Transitional care innovation for Medicaid-insured individuals: early findings.

Background: Chronically ill adults insured by Medicaid experience health inequities following hospitalisation.

Local Problem: Postacute outcomes, including rates of 30-day readmissions and postacute emergency department (ED), were higher among Medicaid-insured individuals compared with commercially insured individuals and social needs were inconsistently addressed.

Methods: An interdisciplinary team introduced a clinical pathway called 'THRIVE' to provide postacute wrap-around services for individuals insured by Medicaid.

Meeting the challenge of managing vaso-occlusive crisis.

Quality improvement efforts in patient care are most successful when the entire healthcare team is involved in care planning. This article discusses a multidisciplinary approach to the development of a protocol for patients with sickle cell disease experiencing vaso-occlusive crisis. The protocol's goal was to improve the quality and consistency of care for these patients.