Active care processes: diagnosis and treatment

Innovations

Comprehensive Emergency Department and Inpatient Changes Improve Emergency Department Patient Satisfaction, Reduce Bottlenecks That Delay Admissions 01/22/08

To improve emergency department patient satisfaction and throughput, St. Francis Medical Center in Los Angeles implemented a comprehensive bundle of interrelated strategies.

Enhanced Posthospitalization Services Prove Popular With the Severely Mentally Ill and Their Providers 01/22/08

La Cheim Behavioral Health Services began offering a series of posthospitalization meetings and support services for “alumni” who had achieved their therapeutic goals in partial hospitalization or intensive outpatient therapy.

Onsite Nurses Manage Care Across Settings to Increase Satisfaction and Reduce Cost for Chronically Ill Seniors 01/21/08

Specially trained nurses work with primary care physicians in their offices to improve the quality and efficiency of care for seniors with multiple chronic illnesses by coordinating care, facilitating transitions in care, and acting as the patient's advocate across health care and social settings.

Alerts, Standing Orders, and Care Pathways Boost Quality of Care for Pneumonia, Heart Attack, and Heart Failure 01/18/08

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.

Nurse-Led Assessment and Tailored Intervention Did Not Improve Adherence to Medication Regimens in HIV/AIDS Patients 01/18/08

A nurse-led program did not improve adherence to antiretroviral medications for patients with human immunodeficiency virus who are either homeless or live in marginal housing.

Health Coach Program in a Medical Group Improves Self-Care and Decreases Readmissions for High-Risk, Chronically Ill Patients 01/17/08

Dartmouth-Hitchcock Clinic assigned health coaches to high-risk chronic disease patients to provide instruction regarding health care needs over the phone, during office visits, and in group classes; the program reduced readmission rates and costs among elderly patients.

Information Technology (IT) Staff–Clinician Team Addresses IT Problems Affecting Providers and Patient Care, Leading to Increased System Usage and Efficiency 01/17/08

Mayo Clinic's staff shadowed physicians and worked closely with them to improve the clinic's information system to better support providers and enhance the patient care process in inpatient and outpatient settings.

Wireless Messaging System Has No Impact on Blood Glucose Levels, but Patients Believe It Improves Quality of Care 01/17/08

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.

Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients 01/16/08

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.

Primary Care Practices Improve Patient Satisfaction With Communication of Outpatient Laboratory Test Results 01/15/08

Primary care clinicians were able to expedite communication of outpatient laboratory and imaging test results to patients with the help of an automated test results management system.

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