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Healthy Shelby: A Triple Aim Improvement Story
This Triple Aim improvement story examines the work of the Healthy Shelby Initiative in Tennessee, a community pursuing a regional focus to improve population health by linking public health, hospitals, health care providers, social service providers, academic institutions, the faith community, local government, and funders to work together to tackle some of the county’s most critical health problems: infant mortality, chronic disease management, and end-of-life care.
Gaining Ground: Care Management Programs to Reduce Hospital Admissions and Readmissions Among Chronically Ill and Vulnerable Patients
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.
WIHI: How High? How Low? Shared Decision Making Amidst Shifting (Hypertension) Guidelines
March 13, 2014 | This WIHI looks to make sense of changing hypertension guidelines and how they impact managing high blood pressure (and other conditions) in older adults.
Mobile Clinic in Massachusetts Associated with Cost Savings from Lowering Blood Pressure and Emergency Department Use
A study of 10,509 patient visits to the Family Van, an urban mobile health clinic in Massachusetts, found that screenings and counseling resulted in significant reductions in high blood pressure from 2010 to 2012. The researchers argue that mobile health clinics are an effective delivery model for underserved communities with poor health status and frequent use of emergency departments.
WIHI: Measure Up, (Blood) Pressure Down: 80% by 2016
May 30, 2013 | In this WIHI, our guests offer some unique perspective on the issues surrounding hypertension, as well as their experiences transforming group practices to deliver the right care to the right patient at the right time.
WIHI: Employers and Employees Can Improve Quality and Lower Costs: Stories from the Front Lines, Part 1
February 7, 2013 | This WIHI discusses what promises to be the next wave of employer engagement in improving health and controlling health care costs in the US, including taking a deeper dive into the underlying, often chronic health conditions affecting today’s employees.
Author in the Room: Management of Gout: A 57-Year-Old Man with a History of Podagra, Hyperuricemia, and Mild Renal Insufficiency
January 2013 | A discussion with the author of the JAMA article "Management of Gout: A 57-Year-Old Man with a History of Podagra, Hyperuricemia, and Mild Renal Insufficiency."
Shared Decision Making: Diabetes Medication Decision Aid Cards
The Diabetes Medication Choice decision aid cards provide information to people on medications commonly used to treat type-2 diabetes, to help them choose the medication that is best for them.
Author in the Room: Strategies to Help a Smoker Who Is Struggling to Quit
November 2012 | A discussion with the author of the JAMA article "Strategies to Help a Smoker Who Is Struggling to Quit."
WIHI: Minimally Disruptive Medicine
August 9, 2012 | Minimally disruptive medicine is an approach to chronic disease that seeks to design effective treatment programs for patients that fit with their goals and contexts, thus minimizing the burden of treatment.
Author in the Room: Diagnosis and Treatment of Depression in Adults with Comorbid Medical Conditions
June 2012 | A discussion with the author of the JAMA article "Diagnosis and Treatment of Depression in Adults with Comorbid Medical Conditions."
Resources for Public Health Quality Improvement
A collection of resources to help public health leaders and practitioners apply quality improvement to programs and processes, with the ultimate goal of saving lives, cutting costs, and getting better results.
Self-Management Toolkit for People with Chronic Conditions and Their Families
The information in this document is intended to serve as a resource for patients and family members dealing with chronic or long-term conditions, to help them more effectively self-manage their health and their lives with such conditions.
Patient-Centered Care: Rebecca Bryson's Story
Throughout her experience with a chronic illness marked by extensive complications, Rebecca Bryson has found that many of the challenges patients face are system problems that stem from the design of the health care system.
Changes to Improve Chronic Care
Organizations must focus on six fundamental areas that form a system that encourages high-quality chronic disease management, as well as develop productive interactions between patients who take an active part in their care and providers who have the necessary resources and expertise.
WIHI: New Models for Patients with Multiple Health and Social Needs
June 23, 2011 | Experts discuss new ways to work with patients with multiple health and social needs, including ways to address underlying needs and manage chronic health problems that lessen dependence on expensive health care services.
WIHI: Primary Care's (New) Pressures and Possibilities
March 17, 2011 | New and improved primary care models are considered ground zero for a system that’s better coordinated, integrated, and efficient.
Author in the Room: Risk Factors Associated with Incident Hypertension in Women
August 2009 | A discussion with the author of the JAMA article "Diet and Lifestyle Risk Factors Associated with Incident Hypertension in Women."
Author in the Room: Effect of Glycemic Index or High Fiber Diet on Type 2 Diabetes
January 2009 | A discussion with the author of the JAMA article "Effect of a Low Glycemic Index or a High Cereal Fiber Diet on Type 2 Diabetes: A Randomized Trial."
Author in the Room: Effectiveness of Home Blood Pressure Monitoring Web Communication and Pharmacist Care on Hypertension
August 2008 | A discussion with the author of the JAMA article "Effectiveness of Home Blood Pressure Monitoring, Web Communication, and Pharmacist Care on Hypertension Control: The e-BP Randomized Controlled Trial."
Author in the Room: Association Between Depressive Symptoms and Diabetes
July 2008 | A discussion with the author of the JAMA article "Examining a Bidirectional Association Between Depressive Symptoms and Diabetes."
Author in the Room: Strategies for Sustaining Weight Loss
April 2008 | A discussion with the author of the JAMA article "Comparison of Strategies for Sustaining Weight Loss: The Weight Loss Maintenance Randomized Controlled Trial."
Author in the Room: Results from the Fracture Intervention Trial Long-term Extension
January 2007 | A discussion with the author of the JAMA article "The Effects of Continuing or Stopping Alendronate after Five Years of Treatment: Results from the Fracture Intervention Trial Long-term Extension (FLEX)."
Author in the Room: Hypertension Treatment
April 2005 | A discussion with the author of the JAMA article "Outcomes in Hypertensive Black and Nonblack Patients Treated With Chlorthalidone, Amlodipine, and Lisinopril."
Follow Up and Monitor Self-Management Goals for People with Chronic Conditions
Follow up and monitor self-management goals for chronic conditions.