Avoidable hospitalizations

Innovations

Locating Mental and Behavioral Health Services in Health Plan Centers Enhances Access and Reduces Utilization of Inpatient Psychiatric Services for Community-Dwelling Frail Seniors 08/06/09

A mental and behavioral health team periodically works onsite at health plan centers to facilitate patient access to mental health services, reducing psychiatric inpatient utilization and generating high levels of staff satisfaction.

Round-the-Clock Intensivists Eliminate Ventilator-Associated Pneumonia, Central Line Infections, and Pressure Ulcers in Intensive Care Unit 08/04/09

Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.

Hospital-Based Asthma Educators Train Patients, Providers, and Community Members on Optimal Care, Leading to Fewer Admissions, Emergency Department Visits, and Missed Work Days 02/09/09

Asthma educators help patients, providers, school nurses, childcare providers, pharmacists, and others in the community achieve optimal asthma treatment, leading to fewer hospitalizations, emergency department visits, and missed work days.

Daily Remote Monitoring and As-Needed Nurse Contacts Reduce Unexpected Clinic Visits, Hospitalizations for Chemotherapy Patients 01/28/09

Daily, telehealth-enabled symptom monitoring combined with as-needed interactions with a nurse reduced unexpected clinic visits and inpatient use among cancer patients undergoing chemotherapy.

Nurse Practitioner–Led Transitional Care Program Does Not Reduce Readmissions During Period Between Discharge and Followup Appointment 01/16/09

A nurse practitioner–led service to bridge the gap in care for recently discharged patients awaiting a followup appointment did not reduce the rate of unplanned readmissions.

Nurse-Administered Pulmonary Protocol Increases Out-of-Bed Activity, Shortens Length of Stay, and Reduces Readmissions 12/11/08

A hospital uses a protocol to encourage ambulation in hospitalized patients with community-acquired pneumonia and chronic obstructive pulmonary disease, leading to a reduction in readmissions and length of stay.

Comprehensive Screening, Guideline-Based Treatment, and Self-Management Support Enhanced Access to Asthma Care, Reduced Hospitalizations and Costs 12/02/08

The Urban Health Plan Asthma Relief Street program provides standardized, comprehensive asthma screening, guideline-based treatment, education, and self-management support, leading to more people being diagnosed and treated, fewer hospitalizations, and overall cost savings.

In-Home Palliative Care Allows More Patients to Die at Home, Leading to Higher Satisfaction and Lower Acute Care Utilization and Costs 10/27/08

A home-based model of palliative care uses an interdisciplinary team of providers to manage symptoms and pain, provide emotional and spiritual support, and educate patients and family members about changes in the patient's condition.

Comprehensive Program Featuring Registry, Self-Management Education, Action Plans, and Home Visits Reduces Asthma-Related Admissions and Emergency Department Visits 10/08/08

A comprehensive asthma management program that includes a registry of all asthma patients, action plans, home visits from nurses, and specialized services for high-risk children led to a reduction in asthma-related hospitalizations and pediatric emergency department visits.

Postdischarge Telephone Followup With Chronic Disease Patients Reduces Hospitalizations, Emergency Department Visits, and Costs 09/11/08

A chronic care coordination program employs coordinators to provide telephone-based support to recently discharged patients and other high-risk enrollees, leading to fewer hospitalizations and emergency department visits and lower costs.

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