A hospital-affiliated physician group offers modest performance-based incentives to salaried physicians, leading to sustained improvements in performance on a broad array of quality-related metrics.
Hospitals use a real-time location system to track employees, patients, and/or major pieces of equipment, leading to lower equipment costs, better infection control processes, faster room turnaround, and high levels of patient, physician, and staff satisfaction.
A group of 14 long-term care facilities cede control of immunization policies to a regional pharmacy, leading to a significant increase in influenza vaccination rates among facility workers.
Nurses and nurse aids in intensive care units bathe patients each day using washcloths impregnated with an antiseptic agent, leading to a significant reduction in hospital-acquired infections.
A multifaceted program featuring education and feedback, ultraviolet room disinfection devices, and a dedicated housekeeping team significantly improved the thoroughness of room cleanings and reduced the percentage of rooms housing patients with Clostridium difficile infections that tested positive for the pathogen at patient discharge.
Financial incentives used by all Maryland public and private payers significantly reduce hospital-acquired conditions in hospitals throughout the state.
A New York State law requires hospitals and primary care providers to offer an HIV test to all patients between the ages of 13 and 64 years, streamlines the consent process, and requires providers to schedule patients with positive results for followup care; the law increased testing rates and helped link HIV-positive patients to care.
A series of automated text messages to predominantly low-income, Latino parents about influenza and the importance of influenza vaccines leads to a small but meaningful increase in the percentage of children vaccinated.
BJC HealthCare requires employees to get an annual influenza vaccination as a condition of employment, resulting in the vaccination of virtually the entire workforce.
As required by law, hospitals in New York track and report information on select hospital-acquired infections to the State Department of Health, which publicly releases hospital-specific performance data and supports hospitals with quality improvement initiatives; the program has reduced infection rates and generated substantial cost savings.