IOM Domains of Quality
A partnership between a hospice organization and an 11-location multispecialty group practice places palliative care nurses in primary care clinics to monitor dying patients' medical and social care needs, coordinate community services, and discuss end-of-life issues.
A collaborative effort to develop an out-of-hospital cardiac arrest registry and change 911 call routing and ambulance deployment processes led to a significant improvement in the cardiac arrest survival rate in Atlanta.
A pediatric asthma management program led to a significant decline in the percentage of patients with moderate to severe asthma, improved quality of life, and sizable decreases in hospitalizations and costs.
Primary care clinicians were able to expedite communication of outpatient laboratory and imaging test results to patients with the help of an automated test results management system.
The Brooklyn Mental Health Court links eligible defendants to long-term treatment and monitoring of their mental health problems as an alternative to incarceration. Early evidence suggests that the program has been successful in reducing recidivism, homelessness, psychiatric hospitalizations, alcohol use, and substance abuse.
Dupont Hospital introduced the principles of the Lean production model to its surgery department, leading to more than a doubling of the percentage of on-time surgery starts, from 27 to 66 percent.
The emergency department at Vanderbilt University Medical Center established a program in which patients are quickly assessed in a triage area by a team consisting of a physician, a nurse, and a paramedic.
The American Heart Association spearheaded a public education campaign (called “Restart Atlanta's Hearts”) to teach Atlanta area residents to identify individuals who are experiencing cardiac arrest and to act quickly to save them.
Remote viewing of neonatal intensive care unit infants reduces maternal anxiety and promotes mother–infant bonding.
A team-building program at the largest home care agency in the country integrated home health aides into the health care team and resulted in enhanced functional status for patients, including being better able to move independently from a bed to a wheelchair or chair and better able to walk without support.