Efficiency

Innovations

Proactive Patient Rounding Reduces Call Light Use and Falls, Eliminates Pressure Ulcers, and Enhances Patient and Staff Satisfaction 03/06/09

Regular nursing rounds conducted throughout day, evening, and overnight shifts substantially reduced call light use and falls, eliminated pressure ulcers, and increased patient and staff satisfaction.

Patient Flow Improvements Eliminate Ambulance Diversions and Reduce Waiting Times for Inpatient Beds 02/25/09

A hospital used a multipronged strategy to reduce delays in patient admission and discharge, eliminating ambulance diversions and reducing waiting times for patients who require inpatient admission.

Daily Remote Monitoring and As-Needed Nurse Contacts Reduce Unexpected Clinic Visits, Hospitalizations for Chemotherapy Patients 01/28/09

Daily, telehealth-enabled symptom monitoring combined with as-needed interactions with a nurse reduced unexpected clinic visits and inpatient use among cancer patients undergoing chemotherapy.

Virtual Teams That Coordinate Care for Chronically Ill Geriatric Patients Reduce Emergency Department Visits and Improve Medication Compliance, Referral Patterns, and Patient Outcomes 01/22/09

Primary care physicians and offsite clinicians use communications technology to enhance coordination of care for geriatric patients with chronic health problems, leading to fewer emergency department visits, enhanced patient satisfaction and understanding of medications, and more referrals for needed care.

Sexually Transmitted Infections Clinic Offers Testing-Only Express Visit to Eligible Patients, Leading to Shorter Waits, Increased Throughput 12/19/08

A sexually transmitted infections clinic uses a triage system to identify patients eligible for a testing-only “express visit,” leading to reduced waiting times for patients and enhanced throughput for the clinic.

Clinical Microsystem Uses Front-Line Teams to Redesign Hospital Processes, Leading to Fewer Delays and Better Patient Service 12/17/08

A hospital uses a clinical microsystem improvement process to quality improvement, leading to significant enhancements in efficiency and reductions in care delays.

Inner City Hospital Offers HIV Testing to All Emergency Department Patients, Improving Test Access and Subsequent Care for High-Risk Populations 12/15/08

Providers routinely offer HIV testing to emergency department patients as a part of their visit, leading to a 50 percent increase in the number of patients tested.

Hospital Laboratory Redesigns Space, Standardizes Staff Roles and Collection/Processing Systems, Leading to Enhanced Efficiency and Productivity 12/04/08

A hospital laboratory reconfigured physical space, redefined job responsibilities, and standardized the collection and processing of specimens, leading to faster test turnaround times, cost savings, and enhanced productivity.

Comprehensive Screening, Guideline-Based Treatment, and Self-Management Support Enhanced Access to Asthma Care, Reduced Hospitalizations and Costs 12/02/08

The Urban Health Plan Asthma Relief Street program provides standardized, comprehensive asthma screening, guideline-based treatment, education, and self-management support, leading to more people being diagnosed and treated, fewer hospitalizations, and overall cost savings.

Monthly Text Messages Increase Compliance With Recommended Blood Glucose Testing in Medicaid Managed Care Enrollees With Diabetes 11/21/08

A Medicaid managed care organization uses cell phone text messaging to remind members with type 2 diabetes to get regular blood glucose testing, leading to a significant increase in the percentage of members receiving tests on a regular basis.

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