Case Studies: Care Coordination and Medical Homes

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Aligning Incentives in Medicaid: How Colorado, Minnesota, and Vermont Are Reforming Care Delivery and Payment to Improve Health and Lower Costs

March 1, 2013 - Colorado, Minnesota, and Vermont are working to align incentives between health care payers and providers to improve care delivery and outcomes while controlling costs. This synthesis describes the common drivers of reform across the states and lessons learned.

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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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Centura Health at Home: Home Telehealth as the Standard of Care

January 30, 2013 - This case study looks at the results from the year-long program that demonstrated successful outcomes in terms of reducing 30-day rehospitalizations, increasing patients' quality of life, improving patients' self-management skills and education, and reducing the frequency of home visits from registered nurses.

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The Cincinnati Children's Hospital Medical Center’s Asthma Improvement Collaborative: Enhancing Quality and Coordination of Care

January 23, 2013 - Building on earlier initiatives, Cincinnati Children’s Hospital Medical Center launched an Asthma Improvement Collaborative in 2008 to enhance the quality and coordination of asthma care for low-income, Medicaid-insured children in Hamilton County, Ohio.

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