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St. John’s Regional Health Center: Following Heart Failure Patients After Discharge Avoids Readmissions

April 1, 2011 - St. John’s Regional Health Center has very low readmission rates among patients with heart attacks, heart failure, and pneumonia—the three conditions for which hospitals report readmission rates to the Centers for Medicare and Medicaid Services.

Case Study

Mercy Medical Center: Reducing Readmissions Through Clinical Excellence, Palliative Care, and Collaboration

March 17, 2011 - Mercy Medical Center in Cedar Rapids, Iowa, had readmission rates in the lowest 3 percent among U.S. hospitals in all three clinical areas—heart attack, heart failure, and pneumonia—reported to the Centers for Medicare and Medicaid Services for the selection period.

Case Study

Memorial Hermann Memorial City Medical Center: Excellence in Heart Attack Care Reduces Readmissions

February 16, 2011 - Memorial Hermann Memorial City Medical Center (Memorial City) achieved superior readmission rates in two of the three clinical areas reported to the Centers for Medicare and Medicaid Services.

Case Study

Intermountain Healthcare's McKay-Dee Hospital Center: Driving Down Readmissions by Caring for Patients the "Right Way"

February 16, 2011 - McKay-Dee Hospital Center in Ogden, Utah, part of the Intermountain Healthcare System, had readmission rates in the lowest 3 percent of hospitals across the nation for all three clinical areas reported to the Centers for Medicare and Medicaid Services for the selection period.

Case Study

Colorado: Incorporating Quality of Life into Medicaid Reimbursement

October 22, 2010 - State budget constraints and a cap on the annual nursing facility provider fee have resulted in the cancellation of P4P payments for applications submitted in the year ended June 30, 2010, but the model Colorado developed may serve as a blueprint that could be replicated in other states and could be reinstated in Colorado, as budgets permit.

State Profile

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

The Mount Auburn Cambridge Independent Practice Association

July 20, 2010 - This case study provides an example of how a Boston-area independent practice association forged relationships among physicians and a hospital to share in savings generated by improved quality and lower costs.

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.

Tool

Carolinas Medical Center: Demonstrating High Quality in the Public Sector

July 7, 2010 - High scores on core measures distinguish the Carolinas Medical Center network hospitals, and Carolinas Medical Center–University as the top performer among them. It is part of series of case studies on high-performing public hospitals.

Case Study

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