Revise health care processes and provider roles to integrate mental health and substance abuse treatment into primary care; continue to refer patients with severe conditions to specialty care
Policies & Programs
Policies and programs that can improve health
filtered by "Quality of Care"
Use a case management model for frail elderly patients living independently, coordinating aspects of long-term care (LTC) such as status assessment, monitoring, advocacy, care planning, etc.
Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education
Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life
Provide health care providers with patient-specific prompts or warnings, treatment guidelines, automatic medication dosing calculators, or reports of overdue tests and medications via electronic tools
Allow health care providers to enter orders or prescriptions (e.g., imaging studies, laboratory tests, admissions, referrals, etc.) into a computer system; also called electronic prescribing
Involve consumers in health care governance via roles on governing boards, advisory committees, or shorter-term special projects
Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools
Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts
Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills
Share patient data electronically between different health care organizations, allowing providers to see necessary portions of a patient’s medical record outside the patient’s usual clinic
Support self-contained, homelike dwellings for 10-12 elderly adults who require nursing care; universal caregivers, usually CNAs, provide care and other supports while clinical teams visit for specialized care
Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy
Establish national standards for the colors of patient wristbands used to alert health care providers about specific conditions such as allergies or elevated fall risk
Support a collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care (LTC) needs for frail elderly patients living in community settings
Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system
Integrate legal services into health care settings to address legal issues that affect health (e.g., housing, food, utilities); services provided by private practice lawyers, law students, etc.
Provide a fixed, multi-component set of fall prevention interventions to older adults, usually in community settings, without an individualized risk assessment
Use regulation to extend nurse practitioners’ (NPs’) scope of practice to provide care to the full scope of their training and skills without physician oversight, especially for primary care
Improve work environments for nurses via establishment of strong nursing leadership, organizational support, etc.
Use payments, vouchers, and other incentives to encourage patients to undergo preventive care such as screenings, vaccinations, etc.
Provide culturally sensitive assistance and care coordination, and guide patients through available medical, insurance, and social support; also called systems navigators
Use visual tools to prompt safe practices, standardize communication, and ensure no step is forgotten before or during a medical procedure or other health care situation
Support joint decision making between health care practitioners and patients through shared decision making (SDM); part of patient-centered care
Engage practice coaches or facilitators to work with primary care clinic staff to redesign clinical practices, organize quality improvement efforts, improve communication, share best practices, etc.
Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools
Provide interpretation services for patients with limited English proficiency (LEP) in outpatient and inpatient health care settings, following training and certification
Make clinician, clinic, hospital, long-term care facility and insurance plan performance on health care quality measures publicly available via report cards, reporting websites, or similar tools
Make health care facilities’ health care-associated or hospital-acquired infection (HAI) rates readily available to patients and providers
Conduct individual assessments that gauge older adults’ risk of falling and develop personalized approaches to help prevent falls
Establish state level regulations that require nursing homes to employ at least a set number of licensed and non-licensed nursing staff, often set in terms of staff hours per resident day
Vary patient drug costs by tier; e.g., generic drugs have the lowest co-pay or cost sharing in tier one, then preferred brand name medications (tier two), then non-formulary drugs (tier three)
Shift the way health care organizations approach trauma by adopting universal trauma precautions and providing trauma-specific care
Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services
Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care