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AHRQ Innovations Exchange

AHRQ's Health Care Innovations Exchange Focuses on Spreading Innovations for Cardiovascular Health

The March 28 issue of AHRQ's Health Care Innovations Exchange features profiles of four programs that developed improvements in the management of cardiovascular disease and chronic conditions. One such program is the Weekly Home Monitoring and Pharmacist Feedback Weekly Home Monitoring and Pharmacist Feedback in Denver, CO, which enabled hypertensive patients to monitor and report multiple blood pressure readings through an interactive voice response or secure online system. Pharmacists review the results, calling or e-mailing those with elevated readings to review medication adherence, adjust the medication regimen if necessary, and provide lifestyle counseling as appropriate. The program has reduced systolic and diastolic blood pressure, particularly for those with the highest readings entering the program, and generated high levels of patient satisfaction. The issue also features Taking Innovations To Scale, with new resources including success stories, tools, and videos to help innovators spread their innovations and potential adopters to implement innovations in their organization. Select to read more profiles of innovations related to cardiovascular health on AHRQ's Health Care Innovations Exchange Web Site, which contains more than 675 searchable innovations and 1,575 quality tools.

Mailed Reminders to Heart Attack Patients Improve Compliance With Beta Blocker Medication Regimen 3/28/2012
Four health maintenance organizations send two reminder letters to encourage recent heart attack patients to take their beta blocker medication as prescribed and to renew their prescriptions as needed.
UpdatedMultidisciplinary Program Combining Medical, Counseling, and Behavior Modification Services Helps Overweight Children and Adolescents Lose Weight, Reduce Body Mass Index 3/28/2012
The Optimal Weight for Life program provides medical evaluation, nutritional counseling, and behavior modification services to overweight and obese children, leading to reductions in body mass index, weight, fat mass, and insulin resistance.
Pharmacists Support Employees and Physicians in Managing Chronic Conditions, Leading to Better Care and Disease Control, Lower Costs, and Higher Productivity 3/28/2012
Pharmacists provide ongoing chronic care management support to employees and their physicians, leading to greater adherence to recommended care processes and self-management behaviors, lower costs, higher productivity, and a significant return on investment.
Weekly Home Monitoring and Pharmacist Feedback Improve Blood Pressure Control in Hypertensive Patients 3/28/2012
Hypertensive patients monitor and report multiple blood pressure readings each week and those with elevated readings receive pharmacist feedback and support, leading to better blood pressure control.
Community Coalition Supports Schools in Helping Students Increase Physical Activity and Make Better Food Choices 3/21/2012
A community-based coalition in rural Pennsylvania conducts ongoing marketing, supports schools, and sponsors community events in an effort to promote healthier behaviors by students, leading to more physical activity and better food choices.
Show Innovation Attempts only
My Life Check 3/28/2012
This online assessment tool can help consumers learn the state of their heart and what they can do to live a better life.
Get With The GuidelinesSM Toolbox 3/14/2012
Get With The GuidelinesSM (GWTG) is an evidence-based program for in-hospital quality improvement. It helps to ensure that the care hospitals provide to coronary artery disease, stroke, and heart failure patients is aligned with the latest scientific guidelines.
Pediatric Early Warning (PEW) Score System 3/14/2012
The Pediatric Early Warning (PEW) score system can help nurses assess pediatric patients objectively using vital signs in the pediatric intensive care unit.
National HIV/AIDS Program Image Library 12/7/2011
The National HIV/AIDS Program Image Library contains more than 200 images of clinical symptoms of HIV infection.
Community Care of North Carolina Patient Management Tools 3/31/2010
Community Care of North Carolina patient management tools are available on a wide variety of topics that are to be used to enhance patient conversations with a health care professional.
Scaling up and Spreading Innovation
The purpose of the Health Care Innovations Exchange is to speed the implementation of new and better ways of delivering health care. Taking Innovations to Scale highlights resources and information to help innovators spread their innovations, and to help adopters find, learn about, and implement new ways to improve care in their organizations.
Taking Innovations to Scale includes a Spread Success Stories section, which highlights innovations that have been successfully scaled. Our Getting Started section provides helpful tools and links to resources for both innovators and potential adopters related to scale up and spread. The section Voices from the Field offers expert perspectives on the topic, video presentations from innovators who are attempting to spread their innovations, and findings from several Health Care Innovations Exchange activities in 2011 on the scale and spread of innovations.
Please continue to visit Taking Innovations to Scale to learn more about this topic.
Share Your Experience Spreading Innovations
Spread Success Stories
Innovations with a Track Record of Spread Our Expert Perspectives on Scale Up and Spread from Hines, Battles, and Shields discuss approaches to spreading specific innovative programs. Read the full profiles of these innovations at the following links:
Scaling and Spreading Strategies to Improve Cardiovascular Health
These innovations describe the approaches and challenges of scaling promising programs targeting cardiovascular health.
Getting Started
Practical Tools for Scaling Innovations Resources to Enhance Your Spread Knowledge
Voices from the Field
Expert Perspectives on Scale Up and Spread
Steve Shields, CEO/Principal, Action Pact Development, LLC
Amy Berman, B.S., R.N., Program Officer of the John A. Hartford Foundation
Jürgen Unützer, M.D., M.P.H., Professor and Vice-Chair in the Department of Psychiatry and Behavioral Sciences at the University of Washington
Barbara Spurrier, M.H.A., Administrator Director of the Mayo Clinic Center for Innovation
Spotlight on Innovators’ Spread Efforts
This AHRQ Health Care Innovations Exchange video series, Can This Innovation Be Scaled?, features presentations from two innovators who are attempting to scale their programs, as well as reactions from a panel of stakeholders. These videos were filmed at the Scale Up & Spread Round Table, held in Rockville, MD on May 11, 2011.
The Essentia Heart Failure Program
The Essentia Heart Failure Program
Linda Wick
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Care Management Plus Program
Care Management Plus Program
David Dorr
play video
Read the innovation profile >>
Presentations and Reports
Spread Models and Lessons: Learning from the ARHQ Health Care Innovations Exchange
  • Presentation at the 4th Annual NIH Conference on the Science of Dissemination and Implementation: Policy and Practice, March 21-22, 2011
  • Presenters: Mary P. Nix, AHRQ; Veronica Nieva, Westat; Bruce Leff, Johns Hopkins School of Medicine; and Tracy Novak, Johns Hopkins Bloomberg School of Public Health
Last updated: March 28, 2012.

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