Prevention and Care Management materials have been successfully incorporated into many public and private settings. These include associations, universities, health plans, private practices, hospitals, government, and businesses. Some examples are provided below.
To view additional examples of Prevention and Care Management case studies, visit:
http://www.ahrq.gov/about/casestudies/pcm/.
To view AHRQ case studies on all topics, visit: http://www.ahrq.gov/about/casestudies/.
Organization: America's Health Insurance Plans
Date of Publication: October 2007
AHRQ Product: U.S. Preventive Services Task Force (USPSTF) Recommendations
Topics: Prevention, Policy
Scope: National
Summary: Members
of America's Health Insurance Plans (AHIP) use the USPSTF recommendations to
help inform choices about benefit design and prevention programs. With more
than 1,300 member companies providing health insurance coverage to over 200
million Americans, AHIP is the largest trade association of the Nation's health
insurers. AHIP featured the USPSTF in the January/February 2007 issue of AHIP Coverage: Health Care News,
Views, Trends, and Insights. The AHIP magazine article covered the
history of the USPSTF and included a detailed explanation of the recommendation
process. The article also featured invited commentary on the value of USPSTF
recommendations to insurance providers (available at http://www.ahip.org/content/default.aspx?bc=31|130|136|18744|18747 
).
Background: Over
the past 6 decades, AHIP and its predecessor organizations have sought to
represent a "unified voice" for health insurance plans. Based in Washington, DC, AHIP advocates for affordable, high-quality health care coverage through its
work on the legislative, regulatory, and policy issues facing the industry.
AHIP also seeks consensus on the broader health care issues facing the Nation,
including the need to cover millions of uninsured Americans. More information
about AHIP can be found at http://www.ahip.org.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2008b.htm.
Organization: Wichita State University College of Health Professions
Date of Publication: April 2008
AHRQ Products: USPSTF Recommendations, Electronic Preventive
Services Selector (ePSS)
Topics: Academic
Curricula, Prevention, Health Information Technology (IT)
Scope: Kansas
Summary: In
the "Preventive and Behavioral Medicine" course for physician
assistant students at Wichita State University, Associate Professor Timothy
Quigley, MPH, uses the USPSTF recommendations as the foundation of his
curriculum. For nearly 13 years, Quigley has used USPSTF
materials-initially providing hard copies of the recommendations as part of his
classroom resources. As the formats for the distribution of the recommendations
have expanded, student resources have multiplied, too. As of early 2008, each
student receives the pocket guide to the most current USPSTF recommendations. Because
students are required to carry personal digital assistants, each student is
also encouraged to download the Electronic Preventive
Services Selector for use at patients' bedsides.
Background: Founded
in 1972, Wichita State University College of Health Professions offers the only
physician assistant program in the state of Kansas. Of the more than 1,000
graduates of the program, 52% are working in primary care settings and 15% in
underserved areas.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2008g.htm.
Organization: Humana,
Inc.
Date of Publication: July 2008
AHRQ Product: USPSTF Recommendations
Topics: Prevention,
Policy
Scope: National
Summary: The
organization Humana, Inc., uses USPSTF recommendations as a preventive
health resource for its provider community. The USPSTF recommendations are
posted on Humana's provider Web site as a reference tool for the company's some
450,000 providers across the country. Site visitors can go to the Provider area
from the Humana.com home page, then select Provider Tools > Clinical &
Healthcare Resources > Clinical Practice Guidelines > Preventive Care.
This links to the AHRQ page showing the Guide
to Clinical Preventive Services. The site has another link to a
USPSTF recommendation: Screening
for Obesity in Adults, also found by selecting Clinical Practice
Guidelines.
Background: Humana
offers group health insurance and a range of products and services. Its
business units serve the military, individuals, seniors, and others. Humana's
headquarters are in Louisville, Kentucky. The company insures over 11 million
people and is the Nation's second-largest provider of Medicare benefits.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2008k.htm.
