Difference between revisions of "What Works?"

Revision as of 13:58, 11 July 2016

Everyday we get a new understanding of what interventions work that impact patient health. With most healthcare research, sites and journals primarily dedicated to which ABCD Interventions work, this page will now duplicate it. This page will begin to catalog the E Interventions and PC Interventions that work. While these are typically not peer reviewed articles, links are provided for people or organizations interested in further evaluating their efficacy and context to managing health.

E Interventions - Care Management

Care Coordination

• Primary Care Physicians deliver 12% lower healthcare costs, 37% lower hospitalization at one site (5/4/2015)
• Primary Care Physicians deliver 20% lower overall healthcare costs, increase patient satisfaction (1/15/2015)

Care Plan Development
Care Team and Patient Dialog

• 9 in 10 Brazilian doctors use WhatsApp to talk to patients

Comprehensive Patient Programs

• Palliative Care - A study by University of Rochester Medical Centers in 2007 found the palliative care intervention saved about 1,400 ICU patient days, at an average of about $450 a day.
• Transitional Care - A study found that personal contact with patients before and after their hospital discharge resulted in Brooklyn significantly lower readmission rates over 60 days from 26.3% to 17.6%.
• Transitional Care - A collaborative initiative involving 83 hospitals and 93 community partners in Minnesota saw 4,570 fewer avoidable hospital readmissions over 24 months, saving more than $40 million by using comprehensive discharge planning, medication management, patient engagement, transition care support, and transition communications.
• Transitional Care - A study demonstrated high risk patients being discharged from the hospital that receive social work interventions reduce readmission rates to 7% as compared to the 15 percent readmission rate for the control group--patients discharged
• Transitional Care - Hospital Strategies Associated With 30-Day Readmission Rates for Patients With Heart Failure (5/15/13)
• Complex Patients - Patient-centered medical homes (PCMH) can cut more than 20% off the treatment cost for a chronically ill patient (7/24/03)

Patient Monitoring
Home Services

• Home Visits - Children's Hospital of Philadelphia (CHOP) sends home visitors to high-risk asthma patients in inner-city Philadelphia (7/29/13)

Virtual Services

• Reduces diabetes costs by 9% (6/26/15)
• Partners HealthCare allows patients to upload information from their medical devices into their electronic records in doctors’ offices. (7/29/13)

E Interventions - Coaching & Education

Care Goal Setting and Motivational Interviewing
Education

• Choosing Wisely provides decision making education for physicians and patients on over 135 tests and treatments that they say are overused or inappropriate.

Financial Counseling
Health Coaching

E Interventions - Support Services

Caregiver Support
Community & Social Services

• Online Patient Communities can provide many potential benefits, such as improving coping skills, reducing anxiety, depression, isolation, ignorance about the condition and finding others that are experience common conditions.

Medication Support
Nutrition Support

• Steward Health Care delivers three low-sodium meals and two snacks to selected heart failure patient's home each day hoping healthy food will reduce trips to the hospital.
• Healthy foods delivered to 5% of the patients spending 50% of money can save money (6/22/2015)

Technology & Equipment Support

• A study from Digitas Health found that 90 percent of chronic patients in the US would accept a mobile app prescription as opposed to only 66 percent willing to accept a prescription of medication.

PC Interventions - Patient Activity

PC Interventions - Patient Activation

PC Interventions - Caregiver Activity

• Caregivers - States are focusing on activating them (6/22/2015)

PC Interventions - Personal Achievement