IOM Domains of Quality

Innovations

Heart Failure Disease Management Improves Outcomes and Reduces Costs 12/14/07

Essentia Health Heart and Vascular Center created a heart failure program combining chronic care and disease management principles to improve outcomes and reduce costs associated with heart failure care.

Multifaceted Program Increases Reporting of Potential Errors, Leads to Action Plans to Enhance Safety 12/13/07

A multifaceted initiative known as the Good Catch Program dramatically increases the reporting of events that could potentially cause harm and spurs the development of action plans designed to address the common causes of potential errors.

Electronic Medical Record-Facilitated Workflow Changes Enhance Quality and Efficiency, Generating Positive Return on Investment in Small Pediatrics Practice 12/13/07

Four Seasons Pediatrics, a three-physician group in upstate New York, improved its workflow, reduced staffing costs, and enhanced quality of care while adopting an electronic medical record.

Online Access to Low-Dose Birth Control Reduces Barriers to Reproductive Health 12/06/07

Planned Parenthood of the Columbia/Willamette created an online service that offers Oregon and Washington women easy, 24/7 access to low-dose, hormonal contraception without requiring an office visit or a trip to the drug store.

Comprehensive, Integrated Palliative Care Reduces Costs and Improves Satisfaction Among Patients and Their Families Within a Large Health System 12/05/07

Fairview Health Services' palliative care program offers palliative care clinical and support services to inpatients, outpatients, and home care patients to mitigate suffering and improve quality of life; the program is integrated into the care process to facilitate referrals and care coordination.

Primary Care Managers Supported by Information Technology Systems Improve Outcomes, Reduce Costs For Patients With Complex Conditions 12/05/07

The Care Management Plus program combines the care coordination services of a care manager with robust electronic tracking and reminder systems to deliver comprehensive medical care to seniors with multiple chronic illnesses in primary care clinics.

Crisis Management Simulation Course Receives Positive Reviews, Enhances Communication and Teamwork Among Labor and Delivery Practitioners During Crises 12/05/07

Crisis Resource Management is a 7-hour course for labor and delivery practitioners that uses various strategies of crew resource management, a safety program developed by the aviation industry, to create realistic simulations designed to facilitate improvement of teamwork and communication skills in a real labor and delivery crisis.

House Calls to Frail Elders Reduce Costs, Hospital Use, and Nursing Home Placements 12/03/07

An interdisciplinary team of geriatricians, nurse practitioners, and social workers provide primary health care via house calls to homebound frail elders.

Faxed Physician Reminders Fail to Improve Antidepressant Adherence 12/03/07

Automatically generated fax alerts did not succeed in improving patients' adherence to their antidepressant treatment plans.

Nursing Home Learning Collaborative Improves Quality of Care, Reduces Staff Turnover 12/03/07

In an approach to improving nursing home care known as the “Wellspring Program,” nursing homes join an alliance that allows participants to exchange performance experience and conduct interdepartmental group training for both frontline staff and leadership on quality improvement and culture change processes.

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