Organization: New
York City Department of Health and Mental Hygiene
Date of Publication: August 2008
AHRQ Product: USPSTF Recommendations
Topic: Prevention
Scope: New York
Summary: The New York City Department of Health and Mental Hygiene has incorporated USPSTF
recommendations into the development of materials for an educational outreach
program, known as Public Health Detailing. This program was designed to
help primary care providers improve patient care relating to key public health
challenges. The program is organized around specific clinical topics, chosen
largely because of their anticipated impact on morbidity and mortality. Each
campaign targets a limited number of key recommendations, rather than a full
set of guidelines. The USPSTF recommendations were used in all campaigns except
colon cancer screening. In that instance, the local recommendation was more
stringent than the USPSTF recommendation.
Background: The
Public Health Detailing Program is part of the Department's Division of Health
Promotion and Disease Prevention, Bureau of Chronic Disease Prevention and
Control, Clinical Systems Improvement Unit. All materials from this program are
publicly available. For more information on the Public Health Detailing
Program, visit: http://www.nyc.gov/html/doh/html/csi/csi-detailing.shtml.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2008m.htm.
Organization: San Francisco
General Hospital
Date of Publication: November 2008
AHRQ Product: ePSS
Topics: Prevention, Health IT
Scope: California
Summary: AHRQ's Electronic Preventive Services Selector is being used by primary care
physicians and nurse practitioners at San Francisco General Hospital to provide evidence-based support to primary care providers on recommended
preventive health services. It was first implemented at San Francisco General Hospital in 2008.
Background: Physicians
at San Francisco General Hospital are University of California San Francisco
(UCSF) faculty. Approximately 2,000 UCSF physicians, specialty nurses, health
care professionals, and other professionals work with 3,500 city employees at
the hospital.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2009c.htm.
Organization: University
of Tokyo Hospital
Date of Publication: November 2008
AHRQ Product: USPSTF Recommendations
Topic: Prevention
Scope: Japan
Summary: The University of Tokyo Hospital translated the USPSTF recommendations to
help raise awareness among Japanese health care professionals about the
importance of risk-stratified screening. Historically, the health screening
programs in Japan are conducted without regard to risk-stratification.
Beginning in 2008, however, a Japanese translation of the USPSTF's Guide to Clinical Preventive Services pocket guide has been distributed to health screening facilities in and around Tokyo. Approximately 500 copies of the Guide were distributed among 450 sites.
Background: More
information about the University of Tokyo Hospital System is available at: http://www.u-tokyo.ac.jp/fin01/d04_08_e.html.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2009d.htm.
Organization: University
of North Texas Health Science Center
Date of Publication: January 2009
AHRQ Product: USPSTF Recommendations
Topics: Academic
Curricula, Prevention
Scope: Texas
Summary: An
education and training program for physician assistants at the University of
North Texas Health Science Center in Fort Worth is using the USPSTF's Guide to Clinical Preventive Services.
The Guide is
being put to use as a tool for student research on clinical preventive
services.
Background: The
University of North Texas Health Science Center program is a 3-year master's
program. About 110 students are in the program at any one time, divided into
three yearly cohorts. They receive about 20 months of classroom experience and
12-13 months of rotations in primary care settings. All students are required
to take a course in health promotion and disease prevention. In addition, they
have the option of doing a directed research project in preventive services.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2009e.htm.
Organization: East
Tennessee State University Medical Library
Date of Publication: April 2010
AHRQ Product: ePSS
Topics: Academic
Curricula, Prevention, Health IT
Scope: Tennessee
Summary: East
Tennessee State University's Quillen College of Medicine Library is
downloading the Electronic Preventive Services Selector (ePSS) to the personal
digital assistants (PDAs) of third- and fourth-year medical students,
medical residents, nurse practitioners, pharmacy students, and rural hospital
providers. The goal is to give these clinicians evidence-based, point-of-care
support for recommended clinical preventive health services. The school's
medical library staff has downloaded the ePSS onto hundreds of residents' and
clinicians' PDAs in the librarians' role of providing library, research, and
PDA support to nine residency programs for about 240 residents, another 240
medical students, and a nurse practitioner program. The staff also gives
instructions on how to use the AHRQ product.
Entire Case Study: Available at http://www.ahrq.gov/about/casestudies/pcm/pcm2010g.htm.
Current as of July 2010
Internet Citation:
Prevention and Care Management Case Studies. July 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/ppip/ppipcase.htm
540 Gaither Road Rockville, MD 20850 