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What's New | July 03, 2012

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Clinical-Community Linkages to Improve Chronic Disease Care Clinical-Community Linkages to Improve Chronic Disease Care
Managing chronic diseases such as diabetes, asthma, and cardiovascular disease presents challenges both for maintaining optimal patient health and keeping health care costs in check. Partnerships between clinical practices, health departments, and community organizations can promote the delivery of high-quality health care and improve chronic disease management while controlling costs.

The featured Innovations describe a community-level partnership that used lay health advisers and a public-private initiative that leveraged community health teams to improve chronic disease care.

The featured QualityTools include a toolkit to help communities develop asthma management programs and a toolkit designed to support providers of self-management education programs focused on chronic conditions.
Featured Innovations:

•  Community Partnership Uses Lay Health Advisers to Reduce Chronic Disease Risk Factors, Leading to Improvements in Lifestyle and Health in Low-Income African Americans

•  Statewide Program Supports Medical Homes Through Multidisciplinary Teams, Easy Access to Information, and Incentives, Leading to Lower Costs and Better Care

Featured QualityTools:

• Community Asthma Prevention Program (CAPP): Resources for Professionals
Developed by Children's Hospital of Philadelphia

• Missouri's Sustainability Toolkit: Self-Management Education Programs for People With Chronic Conditions
Developed by Missouri Arthritis & Osteoporosis Program

Featured Articles:

• Innovation in Clinical and Community Relationships Post-Katrina: A Conversation With Eric Baumgartner, MD, MPH

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Also in This Issue:
Innovations >

• Attempt Alerts and Decision Support for Abnormal Laboratory Values Do Not Improve Clinical Management or Reduce Adverse Events

• Community- and Practice-Based Teams, Real-Time Information, and Financial Incentives Help Medical Homes Improve Care, Reduce Utilization and Costs

• Medicaid Managed Care Plan Offers Patient-Specific, Pay-for-Performance Program, Leading to Improvements in Immunization Rates and Diabetes Care

• Round-the-Clock Intensivists Eliminate Ventilator-Associated Pneumonia, Central Line Infections, and Pressure Ulcers in Intensive Care Unit

QualityTools >

• Chronic Disease Self-Management Program: A Toolkit for Hospitals
Developed by Holy Cross Hospital

• Collaboration for Home Care Advances in Management and Practice (CHAMP) Tools
Developed by Collaboration for Home Care Advances in Management and Practice

• Patient Centered Medical Home Resource Center
Developed by Agency for Healthcare Research and Quality