During pre- and postsurgery visits, thoracic surgeons encourage lung cancer patients to quit smoking and provide assistance to help them do so, leading to a 35 percent quit rate, which is above the average quit rate documented in other smoking cessation programs.
A nurse retention program that incorporates sleep education and other support significantly reduced nurse turnover among first-year nurses.
A comprehensive initiative to improve stroke care features protocols to facilitate faster evaluation and diagnosis, quick administration of tissue plasminogen activator when indicated, 24-hour access to a neurologist, enhanced discharge planning, improved documentation and data collection, continuous staff training, and community outreach, leading to more timely administration of appropriate diagnostic tests and treatment and to many more eligible patients receiving tissue plasminogen activator.
Reflective questions and conversations integrated into home visitation programs increased the health literacy of low-income pregnant women and new parents, thus empowering them to better manage their family's health and medical care.
Parents of overweight children completed a workbook, attended two discussion groups, and received up to 10 recorded, interactive phone messages promoting a healthy diet and physical activity, leading to a marked reduction in their children's body mass index.
A hospital-based outpatient pediatric dental clinic improves access to dental care and oral health for low-income children and children with disabilities.
A weekly, hospital-based community program led by nurses that educates children about healthy lifestyle choices related to nutrition and physical activity has led to reductions in body mass index and waist circumference and to increases in physical activity.
The ProvenCare program uses guideline-based “bundles” of discrete clinical care elements to guide surgical care delivery, a fixed per-case rate for inpatient and followup care, and a “patient compact” and other educational activities to encourage patients to become more engaged in their care.
Automated clinician prompts and referrals facilitates access to behavior counseling, leading to improved behaviors related to diet and exercise and higher quit rates among smokers.
The Partners in Pregnancy program combines telephone-based case management with periodic home visits from registered nurses and community-based workers to improve pregnancy outcomes for high-risk pregnancies in a Medicaid managed care population.