North Carolina

Innovations

In-Office Education via Hand-Held Electronic Device Enhances Patient Knowledge Without Burdening Primary Care Staff 03/22/11

A primary care clinic offers patients 3- to 5-minute educational video modules, leading to enhanced patient knowledge without placing incremental demands on physicians and staff.

Multidisciplinary Team Redesigns Care Processes and Systems, Leading to Significantly Improved Performance on Core Measures in Four Clinical Areas 12/09/10

A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.

Pharmacist Provides Telephone-Based Medication Reconciliation and Education to Recently Discharged Patients, Leading to Fewer Readmissions 09/07/10

Health system pharmacists telephone recently discharged patients to complete medication reconciliation and provide medication-related education, leading to significant reductions in readmission rates and high levels of patient satisfaction.

Community Partnership Uses Lay Health Advisers to Reduce Chronic Disease Risk Factors, Leading to Improvements in Lifestyle and Health in Low-Income African Americans 08/15/10

A primary care center, county health department, community organizations, and lay health advisers jointly developed and implemented various activities to reduce risk factors for cardiovascular disease and diabetes in a low-income, largely African-American population, leading to improvements in health-related behaviors and better health.

Quality Improvement Collaborative Helps Clinic Serving the Uninsured to Significantly Increase Colorectal Cancer Screening and Smoking Cessation Education 08/04/10

As part of a quality improvement collaborative, a nonprofit clinic serving uninsured patients created new processes to identify those in need of colorectal cancer screening and smoking cessation education, formed partnerships with community-based organizations and providers to offer additional support to such patients, and participated in ongoing performance monitoring, reporting, and improvement; the program significantly increased the percentage of eligible patients receiving the targeted services.

Statewide Initiative Focuses on Early Diagnosis, Care Team Activation, and Patient Transfer, Leading to More Timely Treatment for Heart Attack Patients 06/22/10

A statewide program in North Carolina promotes early initiation of evidence-based heart attack treatment through collaboration with trained paramedics and partnerships between and within hospitals, leading to earlier initiation of therapy and faster transfer of patients.

Low-Overhead Medical Home Leverages Information Technology To Attract Both Providers and Patients in Underserved Rural Areas 04/27/10

A low-overhead medical home leverages information technology to produce a financially viable, high-quality primary care experience that proves to be attractive to both physicians and patients in an underserved rural area.

System to Help Staff Locate Equipment Quickly Frees Up Nurse Time, Improving Care and Staff Satisfaction 04/23/10

Nurses and other hospital staff use a radiofrequency identification system to pinpoint the location of needed equipment, leading to enhanced productivity, better equipment maintenance, expedited patient care and discharge, and high levels of nurse satisfaction.

Multidisciplinary Team Brings Palliative Care to Rural Patients, Leading to Improved Symptom Management and High Levels of Satisfaction 12/09/09

A palliative care program brings holistic physical, spiritual, and psychosocial support and care to patients in rural areas in their setting of choice, leading to improved symptom management and high levels of patient and provider satisfaction.

Education and Support of Primary Care Practices Does Not Increase Referrals of Patients With Behavioral Risks to Community-Based Organizations 10/19/09

Education and support of primary care practices did not increase referrals of patients with behavioral risk factors to community-based organizations.

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