Care management processes
A multipronged strategy involving ties between hand hygiene performance and compensation systems, adoption and constant reinforcement of clear hand hygiene protocols, a comprehensive auditing program to review hand hygiene adherence, and other program elements improved adherence to appropriate hand hygiene protocols.
An organizational transformation focused on patient- and family-centered care leads to consistently high levels of patient satisfaction.
A six-step process related to nurse shift changes is designed to enhance patient safety by conveying vital patient information accurately, concisely, and consistently, leading to improved nurse and patient satisfaction and more nurse time spent at the bedside.
The Michigan Stroke Network provides on-demand remote consultations to emergency department physicians in 30 hospitals and one freestanding emergency department throughout Michigan. These consultations provide the physicians with access to stroke care specialists within 12 to 15 minutes of the physician making a telephone call.
An employer-based intervention to systematically screen workers for depression; provide telephonic outreach for needs assessment, monitoring, and support; and conduct telephonic psychotherapy demonstrated significantly improved clinical and workplace outcomes.
Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.
Abington Memorial Hospital pursued a number of activities to build a culture of safety, including TeamSTEPPS ™ (Strategies and Tools to Enhance Performance and Patient Safety) training and other initiatives to enhance communication and awareness of safety issues.
A health plan-led program that encourages patients with chronic low back pain to increase exercise, use appropriate medications, and reduce stresses on the back led to reduced pain levels and absenteeism.
GreenField Health in Portland, OR, uses e-mail and telephone communications for the majority of patient contacts, thus saving physician time and freeing up capacity to serve patients who need inperson care more quickly.
Practice enhancement assistants improve patient care through practice audits and feedback, staff training, sharing of innovative ideas, and support in the development of systems and infrastructure.