Length of stay reduction/management
Sentara Healthcare launched a program designed to create a strong culture of safety. The initiative includes an assessment of the existing safety culture, establishment of goals related to improved safety, the development of specific strategies to identify and correct safety problems, and the use of ongoing processes and systems to monitor progress and encourage continued improvement.
Hospital at Home sm provides hospital-level care in a patient's home as a full substitute for acute hospital care for selected conditions common among seniors.
The Comprehensive Unit-Based Safety Program (CUSP) improves patient safety awareness and quality of care by empowering staff to take charge, create partnerships between units, improve organizational culture, and obtain resources for unit efforts.
Use of a four-step, standardized protocol to determine the appropriate level of physical therapy in intensive care unit patients with acute respiratory failure led to earlier ambulation and lower length of stay.
The emergency department at Vanderbilt University Medical Center established a program in which patients are quickly assessed in a triage area by a team consisting of a physician, a nurse, and a paramedic.
Over a 10-year period, Hackensack University Medical Center designed a set of strategies to improve nurse satisfaction, reduce length of stay, and enhance case management for selected conditions, leading to improvements including reductions in nurse turnover and length of stay.
The surgical hospitalist model improves care and revenues for hospital-based emergency surgical care.
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
Intensive care unit clinicians developed a standardized communication process based on a daily goals form that prompts clinicians to evaluate and document the patient's current status, design a care plan, and outline daily tasks, thereby increasing clinician understanding of daily care goals.