All Innovations

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

4/8/2010 - 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

3/18/2010 - 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

Maine: Requiring Private Insurers to Reimburse for Telemedicine

3/18/2010 - In January 2010, Maine joined 11 other states in requiring private insurers to reimburse services provided via telemedicine.

State Profile

Massachusetts: Comprehensive Approach to Expanding Access

3/18/2010 - After Massachusetts expanded health care coverage as part of comprehensive health reform in 2006, it faced increased pressures on its primary care system. In response, the state included a set of provisions to improve access to health care services in a cost-containment bill (MA S 2863) passed in 2008.

State Profile

Alaska and Minnesota: Increasing Access to Dental Care

3/18/2010 - Since 2003, the Alaska Dental Health Aide Therapist Program has trained a new type of mid-level dental provider to perform routine dental services in remote rural areas of the state, with a focus on increasing access to preventive and basic dental care for the Alaska Native population.

State Profile

The Massachusetts Child Psychiatry Access Project: Supporting Mental Health Treatment in Primary Care

3/3/2010 - Massachusetts has successfully demonstrated the Massachusetts Child Psychiatry Access Project, a program that provides timely telephonic psychiatric and clinical guidance to primary care providers treating children with mental health problems. This study looks into the development and implementation of the project.

Case Study

Western Baptist Hospital: Problem Solving with Pneumonia Care Performance Improvement Teams

1/29/2010 - This case study looks at the Western Baptist Hospital, one of the top-performing hospitals in the country in the pneumonia care process-of-care, or "core" measures.

Case Study

Rhode Island's Pediatric Practice Enhancement Project: Parents Helping Parents and Practitioners

1/15/2010 - This case study looks at Rhode Island’s Pediatric Practice Enhancement Project which trains and places parent consultants into pediatric primary and specialty care practices to help families with children and youth with special health care needs coordinate and access the health system, as well as other services (e.g., social services, education, housing).

Case Study

Minnesota: Comprehensive Quality Improvement and Payment Reform

1/14/2010 - In 2003, Minnesota became the first state to require public reporting of never events based on the National Quality Forum list of severe reportable events.

State Profile

Maryland: All-Payer Approach to Nonpayment

1/14/2010 - Since 1971, Maryland has maintained a unique hospital payment system in which all payers—public and private—pay the same rates for the same service at a given hospital. This approach was enacted by the Maryland legislature following a period of rapidly rising hospital costs and serious financial losses by hospitals treating large numbers of uninsured patients.

State Profile

Missouri: Focus on Nonpayment for Adverse Events

1/14/2010 - Nonpayment for adverse events is the focus of Missouri's payment reform. Its Medicaid program, MO Healthnet, instituted a nonpayment policy for preventable serious adverse events and hospital or ambulatory surgical center–acquired conditions on June 30, 2009.

State Profile

Kansas: Medicaid Mirrors Medicare Policy on Adverse Events

1/14/2010 - The Kansas Medical Assistance Program, the state's Medicaid program, designed its nonpayment policy to mirror Medicare's policy; as of January 2009, Medicaid does not reimburse providers for the CMS list of hospital-acquired conditions.

State Profile

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

1/8/2010 - 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

Texas Health Harris Methodist–Cleburne: A System Approach to Surgical Improvement

12/24/2009 - This case study focuses on Texas Health's achievement in providing recommended treatment related to surgical care. The hospital has relied on concurrent review, changes to care processes, and preprinted order sets to improve.

Case Study

Project ECHO Expands Access to Specialty Care for Rural Patients

11/30/2009 - This case study looks at an innovative project in New Mexico that uses telemedicine, case-based learning, and disease management techniques to expand access to care for patients with hepatitis C and other chronic, complex conditions.

Case Study