All Innovations

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Monitoring Medical Home Implementation

July 10, 2013 - The Patient-Centered Medical Home Assessment is a self-assessment tool that was developed by the MacColl Center for Health Care Innovation and Qualis Health for the Safety Net Medical Home Initiative to help practices understand to what degree they function as a medical home and to identify opportunities for improvement.

Tool

Becoming a Medical Home: Implementation Guides

July 10, 2013 - The patient-centered medical home is a model of primary care that can improve health care quality as well as clinicians', staff members', and patients' experiences. The model can also increase efficiency. As part of the Commonwealth Fund-supported Safety Net Medical Home Initiative, Qualis Health and the MacColl Center for Health Care Innovation have identified eight key strategies that primary care sites can implement to become patient-centered medical homes.

Tool

The Colorado Beacon Consortium: Strengthening the Capacity for Health Care Delivery Transformation in Rural Communities

April 18, 2013 - This case study describes how one of the 17 Beacon sites, the Colorado Beacon Consortium, has strengthened the capacity of local health care providers to exchange health data and transform clinical care.

Case Study

Health Care Payment and Delivery Reform in Minnesota Medicaid

March 1, 2013 - Minnesota's Medicaid program is a leader in piloting innovative health care payment and delivery reforms. This case study is one of three in a series on innovations being undertaken by states to improve quality and efficiency in their Medicaid programs.

Case Study

Medicaid Is One of Multiple Payers in Vermont’s Health Care Reforms

March 1, 2013 - Vermont Medicaid is a key player as the state pioneers multipayer health care delivery and payment reforms. Under Vermont Blueprint for Health, most Medicaid beneficiaries and state residents will be served in 2013 by medical homes with community health teams, with additional support services for Medicaid enrollees with complex conditions.

Case Study

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.

Case Study

Medicaid Payment and Delivery Reform in Colorado: ACOs at the Regional Level

March 1, 2013 - Colorado is one of a handful of states piloting innovative health care payment and delivery reforms through Medicaid. Under the Accountable Care Collaborative Program, which began enrollment in May 2011, the state Medicaid agency contracts with seven regional organizations to create networks of primary care providers and ensure care coordination for Medicaid enrollees.

Case Study

The Veterans Health Administration: Taking Home Telehealth Services to Scale Nationally

January 30, 2013 - This case study highlights factors critical to the VHA's success—like the organization's leadership, culture, and existing information technology infrastructure—as well as opportunities and challenges.

Case Study

Partners HealthCare: Connecting Heart Failure Patients to Providers Through Remote Monitoring

January 30, 2013 - Partners HealthCare's programs in home telehealth have been driven by its Center for Connected Health, which has pilot-tested and implemented telemedicine and remote monitoring solutions.

Case Study

Scaling Telehealth Programs: Lessons from Early Adopters

January 30, 2013 - This synthesis brief offers findings from case studies of three early remote patient monitoring adopters: the Veterans Health Administration, Partners HealthCare, and Centura Health at Home.

Case Study

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.

Case Study

Gaining Ground: Care Management Programs to Reduce Hospital Admissions and Readmissions Among Chronically Ill and Vulnerable Patients

January 23, 2013 - Preventable hospital admissions and readmissions are indicators of health system fragmentation associated with suboptimal patient outcomes and avoidable costs of care. This synthesis report looks at three case studies that illustrate the potential of care management programs to address this problem by improving care coordination and transitions among high-risk patients.

Case Study

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.

Case Study

The Visiting Nurse Service of New York's Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries

January 23, 2013 - This case study describes how a large nonprofit home health care provider created health plans to serve this population and, in particular, how its customized care management approach has led to reductions in hospitalizations and readmissions.

Case Study

University of California, San Francisco Medical Center: Reducing Readmissions Through Heart Failure Care Management

November 14, 2012 - In 2008, the University of California, San Francisco (UCSF) Medical Center embarked on a grant-funded program to reduce hospital readmissions for elderly patients with heart failure. This case study examines the factors that contributed to its success.

Case Study