Care coordinators remotely monitor veterans with chronic medical conditions via home telehealth devices, leading to reductions in hospital admissions, bed days, and care costs and to high levels of patient satisfaction.
A hospital implemented a bundle of interventions that reduced falls and fall-related injuries on two medical-surgical units.
A hospital created a new nursing position, the clinical resource nurse, to ensure continuity of care, facilitate care planning, coordinate with physicians, encourage adherence to evidence-based practices, and mentor less experienced nurses, leading to more timely discharges, fewer falls and pressure ulcers, lower nurse turnover, and higher patient, nurse, and physician satisfaction.
An interdisciplinary, comprehensive set of skin care guidelines, combined with support systems to encourage adherence, leads to a substantial reduction in facility-acquired pressure ulcers in hospitalized patients.
A hospital created a new position—the clinical nurse leader—to play a variety of clinical roles, leading to improved performance on Centers for Medicare & Medicaid Services core measures, lower nurse turnover, and higher patient and physician satisfaction.
Faced with an increase in the number of patients with Clostridium difficile infections, Florida Hospital Tampa implemented a comprehensive program to reduce environmental transmission of the bacterium, leading to a significant reduction in infections.
Biweekly counseling over a 1-year period helped rural women who completed a lifestyle intervention maintain their weight loss, with telephone-based counseling being less expensive and time-consuming than face-to-face group sessions.
Lakeland Regional Medical Center in Florida enhances access to influenza and pneumococcal vaccines by sponsoring a “drive-through” program each fall for seniors.
A county health department enhanced access to routine care and improved outcomes by enacting a number of systems-based changes across three primary care sites serving patients with HIV/AIDS, including intensive patient tracking and outreach, flexible scheduling, self-management education and peer support, and renewed emphasis on having an annual comprehensive physical examination.
VITAS Telecare service centers address a wide variety of hospice patient and family needs after hours, providing advice and comfort over the telephone and dispatching nurses to patient homes when necessary.