Active care processes: diagnosis and treatment
The Brooklyn Mental Health Court links eligible defendants to long-term treatment and monitoring of their mental health problems as an alternative to incarceration. Early evidence suggests that the program has been successful in reducing recidivism, homelessness, psychiatric hospitalizations, alcohol use, and substance abuse.
Dupont Hospital introduced the principles of the Lean production model to its surgery department, leading to more than a doubling of the percentage of on-time surgery starts, from 27 to 66 percent.
A partnership between a hospice organization and an 11-location multispecialty group practice places palliative care nurses in primary care clinics to monitor dying patients' medical and social care needs, coordinate community services, and discuss end-of-life issues.
A pediatric asthma management program led to a significant decline in the percentage of patients with moderate to severe asthma, improved quality of life, and sizable decreases in hospitalizations and costs.
The emergency department at Vanderbilt University Medical Center established a program in which patients are quickly assessed in a triage area by a team consisting of a physician, a nurse, and a paramedic.
Remote viewing of neonatal intensive care unit infants reduces maternal anxiety and promotes mother–infant bonding.
A team-building program at the largest home care agency in the country integrated home health aides into the health care team and resulted in enhanced functional status for patients, including being better able to move independently from a bed to a wheelchair or chair and better able to walk without support.
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.
Over a 10-year period, Hackensack University Medical Center designed a set of strategies to improve nurse satisfaction, reduce length of stay, and enhance case management for selected conditions, leading to improvements including reductions in nurse turnover and length of stay.