Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.
Health navigators help primary care patients access medical and community resources, leading to significant improvements in health-related and self-management behaviors and health outcomes and to meaningful declines in emergency department and inpatient utilization.
With the support of the Ministerial Alliance and local churches, a collaboration between an integrated health system and the YMCA offered a 6-month program combining exercise classes, nutrition and wellness programs, incentives, and case management support, leading to improved exercise and eating habits and lower blood pressure and body mass index among overweight and obese African-American women.
A multifaceted process for full disclosure of medical errors leads to a significant reduction in claims and claim costs for a health system.
As part of a hospital collaborative, intensive care units implemented a multifaceted safety program that reduced infections and hospital days, saved lives, and lowered health care costs.
A hospital laboratory redesigned work processes, leading to faster turnaround times, enhanced staff productivity, and cost savings.
A hospital laboratory reconfigured physical space, redefined job responsibilities, and standardized the collection and processing of specimens, leading to faster test turnaround times, cost savings, and enhanced productivity.
Diabetes educators come to office and factory worksites for scheduled one-on-one counseling sessions with employees, leading to better diabetes knowledge; improvements in blood sugar, cholesterol, and weight control; and reduced absenteeism.
A church-based program has been successful in encouraging African-American congregants to increase their intake of fruits and vegetables.
A comprehensive asthma management program that includes a registry of all asthma patients, action plans, home visits from nurses, and specialized services for high-risk children led to a reduction in asthma-related hospitalizations and pediatric emergency department visits.