IOM Domains of Quality

Innovations

Patient-Centered, Peer-Led Education and Support Enhance Patient Engagement and Self-Efficacy and Reduce Hospital Readmissions for Patients with Spinal Cord Injury 06/28/16

A rehabilitation hospital revamped its patient education and transition services to incorporate a variety of patient-centered, peer-led approaches, leading to enhanced patient engagement and self-efficacy and fewer readmissions.

Community Paramedic Works Onsite in Homeless Shelter, Significantly Reducing Unnecessary 911 Calls and Connecting Residents to Primary Care 04/27/16

A community paramedic works onsite at a homeless shelter during afternoon and evening hours 4 days a week during periods when an onsite primary care clinic is not open, significantly reducing unnecessary 911 calls and connecting shelter residents to primary care.

Patient and Family Advisor Rounding Contributes to Reduction in Falls and to Better Performance on Key Patient Experience Metrics 03/24/16

Patient and family advisors conduct regular rounds with patients and their family members on inpatient units and in the emergency department, contributing to a reduction in falls and to better performance on key patient experience metrics.

Patient and Family Advisors Spearhead Redesign of Bedside Shift-Change Reporting, Leading to More Consistent Use 03/09/16

Patient and family advisors work with other stakeholders to redesign the structure and process for bedside change-of-shift reports, leading to more consistent use of the new approach.

On-the-Scene Video Consultations With Emergency Physicians Reduce Unnecessary Ambulance Transports and Emergency Department Visits, Connect People to Medical Homes 11/05/15

A city fire department offers on-the-scene video consultants between emergency physicians and non-emergent 911 callers, leading to fewer unnecessary ambulance transports and emergency department visits, lower costs, more connections of patients to primary care medical homes, and more time for ambulance crews to deal with true emergencies.

Statewide Association Creates Nation’s First Statewide Patient and Family Engagement Advisory Council, Increasing Adoption of Leading Practices by Member Hospitals 08/28/15

A statewide advisory council provides guidance to and supports hospital association activities to promote patient and family engagement, leading to increased adoption and use of practices that promote the delivery of patient- and family-centered care by member hospitals.

Pharmacists Integrated Within Patient-Centered Care Teams Help At-Risk Patients Manage Medications, Leading to Better Outcomes and Lower Costs 08/18/15

Pharmacists working as part of care teams in patient-centered medical homes assist at-risk patients in managing their medication regimens, leading to more knowledgeable and confident patients, better outcomes, lower costs, and high levels of patient satisfaction. 

Children’s Hospital Hires Parents To Promote Patient- and Family-Centered Care, Leading to Eightfold Increase in Patient and Family Advisors and Higher Satisfaction 06/16/15

A children’s hospital created a paid position where parents work to promote patient- and family-centered care, leading to an eightfold increase in the number of patient and family advisors working on hospital committees and to many committee-generated improvements that have increased parent and staff satisfaction. 

Welcome Policy Eliminates Visiting Restrictions and Allows Loved Ones To Be With Patients Round-the-Clock, Generating Positive Feedback From All Stakeholders 01/12/15

Replacing traditional visiting restrictions, a hospital’s “welcome” policy allows loved ones (including minors) to be with patients round-the-clock, leading to very positive feedback from patients, family members and friends, and hospital staff.

Collaborative Health Education and Access Events Offer No-Cost Screenings and Navigation Services To Connect Lesbian, Gay, Bisexual, and Transgender Individuals With Medical Homes Offering Culturally Competent Care 12/19/14

Lesbian Health Initiative of Houston, Inc., creates a gateway to medical homes for lesbian, gay, bisexual, and transgender women and transgender men through a program that combines culturally competent outreach, education, screening, and patient navigation.

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