A scoring system assists hospital staff in selecting approaches and, if needed, assistive devices for lifting, moving, and/or repositioning patients, leading to significant reductions in staff injuries and the near elimination of lost and restricted work days caused by these injuries.
Through a partnership between the Veterans Administration and the Alzheimer's Association, a two-person care coordinator team provided support to patients with dementia and their caregivers over a 12-month period. The program led to improved psychosocial outcomes for veterans and caregivers, fewer readmissions and institutional placements, enhanced access to outpatient services, and higher overall health care costs.
A partnership between academic medicine and a major-league sports team enhances access to care by providing treatment and support to veterans who suffer from traumatic brain injury and posttraumatic stress disorder and their families, generating high levels of patient satisfaction.
Individual and group support enhances the skills and knowledge of those caring for patients with dementia, leading to less caregiver burden and depression and fewer problem behaviors among patients.
Hypertensive patients monitor and report multiple blood pressure readings each week and those with elevated readings receive pharmacist feedback and support, leading to better blood pressure control.
Mental health practitioners provide smoking cessation counseling and treatment to patients with posttraumatic stress disorder as part of their regular mental health care, leading to higher quit rates and fewer relapses.
An inpatient psychiatric unit holds regular 30-minute “community” meetings focused on violence prevention, with all on-duty unit staff and patients attending; the meetings—which serve as a forum for expressing concerns, reviewing recent episodes, and brainstorming prevention strategies—reduced violent episodes by 85 percent.
Care coordinators remotely monitor veterans with chronic medical conditions via home telehealth devices, leading to reductions in hospital admissions, bed days, and care costs and to high levels of patient satisfaction.
Clinic providers compare patients' self-reported medication lists (generated through an easy-to-use automated system featuring a computer kiosk and simple touchscreen interface) to medications listed in the electronic medical record, allowing them to adhere more closely to established medication reconciliation practices and to identify and address more medication discrepancies, including potentially lethal ones.
An Internet-based support program featured ongoing monitoring of weight and weight-related behaviors, personalized feedback from counselors, interactive educational lessons, and motivational interviewing, allowing many time-constrained military personnel to avoid weight gain or lose a moderate amount of weight.