All Innovations

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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.

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

Bright Futures Clinical Guide to Performing Preventive Services

July 8, 2010 - This Clinical Guide—designed to accompany the Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents—provides authoritative, evidence-based guidance about the most effective and efficient ways to deliver child preventive services.


Norman Regional Health System: A City-Owned Public Trust Dedicated to Improving Performance

July 7, 2010 - This case study focuses on Norman Regional Health System's achievement in providing recommended treatment on process-of-care, or "core," measures. It is part of series of case studies on high-performing public hospitals.

Case Study

Memorial Healthcare System: A Public System Focusing on Patient-and Family-Centered Care

July 7, 2010 - This case study describes the strategies and factors that appear to contribute to high adherence to "core" quality measures at Memorial Healthcare System. It is part of series of case studies on high-performing public hospitals.

Case Study

Lessons from a Health Information Technology Demonstration in New York Nursing Homes

April 13, 2010 - The New York State Nursing Home Health Information Technology Demonstration Project is a publicly subsidized initiative to implement comprehensive, point-of-care electronic medical records in 20 New York City nursing homes. This case study looks at the variations between homes regarding: 1) organizational aims for adapting HIT; 2) the technology’s perceived or real effects; and 3) implementation of quality improvement efforts as a result of newly available data.

Case Study

Sustaining a Culture of Safety in the U.S. Department of Veterans Affairs Health Care System

April 8, 2010 - This case study looks at the National Center for Patient Safety formed by the U.S. Department of Veterans Affairs in 1999 to foster an organizational culture of patient safety within its 153 hospitals and 783 community-based clinics.

Case Study

Oklahoma: Enhancing Access Through Medicaid Rate Increases and Medical Homes

March 18, 2010 - Over the past five years, Oklahoma has used a combination of rate increases, outreach, administrative simplification, and a medical home initiative to enhance access to care in SoonerCare, the state's Medicaid program.

State Profile

Scott & White Healthcare: Opening Up and Embracing Change to Improve Performance

January 8, 2010 - This case study looks at Scott & White, the largest multispecialty health care system in the state of Texas, which delivers a comprehensive continuum of care to its health plan members and constituents.

Case Study

Dedicated Surgical Care Improvement Team Guides Changes at Reid Hospital and Health Care Services

November 10, 2009 - This case study describes the strategies and factors that appear to contribute to high performance on surgical care improvement measures at Reid Hospital. It is based on information obtained from interviews with key hospital personnel and materials provided by the hospital during the spring of 2009.

Case Study

New York: State and City Innovations to Scale Up Health IT

November 4, 2009 - Since 2006, New York State has awarded $226 million in public funds to develop and implement a comprehensive health information infrastructure—more than in all other states combined.

State Profile

Arizona Medical Information Exchange Outgrows Medicaid

November 4, 2009 - The Arizona Medical Information Exchange is a Web-based health information exchange that enables participating practitioners to view hospital discharge and other clinical reports, lab test results, and medication data for many of their patients.

State Profile

Delaware: First State, First Statewide Health Information Exchange

November 4, 2009 - Delaware established the first statewide clinical health information exchange (HIE) in 1997. Compared with other states, it has taken more of a public sector approach to HIE governance, though this strategy may be shifting.

State Profile

Holland Hospital: Improving Pneumonia Care by Hardwiring Process Enhancements

October 7, 2009 - Holland Hospital has significantly improved its performance on the pneumonia process-of-care, or "core" measures, over the last five years. The core measures, developed by the Hospital Quality Alliance, relate to provision of recommended treatment in four clinical areas: heart attack, heart failure, pneumonia, and surgical care.

Case Study