Military/dependents/veterans

Innovations

Proactive Reporting, Investigation, Disclosure, and Remedying of Medical Errors Leads to Similar or Lower Than Average Malpractice Claims Costs 12/14/09

A medical center adopted a comprehensive process that includes proactive reporting and investigation of potential errors, full disclosure and apology when errors occur, and fair remedy and compensation, leading to similar or lower than average claims costs.

Navy Medical Home Clinics, Staffed by Integrated Primary Care Teams and Supported by Web-Based Systems, Improve Screening Rates, Access to Care, and Patient-Provider Communication 08/17/09

Integrated primary care teams in medical home clinics, supported by a Web-based portal and personal health records, provide proactive, coordinated care, leading to higher screening rates, better access to care, and improved patient–provider communication.

Primary Care Nurses Systematically Assess Fall Risk, Provide Real-Time, Easy-to-Use Alerts to Physicians to Facilitate Appropriate Interventions for Those at Risk 08/06/09

Primary care clinic nurses routinely assess the risk of falls in each patient, with real-time, easy-to-use clinical reminders sent to physicians for those at risk, thus allowing the initiation of risk-reduction interventions during the visit.

Bundle of Interventions Targeting High-Risk Patients Reduces Falls and Fall-Related Injuries on Medical-Surgical Units 07/17/09

A hospital implemented a bundle of interventions that reduced falls and fall-related injuries on two medical-surgical units.

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.

Increasing Patient Health Literacy Leads to Improved Reporting of Medication Allergies 09/24/08

The West Los Angeles Healthcare Center implemented a program to improve nurses' and patients' awareness and reporting of medication allergies and adverse drug reactions. Key program elements include a training module for nurses, educational brochures for patients, and distribution of an allergy/adverse drug reaction questionnaire to patients.

Interdisciplinary, Comprehensive Skin Care Program Significantly Reduces Hospital-Acquired Pressure Ulcers 09/24/08

A comprehensive, interdisciplinary skin care program that relies on protocols and guidelines for proactive assessment and treatment, regular education and training of nurses, and ongoing performance monitoring significantly reduced the incidence of hospital-acquired pressure ulcers.

Placing Mental Health Specialists in Primary Care Settings Enhances Patient Engagement, Produces Favorable Results Relative to Evidence-Based Care 02/26/08

An integrated care program places mental and behavioral health specialists in more than 50 primary care locations to treat patients ages 65 years and older with depression or anxiety and those who engage in risky alcohol use.

Using Positive Deviance Employee-Generated Strategies Reduces MRSA Infections by 50 Percent 02/20/08

The Department of Veterans Affairs Pittsburgh Healthcare System used Positive Deviance to encourage all employees at two facilities to use their own experiences to brainstorm and implement strategies for reducing hospital-acquired methicillin-resistant Staphylococcus aureus infections.

At-Home Palliative Care for Veterans Enhances Medication Adherence and Connections With Families and Providers, While Also Lowering Costs 02/20/08

The Advanced Illness Palliative Care program is a multidisciplinary initiative that provides care management and palliative care to chronically or terminally ill veterans in their homes via telehealth technology.

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