Preventive care processes
Reid Hospital created a computer-based system of alerts, standing orders, and care pathways to eliminate gaps in the care of patients with pneumonia, acute myocardial infarction, and heart failure, and to address surgical complication and infection prevention, leading to significant improvements in quality of care.
The University of Washington Physician's Network developed a wireless, pager-based messaging system to help diabetic patients better manage their condition. An evaluation of the initiative found that it had no impact on blood glucose levels, although blood pressure improved.
An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.
Remote viewing of neonatal intensive care unit infants reduces maternal anxiety and promotes mother–infant bonding.
Nurses at the University of Pittsburgh Medical Center Presbyterian Hospital routinely monitor all patients admitted to intensive care units for methicillin-resistant Staphylococcus aureus colonization from admission to discharge.
A multipronged active surveillance program for vancomycin-resistant Enterococcus (VRE) significantly reduced VRE transmission rates in a 12-bed transplant intensive care unit.
The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.
Both nurse-led and automated telephone outreach to elderly and chronically ill individuals increases vaccination rates.
Statewide telehealth ANGELS (Antenatal and Neonatal Guidelines, Education and Learning System) initiative connects rural Arkansas women who have high-risk pregnancies to specialty prenatal consultations and tertiary services and improves mother and infant outcomes.
Providers used an established tool to classify patients into low-, moderate-, or high-risk categories for deep vein thrombosis and then prescribe preventive anticoagulant (blood thinner) medication and/or mechanical devices, increasing prophylaxis use and decreasing deep vein thrombosis rates.