Related Experiment Video
Updated: Aug 3, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Achieving IHI's Triple Aim by Utilizing Core Health Program With Community Health Workers in Rural Communities
Kenneth J Fawcett1, Raymond K Neff, Christina M Freese Decker
1Spectrum Health Healthier Communities, Spectrum Health Hospital Group, Grand Rapids, Michigan (Drs Fawcett and Neff); Spectrum Health, Grand Rapids, Michigan (Ms Freese Decker); and Spectrum Health Hospital Group, Greenville, Michigan (Ms Faber).
Abstract:
Utilizing a nurse/community health worker team model, a Midwest institution's community health care division developed a 12-month managed care program for underserved individuals diagnosed with heart failure and/or diabetes. A study of 277 patients was conducted to determine whether this model could be utilized in rural settings. The program was evaluated using the Institute for Healthcare Improvement's Triple Aim criteria; HEDIS measures and other health indicators quantified each patient's performance. Study participants showed improved outcomes and a reduction in the total cost of care. Hospital admissions decreased (203.4 inpatient days were saved), and the return-on-investment value realized was 1.37 for emergency department and inpatient visits in the rural communities.
Related Concept Videos
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results from...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
