Case Studies: Care Coordination and Medical Homes

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The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation's Largest Integrated Delivery System

September 16, 2011 - In April 2010, the U.S. Veterans Health Administration (VA) embarked on an ambitious three-year plan to build patient-centered medical homes in more than 900 primary care clinics across the nation. Its model organizes care around an interdisciplinary team of providers who work together to increase access and clinical effectiveness by identifying and removing barriers to high-quality care.

Case Study

The Triple Aim Journey: Improving Population Health and Patients' Experience of Care, While Reducing Costs

July 22, 2010 - These three case studies of organizations participating in the Institute for Healthcare Improvement's Triple Aim initiative shed light on how partnering with providers and organizing care can improve the health of a population and patients' experience while lowering—or at least reducing the rate of increase in—the per capita cost of care.

Case Study

QuadMed: Transforming Employer-Sponsored Health Care Through Workplace Primary Care and Wellness Programs

July 22, 2010 - This case study looks at how Wisconsin-based printing company Quad/Graphics transformed itself from a purchaser of health insurance to an investor in employee health and productivity by creating worksite health clinics that focus on comprehensive primary care and wellness programs.

Case Study

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.

Case Study

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.

Case Study

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.

Case Study

Henry Ford Health System: A Framework for System Integration, Coordination, Collaboration, and Innovation

August 13, 2009 - Henry Ford Health System is a vertically integrated health care system in southeastern Michigan whose leadership is committed to systemic integration, clinical excellence, and customer value through the core competencies of collaboration, care coordination, and innovation and learning.

Case Study

Group Health Cooperative: Reinventing Primary Care by Connecting Patients with a Medical Home

July 2, 2009 - Group Health Cooperative (GHC) is a nonprofit, consumer-governed health care organization serving 580,000 members in Washington State and Idaho through an integrated multispecialty group practice and a network of community providers.

Case Study

Organizing for Higher Performance: Case Studies of Organized Delivery Systems--Series Overview, Findings, and Methods

July 2, 2009 - Fifteen case studies illustrate how diverse types of organized health care delivery systems promote higher performance through information continuity, patient engagement, care coordination, team-oriented care delivery, continuous innovation and learning, and convenient access to care.

Case Study

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.

Case Study

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.

Case Study

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.

Case Study

The Polyclinic Family Medicine Practice: Case Studies of Patient- and Family-Centered Primary Care Practices

August 28, 2008 - The Family Medicine Practice of The Polyclinic is one of 12 primary care practices included in this case study project of high-performing patient-centered primary care practices.

Case Study

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.

Case Study

Wheaton Franciscan Medical Group: A Case Study of Patient- and Family-Centered Primary Care Practice

June 26, 2008 - The Spring Street site of the Wheaton Franciscan Medical Group (WFMG) is one of 12 primary care practices featured in Commonwealth Fund case studies of high- performing patient-centered primary care practices.

Case Study