New York

Innovations

Strict Adherence to System-Wide Standards and Protocols Significantly Reduces Infections Associated With Central Venous Catheters 01/25/08

The North Shore-Long Island Jewish Health System uses a standard, system-wide process to reduce central venous catheter–related infections, with a focus on adhering to evidence-based standards and protocols related to inserting, maintaining, and removing the catheters.

Periodic Home Visits, Specialist Visits, and Followup Enhances Access and Improves Outcomes for Low-Income Children With Asthma 01/15/08

A pediatric asthma management program led to a significant decline in the percentage of patients with moderate to severe asthma, improved quality of life, and sizable decreases in hospitalizations and costs.

Mental Health Court Links Eligible Offenders With Treatment and Monitoring, Reducing Recidivism, and Improving Outcomes 01/15/08

The Brooklyn Mental Health Court links eligible defendants to long-term treatment and monitoring of their mental health problems as an alternative to incarceration. Early evidence suggests that the program has been successful in reducing recidivism, homelessness, psychiatric hospitalizations, alcohol use, and substance abuse.

Better Integration of Home Health Aides Into the Health Care Team Improves Patient Functionality 01/11/08

A team-building program at the largest home care agency in the country integrated home health aides into the health care team and resulted in enhanced functional status for patients, including being better able to move independently from a bed to a wheelchair or chair and better able to walk without support.

Pharmacist-Led, Grocery Store–Based Medication Review Reduces Falls and Enhances Compliance for Medicare Managed Care Members 12/20/07

A plan-sponsored, pharmacist-led prescription and over-the-counter medicine review program at a local supermarket chain helps identify potentially harmful medication interactions, reduces falls, and enhances medication compliance among Medicare beneficiaries.

Electronic Medical Record-Facilitated Workflow Changes Enhance Quality and Efficiency, Generating Positive Return on Investment in Small Pediatrics Practice 12/13/07

Four Seasons Pediatrics, a three-physician group in upstate New York, improved its workflow, reduced staffing costs, and enhanced quality of care while adopting an electronic medical record.

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