Care Across Settings
 
The citizens of Memphis, TN, suffer from Type II diabetes rates above the national average. The average rate of diabetes prevalence in the United States is 8.3 percent, and in Shelby County the average rate is 12 percent, according to the County Health Rankings. Diabetes and pre-diabetes contribute to the majority of premature deaths in Tennessee, according to a recent study from the University of Tennessee Health Science Center.
 
And at the front lines of care, primary care physicians in Memphis tackle treating patients with diabetes...
 
Time and again, the Kansas City, MO, community has proven it cares about asthma control. To help the more than 150,000 children diagnosed with the disease in its region, the Greater Kansas City area Aligning Forces for Quality (AF4Q) initiative, led by the Kansas City Quality Improvement Consortium (KCQIC), helped facilitate Kansas City Teams Up for Asthma Control (KC TUAC). KC TUAC builds on the Asthma Ready® Program (ARP) in cooperation with the University of Missouri at Columbia and the Missouri School Boards’ Association.
 
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Although health care providers have long recognized that many of their patients have both behavioral and physical health needs, there has been a complete disconnect in how this comprehensive care is provided and paid for. Data from the National Comorbidity Survey Replication indicated that 34 million American adults, or 17 percent of the adult population, had comorbid mental and medical conditions within a 12-month period. While evidence-based treatments and programs exist for improving care for this population, they are not routinely used. Now, with health reform,...

The South Central Pennsylvania alliance and its Patient Partners program were featured on a HEALTHSMART episode on the Chronically Ill.  HEALTHSMART is produced by WITF, the central Pennsylvania PBS affiliate.

It is estimated 133 million Americans currently suffer from one chronic disease.  Approximately half have multiple chronic diseases.  Chronic diseases – long term conditions which can be controlled but not cured – account for 7 of 10 deaths in America.  They are considered the leading health concern of our nation encompassing...

Across Maine, patient-centered medical homes and their community care teams are improving quality and patient outcomes while reducing overall health care costs. Funded in part by RWJF’s Aligning Forces for Quality (AF4Q) initiative, Maine’s Patient Centered Medical Home Pilot has a broad reach—not only coordinating patients’ care and serving as a reliable resource, but also linking patients to services like food banks and mental health case workers. Results from the medical home initiative include a 40 percent reduction in readmissions at one participating...
California’s Humboldt County faces unique public health challenges, including a shifting local economy and a drug-related death rate that’s 300 percent higher than state averages. J. Duncan Moore, Jr., a prominent health policy writer and co-founder of the Association for Health Care Journalists, examines how Humboldt’s Aligning Forces program put patients at center stage of community-wide efforts to improve the quality of local health care system. The article is part of Journalists on Quality, a series of investigative profiles on how Aligning Forces has affected...

One percent of Americans account for 20 percent of the nation’s health care costs; five percent account for 50 percent. Who are these patients? They are known as “super-utilizers”—patients who make frequent trips to the emergency room and have many hospital admissions. Often they are alone and need help determining where to go and how to get healthier.

In six of the Robert Wood Johnson Foundation’s Aligning Forces for Quality (AF4Q) sites, communities are reducing ER visits and hospitalizations for super-utilizers. In her new article, “Caring for...

The Greater Kansas City’s area Aligning Forces for Quality community, led by the Kansas City Quality Improvement Consortium (KCQIC), was named as the first Missouri/Kansas organization to receive recognition as a Community-based Care Transitions Program (CCTP) by the Centers for Medicare and Medicaid. KCQIC and the additional CCTP participants bring the total to 82 community-based organizations providing care transition services to nearly 500,000 beneficiaries in more than 30 states. KCQIC will enter into a two-year agreement. As a part of the efforts, KCQIC will work with local...

The Greater Detroit Area Health Council (GDAHC) was recently recognized for its efforts to connect patients with primary care providers. An article published in Crain’s Detroit Business Review explains that the Detroit Alliance has developed a list of federally qualified health centers, free clinics, and physicians that accept Medicaid for emergency room visitors. The goal is to equip patients with more information to reduce hospital readmissions and prevent frequent emergency room visits. 

Sharifa Alcendor, Henry Ford Hospital’s director of strategic community...

Patients often leave the hospital uneducated and confused about how to care properly for themselves at home, ultimately causing them to be readmitted. The 4.4 million potentially preventable trips to the hospital add $30 billion to US healthcare spending each year. The Aligning Forces for Quality initiative in Maine, led by Maine Quality Counts, is addressing the problem of avoidable readmissions, particularly in heart failure patients, by taking steps to help patients get the care they need through a collaborative approach.
Eight Maine hospitals in the Hospital Quality Network...