Asthma "Lounge" Within Emergency Department Reduces Waiting Times, Return Visits, and Hospitalizations 08/27/08

A hospital set up an “asthma lounge” within its emergency department that enables staff to provide quicker treatment and education to patients having asthma attacks.

Low-Tech Medication Reconciliation Process Emphasizing Standardized, Easy-to-Execute Roles Significantly Reduces Rate of Unreconciled Medications 05/13/08

Contra Costa Health Services launched a medication reconciliation process at its county-owned hospital based on Institute for Healthcare Improvement concepts for redesigning work to achieve a high degree of reliability. The institution uses a process in which providers, pharmacy, and nursing staff have standardized, easy-to-understand, and easy-to-execute roles related to medication reconciliation.

Telephone-Based Coaching Does Not Reduce Rate of Falls or Fall-Related Injuries, but Prompts Changes in Hospital Processes That May Lead to Future Improvement 05/06/08

A telephone-based coaching intervention was designed to help hospital-based fall prevention champions identify and implement needed changes in fall-related organizational policies and clinician-specific practices.

Group Primary Care Visits Improve Outcomes for Patients With Chronic Conditions 02/29/08

Hill Physicians Medical Group offers 60- to 90-minute group appointments for patients with chronic conditions such as diabetes, hypertension, and chronic obstructive pulmonary disease, as well as menopause, prenatal care, and precolonoscopy; the program has led to improved outcomes for diabetes patients and anecdotal reports of higher patient and physician satisfaction and reduced downstream utilization.

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.

Comprehensive, Shelter-Based Clinic Enhances Access to Oral Health Services for Homeless in Los Angeles 02/26/08

A collaborative partnership between the University of Southern California School of Dentistry, Union Rescue Mission shelter, and other community stakeholders has led to free, comprehensive dental services available to homeless individuals in the Skid Row area of Los Angeles.

Faith Community Nurses Work With Local, Trusted Organizations to Enhance Access to Primary and Preventive Care for Low-Income Individuals in Los Angeles 02/25/08

Faith community nurses provide case management, consultation, health education, screenings, and basic care at little or no cost to low-income, uninsured/underinsured individuals.

Child Abuse Experts Provide Videoconference-Enabled Consultations to Providers in Remote Emergency Departments and Clinics, Leading to More Accurate Diagnosis 02/25/08

Using interactive videoconferencing, the University of California at Davis provides 24-hour child abuse evaluation and consultation services to underserved rural areas and also provides monthly child abuse training to health care providers in these areas.

Pediatric Critical Care Physicians Provide Remote Consultations to Emergency Departments in Underserved Rural Areas, Leading to Better Diagnosis and Treatment 02/25/08

An academic medical center provides 24-hour evaluation and consultation services via interactive videoconferencing to emergency departments serving rural and underserved areas, leading to improvements in diagnosis, treatment, and patient satisfaction.

Automated, Telephone-Based Interactive, Language-Appropriate Monitoring Engages and Improves Health Behaviors of Low-Income Diabetes Patients 02/22/08

The Automated Telephone Diabetes Management program, a part of the IDEALL project, provided automated telephone monitoring of individuals with poorly controlled type II diabetes who receive their care at four safety net clinics in San Francisco.


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