Virginia

Innovations

Smoking Cessation Intervention by Thoracic Surgeons Achieves Above Average Pre- and Postoperative Quit Rates 05/29/10

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.

Sleep Education and Other Support Significantly Reduces Turnover Among First-Year Nurses 03/17/10

A nurse retention program that incorporates sleep education and other support significantly reduced nurse turnover among first-year nurses.

Protocols, 24-Hour Neurologist Access, and Ongoing Training Lead to More Patients Receiving Timely Stroke Diagnosis and Treatment 02/22/10

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.

Home Visits Using Reflective Approach Improve Functional Health Literacy Among Low-Income Pregnant Women and New Parents 04/28/09

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.

Automated Phone Counseling Helps Parents of Overweight Children Model and Encourage Appropriate Behaviors, Leading to Meaningful Reduction in Body Mass Index 03/23/09

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.

Hospital-Based Pediatric Clinic Increases Access to Dental Care and Improves Oral Health for Low-Income Children and Children With Disabilities 01/05/09

A hospital-based outpatient pediatric dental clinic improves access to dental care and oral health for low-income children and children with disabilities.

Nurse-Led Weekly Educational Program for Children Focuses on Physical Activity and Food Choices, Leading to Healthier Behaviors, Lower Body Mass Index 12/02/08

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.

Use of Clinical "Bundles," Fixed Pricing, and Patient Compact Enhances Adherence With Guidelines and Improves Outcomes in Bypass Surgery, Diabetes, and Other Areas 11/05/08

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 Facilitate Access to Counseling Services, Leading to Positive Behavior Changes Among Patients 06/13/08

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.

Telephone-Based Case Management and Periodic Home Visits Reduce Neonatal Intensive Care Unit Utilization and Overall Costs for High-Risk Pregnant Women and Their Babies 03/14/08

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.

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