Transitions between settings

Innovations

Pediatric Center Offers Coordinated, Culturally Appropriate Services, Increasing Access to Comprehensive Care for Low-Income Children With Special Health Care Needs 03/07/08

A pediatric center provides comprehensive, coordinated services within a primary care medical home for low-income and immigrant children with special health care needs.

Computerized, Multilingual Visual Medication Schedule and Teach-Back Protocols Improve Anticoagulation Control for Low-Literacy Patients 02/26/08

A randomized clinical trial at San Francisco General Hospital used visual medication schedules and brief teach-back protocols in English, Spanish, and Cantonese to improve anticoagulant control among low-literacy patients in the public hospital's anticoagulation clinic.

Early Activation of Acute Myocardial Infarction Team Reduces Time Between Emergency Department Arrival and Start of Angioplasty Procedure 02/26/08

The University of Michigan Health System redesigned the process for activating its acute myocardial infarction team, with an emphasis on the earliest possible electrocardiogram administration and team activation, ideally while the patient is en route to the hospital.

Nurse Home Visitation Program Reduces Readmissions, Emergency Department Visits, Child Abuse, and Foster Home Placements for Medically Fragile Infants 02/25/08

Bridge to the Future provides nursing home visits to low-income families with medically fragile infants who have been discharged from the neonatal intensive care unit, thus ensuring a smooth transition to long-term care in the home.

Transition Coaches Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs 02/14/08

Transitions coaches encourage recently hospitalized Medicare patients with complex care needs to assert a more active role in their posthospital care, leading to fewer readmissions and lower costs.

Community Partnerships and Provider Training Increase Service Capacity and Access to Long-Term Treatment for Individuals With Heroin Addiction 02/13/08

Community partnerships and provider training increase service capacity and access to long-term treatment for individuals addicted to heroin.

Multidisciplinary Team-Generated Interventions Improve Medication Reconciliation and Patient Safety 02/11/08

Multidisciplinary teams implemented a comprehensive medication reconciliation program for patient admissions, transfers, and discharge to significantly improve the reconciliation process.

Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Followup Care 01/25/08

The Re-Engineered Discharge project at Boston Medical Center standardizes the hospital discharge process through use of 11 separate but mutually reinforcing steps that health care professionals follow from patient admission to postdischarge.

Comprehensive Program That Includes Standardized Protocols and Pain Management Team Significantly Reduces Narcotic Oversedation in Hospital Setting 01/25/08

A comprehensive hospital program that includes standardized protocols and various support systems to encourage adherence to these protocols led to an 81-percent decline in serious narcotic oversedations.

Patient Education and Staff Training Significantly Improves Medication Reconciliation in Outpatient Clinics 01/23/08

Mayo Clinic researchers developed a medication reconciliation intervention program for outpatient primary care settings that improved the accuracy of medication lists in the practice's electronic medical records.

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