Massachusetts

Innovations

Skilled Nursing Facility Uses Standardized Assessments, Palliative Care Consults, and Root-Cause Analysis to Reduce Readmissions and Improve Staff Morale 05/09/11

A rehabilitation center's recuperative services unit uses a three-part protocol consisting of standardized assessments, palliative care consults and care plans, and root-cause analysis to reduce readmissions and improve staff morale.

Shelter-Based Medical Care and Case Management Enhance Access to Services for Homeless Women, Improve Outcomes, and Lower Costs 04/05/11

Volunteer physicians, supported by paid nurse case managers, provide homeless women with needed medical care in homeless shelters and connect the women to other needed medical and social services. The program has enhanced access to services, improved outcomes, and generated significant cost savings.

Electronic Alerts Related to Black Box Warnings Do Not Affect Overall Physician Prescribing Habits in Outpatient Clinics 03/28/11

Electronic alerts related to black box warnings did not affect overall physician prescribing habits in outpatient clinics; the alerts did influence prescribing related to warnings about the most serious potential drug–drug and drug–pregnancy interactions.

Electronic System for Tracking Test Results Pending at Hospital Discharge Draws Little Use or Enthusiasm From Hospitalists 03/11/11

Hospitalists used an electronic application to track the pending test results of recently discharged inpatients; the application proved to be of limited value, with nearly half of hospitalists never using it and nearly all reporting multiple barriers to doing so.

Multidisciplinary, Clinic-Based Teams Support Obese Children in Changing Behaviors, Leading to Increased Physical Activity, Improved Diet, and Weight Loss 03/09/11

Multidisciplinary, clinic-based teams work with obese children and their families to implement a weight control self-management plan tailored to the child's needs, leading to lower or stabilized body mass index, reductions in screen time and intake of sweetened beverages, and increased physical activity and fruit/vegetable consumption.

Electronic and Telephone Reminders Increase Medication Adherence in Adults With Uncomplicated Hypertension 02/22/11

A specially designed pill-bottle system supplied visual and auditory reminders to patients, along with telephone reminders after missed doses and progress reports to be shared with providers; the program significantly increased medication adherence in those with uncomplicated hypertension.

One-Time Personalized Electronic Reminder From Primary Care Physician to Patient Does Not Increase Colorectal Cancer Screening Rates 02/18/11

A one-time personalized electronic message from a patient's primary care physician did not increase colorectal cancer screening rates in eligible adults overdue for such screening.

Culturally Sensitive, Multidisciplinary Assessment, Treatment, and Support Significantly Increase Treatment Rates for Depressed Chinese Americans in Primary Care 02/16/11

A multidisciplinary, primary care center–based team used a culturally sensitive approach to screen, evaluate, and treat depressed Chinese Americans, leading to a sevenfold increase in treatment rates.

Fall Prevention Toolkit Facilitates Customized Risk Assessment and Prevention Strategies, Reducing Inpatient Falls 01/22/11

A fall prevention toolkit uses a computerized algorithm to assess the risk of falling, identify patient-specific risk factors, and design individualized interventions to reduce those risks, leading to fewer falls in the inpatient setting.

Ongoing Monitoring, Prompt Feedback, and Reminders Improve Hand Hygiene in a Busy, Urban Emergency Department 12/28/10

A multifaceted strategy that includes ongoing auditing of adherence to established protocols and daily performance feedback to staff improved hand hygiene in a busy, urban emergency department.

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