Reducing Preventable Harm in Hospitals

Health communication systems designed for rural, developing countries -- where hospitals are often understaffed and transportation is inadequate -- are being adapted to improve care in U.S. cities.

In order to address racial disparities in breast cancer survival rates, the Chicago-based Metropolitan Breast Cancer Task Force initiated a program to provide African American women with navigators. These navigators—who are a trained peer from the community rather than a credentialed professional—provide assistance with booking appointment, accessing services, and conversation with providers as well as emotional support. After 10 years of this program, the disparity has decreased 20%.

The poliovirus has plagued Nigeria for years, but the country is approaching near-eradication thanks to community public health workers' efforts to increase education, immunization and reporting. Throughout the country workers known as Disease Surveillance and Notification Officers are trained to recognize the symptoms of polio so the cases can be reported and addressed immediately. Coupled with the efforts of community informants, this approach has already resulted in parts of Nigeria becoming polio-free.

When people don't show up for an appointment, it can cost hospitals a lot of money and also unnecessarily increase wait times for other patients. A hospital in London is trying to reduce both the cost and wait problems by using artificial intelligence to predict which patients are most likely to be no-shows.

The Veterans Health Administration's Caregiver Support Program offers resources to family caregivers looking after veterans, including a monthly stipend, medical services, counseling and mental health care, respite care and coverage for travel expenses. The Program launched in 2011 and by 2014 about 15,600 caregivers had been approved for support — greatly exceeding the Program’s original estimate of 4,000 people.

The United States and Italy have been playing catch up in the mitigation of the coronavirus pandemic and were resistant to implementing social distancing, while other countries took more aggressive approaches. Now both countries are looking to China and South Korea to learn how sweeping actions and industrialized scaling of measures such as fever clinics, temperature check points, portable CAT scanning, and social isolation, have helped to contain the pandemic.

The Maternal and Neonatal Emergency Transport Scheme helps to increase access to healthcare services for women and newborns in rural areas through its informal transport/ambulance service. There are currently 2,500 registered drivers with the program willing to transport those in need of care and they serve about 70-90 women in labor each month.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.