Massachusetts

Innovations

Regional Teams Enhance Ability of Primary Care Clinicians Throughout Massachusetts to Serve Children and Adolescents With Mental Health Issues 12/16/10

Regional teams of mental health professionals enhance the ability of primary care clinicians throughout Massachusetts to serve children and adolescents with mental health issues.

Regular Meetings of Patients and Staff Reduce Violent Episodes by 85 Percent on Inpatient Psychiatric Unit 10/28/10

An inpatient psychiatric unit holds regular 30-minute “community” meetings focused on violence prevention, with all on-duty unit staff and patients attending; the meetings—which serve as a forum for expressing concerns, reviewing recent episodes, and brainstorming prevention strategies—reduced violent episodes by 85 percent.

Physician "Prescriptions" Written During Medical Visit and "Filled" by Onsite Volunteers Connect Low-Income Families to Vital Community Resources 10/21/10

Physicians in inner-city care settings identify the resource needs of low-income families and write “prescriptions” that these families take to a help desk where college student volunteers connect them to needed resources. The program has successfully connected most clients to these resources, leading to high levels of satisfaction and improved health and well-being.

Systematic Tracking and Analysis of Admissions for Chemotherapy Toxicity Inform Quality Improvement Efforts, Leading to Reduced Toxicity Risk 07/22/10

A community cancer center identifies all patients hospitalized due to chemotherapy-related toxicity and enters data on such patients into a toxicity registry; analysis of registry data has stimulated quality improvement initiatives that have reduced admissions of nondiabetic multiple myeloma patients due to hyperglycemia and reduced the risk of treatment-related diarrhea in colorectal cancer patients.

Comprehensive Program to Change Hand Hygiene Culture Improves Adherence to Disinfection Guidelines, Leading to Lower Infection Rates and Costs 07/19/10

A comprehensive, hospital-based program targeting culture change related to hand hygiene through education, environmental modifications, and employee incentives leads to better adherence, fewer infections, and lower costs.

On-Call Attending Physicians Consult with Onsite Care Team via Home-Based Videoconferencing, Improving Care Timeliness, Quality, and Safety in Pediatric Intensive Care Unit 06/16/10

On-call, pediatric intensive care unit attending physicians consult with onsite clinicians and patient/family members from their homes via audiovisual technology that allows real-time communication, leading to improved quality and timeliness of care and high levels of patient/family satisfaction.

Shared Decisionmaking Tools Plus Peer Support Lead to More Efficient and Effective Mental Health Consultations and High Satisfaction 06/10/10

Peer specialists and decision support aids help mental health clients identify preferences about their treatment and communicate these preferences to clinicians during consultations, leading to frequent use of shared decisionmaking, more effective and efficient visits, and high levels of client satisfaction.

Health Center Combining Traditional and Western Medicine Enhances Access to Care, Improves Health Outcomes for Southeast Asian Immigrants 02/13/10

A health center combines Western and traditional Southeast Asian medicine to better serve a large Southeast Asian population, leading to enhanced access to care, more setting of goals related to self-management of chronic disease, improved mental health and diabetes outcomes, and high levels of patient satisfaction.

Revamped Processes and Systems Enhance Access to High-Quality Interpretation Services for Patients With Limited English Proficiency 09/20/09

A comprehensive process ensures that patients with limited English proficiency have timely access to high-quality interpreter services, leading to more service offerings, better quality, and shorter length of stay.

Comprehensive Orthopedic Surgical Program to Improve Patient Experience Increases Satisfaction, Reduces Length of Stay, and Allows More Patients to Be Discharged Directly Home 09/17/09

A comprehensive program to improve patient experience before, during, and after orthopedic surgery leads to improved satisfaction, higher patient volume, and better patient outcomes.

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