Acute care

Innovations

State–Federal Program Provides Capitated Payments to Plans Serving Those Eligible for Medicare and Medicaid, Leading to Better Access to Care and Less Hospital and Nursing Home Use 03/13/13

A combined State-Federal program pays health plans a capitated fee to provide and coordinate acute, primary, long-term care as well as social services to those eligible for Medicare and Medicaid, leading to enhanced access to care, fewer inpatient admissions and nursing home placements, and high levels of beneficiary and provider satisfaction.

State Legislation Promotes Use of Shared Decisionmaking Through Demonstration Project, Learning Collaborative, and Recognition of Decision Aids as Informed Consent 03/05/13

Multiple pieces of legislation in Washington state are starting to have an impact on use of shared decisionmaking in clinical practice, including a mandated demonstration project, recognition of use of decision aids as informed consent in malpractice cases, and formation of a learning collaborative.

Health Plan's Comprehensive Strategy Involving Physician Incentives and Targeted Recruitment Enhances Patient Access to Language-Concordant Physicians 03/02/13

A large medical group developed a comprehensive strategy to increase the number of physicians who speak languages other than English in order to improve access for patients with limited English proficiency.

Inclusive Policies, Communication Protocols and Ongoing Training Lead to Culturally Competent Care for Lesbian, Gay, Bisexual, and Transgender Patients 02/27/13

A medical center implemented new policies, systems, communication protocols and training programs to serve lesbian, gay, bisexual, and transgender patients, leading to more equitable, culturally competent care.

Statewide Health Information Exchange Generates High Levels of Participation and Many Reports of Improved Quality and Efficiency 02/26/13

The nation's first statewide health information exchange, the Delaware Health Information Network gives clinicians immediate access to patient-specific health data from other providers, leading to higher quality and more efficient care.

Increased Reimbursement and Dedicated Funds Allow Remote Primary Care Clinics to Provide Around-the-Clock Care, Leading to Fewer Medical Evacuations and Higher Quality of Care 01/07/13

Five clinics in remote parts of Alaska and Washington state receive additional reimbursement from Medicare and dedicated Federal funds that allow them to provide around-the-clock care, leading to fewer medical evacuations (and associated cost savings), better quality care, and high levels of satisfaction in the communities they serve.

Hospital Pharmacist Staff Use Robotic Medication Transport System To Reduce Delivery Time and Costs, Enhance Nurse Efficiency and Satisfaction 12/20/12

Pharmacist staff use autonomous mobile robots to track and deliver certain medications to nursing units, resulting in faster and more reliable medication delivery, lower costs, fewer lost medications, and increased nurse efficiency.

Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart 10/30/12

A children's hospital requires providers to look at a patient's picture and basic demographic information on a verification screen when entering and signing an order, leading to significant reductions in patients receiving or almost receiving care intended for someone else because of an order being placed in the wrong chart.

Engaging Room Design and Distraction Techniques Comfort Pediatric Radiology Patients, Leading to Less Need for Sedation, Shorter Wait Times, Higher Satisfaction 09/28/12

A pediatric radiology department uses theme-based room designs, multisensory distractions, and age-appropriate interactions and techniques to engage and distract young patients, leading to significantly less use of sedation, shorter scheduling lead times, increased throughput, and higher parent and staff satisfaction.

Computerized Alerts Do Not Influence Physician Ordering Habits or Improve Clinical Outcomes for Elderly, Hospitalized Patients With Cognitive Impairment 09/14/12

Computerized alerts did not influence physician ordering habits or improve clinical outcomes for elderly, hospitalized patients with cognitive impairment.

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