Hospital-based program increases use of pertussis vaccinations for mothers who have just given birth and others who will be in regular contact with the infant at home (and who therefore represent a potential source of infection to the infant).
A primary care clinic integrates behavioral health assessment and treatment into the care of its largely low-income population, leading to better access to mental health care, improved quality of life, and reductions in depression and anxiety, utilization of primary care and emergency department services, and overall health care costs; Spanish-speaking patients have benefited disproportionately from the program in certain areas.
A large multispecialty clinic launched a multidimensional campaign to increase influenza immunizations of pregnant patients, with key elements including educating providers and nurses about the safety and effectiveness of immunizations, publicizing the immunization rates of individual obstetricians' patients, and making vaccinations a part of standing orders; the program led to a dramatic increase in the immunization rate over a 10-year period.
A multispecialty clinic promotes influenza vaccinations among employees by offering free vaccines, providing education about vaccine safety and effectiveness, designating an immunization champion within each clinic, and sponsoring friendly competitions across sites; the program led to more than doubling the employee immunization rate over a 7-year period.
A rapid admission protocol streamlines the process between the decision to admit an emergency department patient and the arrival of the patient on the inpatient unit by reassigning care responsibilities and reducing process steps, leading to reduced emergency department boarding time.
A hospital-based telephone triage system allows patients to describe their symptoms to a nurse, who uses an algorithm to assess acuity and determine the best setting for treatment, leading to reductions in emergency department patient volumes, wait times, average length of stay, and walkouts.
A medical complex houses a primary care practice, a wide array of specialty practices, and ancillary service providers who operate independently but collaborate closely to provide same-day access and communicate in real time on individual cases, leading to improvements in breast and colon cancer screening rates and to higher physician and patient satisfaction.
An Internet-based support program featured ongoing monitoring of weight and weight-related behaviors, personalized feedback from counselors, interactive educational lessons, and motivational interviewing, allowing many time-constrained military personnel to avoid weight gain or lose a moderate amount of weight.
A group music and exercise program for very young burn victims enhances active range of motion in assessed joints.
Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.