Pennsylvania

Innovations

Community Addiction Recovery Center Helps Members Remain Drug/Alcohol Free and Find Housing and Employment 07/02/10

A peer-led, community-based recovery center offers a wide array of nonmedical support to help individuals recover from mental health and substance abuse disorders; the program has significantly increased participation in employment/schooling, enhanced the ability to secure permanent housing, and helped to keep the vast majority of those served socially connected, drug- and alcohol-free, and out of the criminal justice system.

Physician Practice–Based Medical Assistants Have Limited Success in Early, Ongoing Efforts to Engage Diabetes Patients in Self-Management 06/24/10

Guided by a health educator, medical assistants at an internal medicine practice are only modestly successful in encouraging diabetes patients to engage in goal setting, create personal action plans, and communicate home blood pressure and glucose measurements to physicians.

Real-Time, Color-Coded Alerts Improve Adherence to Pediatric Asthma Guidelines in Primary Care Practices 05/26/10

Popup, color-coded alerts within an electronic health record moderately improve adherence to established guidelines in primary care practices serving pediatric patients with asthma.

Multiple Safeguards in Hospital Intravenous Medication Administration Processes Reduces Dosing Limit Violations and Improves Nurse Efficiency 05/24/10

A hospital revamped its process for administering intravenous medications to incorporate multiple automated and human safeguards, leading to increased adherence to drug dosing limits and the elimination of many error-prone steps involved in manually programming the intravenous infusion pump.

Providing Real-Time Information and Documentation Capabilities at Point of Care Reduces Documentation Time and Generates Positive Patient Feedback 12/18/09

Providing caregivers with accurate, timely information, automated prompts, and real-time documentation capabilities at the point of care reduces documentation time and leads to positive feedback from patients and generally positive feedback from nurses.

Nurse-Led, Telephone-Based Collaborative Care Improves Mental and Physical Health of Depressed Patients After Cardiac Bypass Surgery 12/04/09

A nurse-led, telephone-based collaborative care program improves mental and physical health in patients who suffer depression after cardiac bypass surgery and reduces hospital readmissions among men.

Improvement Projects Led by Unit-Based Teams of Nurse, Physician, and Quality Leaders Reduce Infections, Lower Costs, Improve Patient Satisfaction, and Nurse–Physician Communication 12/04/09

Unit-based teams of physicians, nurses, and quality leaders develop and implement unit-specific initiatives designed to improve quality and safety, leading to reductions in infections and pressure ulcers, increased adherence to medication reconciliation standards, more reporting of errors and near-misses, higher patient satisfaction, and better overall nurse/physician communication and teamwork.

Collaborative Supports Hospitals in Sharing and Implementing Best Practices, Leading to 33-Percent Decline in Urinary Tract Infections 10/27/09

A 1-year collaborative program; in which 21 Pennsylvania hospitals set target goals for urinary tract infection prevention, developed strategies to meet these goals, and shared best practices, tools, and resources; led to a 32-percent decline in hospital-acquired urinary tract infections.

Intensive, Nurse-Led Care Management During and After Hospitalization Reduces Readmissions and Costs for High-Risk Seniors 10/05/09

An intensive, nurse-led care management program provided during and after hospitalization reduced readmissions, inpatient days, and care costs for high-risk seniors.

Interactive Workshops Enhance Access to Health Education and Screenings, Improve Outcomes for Low-Income and Minority Women 07/02/09

Interactive educational workshops enhance access to health screenings for low-income and minority women, leading to improved health outcomes for those with diabetes.

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