams of providers.

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A Case Study of Quality Improvement in Medicaid: New York's Monroe Plan for Medical Care

May 4, 2005 - Taking the lead from corporate purchasers, state Medicaid agencies now incorporate pay-for-performance and other quality incentives into their agreements with managed care plans.

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Case Study: Qualifying as a Patient-Centered Medical Home

January 24, 2008 - Hudson River HealthCare's experience in multiple quality improvement collaboratives and in meeting its requirements as a federally qualified health center has proved beneficial in its efforts to provide high-quality, patient-centered care.

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Case Study: Reducing Hospital Readmissions Among Heart Failure Patients at Catholic Healthcare Partners

March 20, 2008 - A quality improvement program implemented at a large nonprofit health system relied on performance reporting, financial incentives, and a nursing intervention to promote evidence-based care for heart failure patients and to lower readmissions among these patients.

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Case Study: The Harvard Center for Medical Simulation's Labor and Delivery Crisis Resource Management Course

March 30, 2005 - To prepare clinicians to handle critical situations in labor and delivery, the Harvard Center for Medical Simulation created a simulation-based Labor and Delivery Crisis Resource Management training course designed to increase teamwork and procedural skills among teams of providers.

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Case Study: The Washington University Medicare Coordinated Care Demonstration Program

June 30, 2005 - CMS has launched several demonstration programs to find out whether chronic care management programs developed in the private sector can be effective for the Medicare population.

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Genesee Health Plan: Improving Access to Care and the Health of Uninsured Residents Through a County Health Plan

July 22, 2010 - Genesee Health Plan is a community-based nonprofit that provides primary care and other basic health care services to low-income, uninsured adults in Michigan. This case study looks at how, by increasing access to physician services and supporting patients to adopt healthy behaviors and manage chronic disease, the plan significantly reduced its enrollees' use of emergency department services and hospital admissions.

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Genesys HealthWorks: Pursuing the Triple Aim Through a Primary Care-Based Delivery System, Integrated Self-Management Support, and Community Partnerships

July 22, 2010 - Genesys HealthWorks is a model of care developed by Genesys Health System in metropolitan Flint, Michigan. This case study looks at how Genesys aims to improve population health and the patient experience of care while reducing or controlling increases in the per capita cost of care.

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Grant Community Clinic: Case Studies of Patient- and Family-Centered Primary Care Practices

August 28, 2008 - Grant Community Clinic is one of 12 primary care practices featured in Commonwealth Fund case studies of patient-centered practices.

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