Efficiency

Innovations

14-Hospital Telepharmacy Program Reduces Order Processing Time, Frees Up Pharmacists for Quality-Enhancing Initiatives, and Saves Money 01/06/11

A telepharmacy program enables offsite pharmacists to review and approve medication orders in 14 hospitals, leading to expanded hours of service, reduced order processing times, enhanced pharmacy services, higher nurse satisfaction, freed up pharmacist time, and more than $1 million in annual cost savings.

Regional Teams Enhance Ability of Primary Care Clinicians Throughout Massachusetts to Serve Children and Adolescents With Mental Health Issues 12/16/10

Regional teams of mental health professionals enhance the ability of primary care clinicians throughout Massachusetts to serve children and adolescents with mental health issues.

Immediate Post-Event Debriefing Improves Multiple Aspects of Response to Codes and Increases Staff Satisfaction 12/10/10

Immediate team debriefings after a cardiopulmonary resuscitation code event improve multiple aspects of the team's response to future codes and generate high levels of staff satisfaction.

Proactive Office Encounter Systematically Identifies and Addresses Preventive and Chronic Care Needs at Every Primary Care and Specialty Visit 11/30/10

Nurses and medical assistants use electronic tools and standardized workflows and processes before, during, and after the patient encounter to identify and address preventive, screening, and chronic care needs at every primary and specialty care visit, leading to greater adherence to recommended care processes and better blood pressure control in those with diabetes and hypertension.

Small, Rapid-Cycle Process Improvement Projects Produce Many Benefits for Hospital, Including Increasing Nurse Time Spent With Patients 11/05/10

Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.

Sexual Health Clinics Provide Most Test Results via Text Message, Leading to Faster Diagnosis and Treatment, Greater Capacity to Serve Patients 11/03/10

Sexual health clinics communicate most test results via text message, leading to faster diagnosis and treatment and greater clinic capacity for handling new cases.

Comprehensive Electronic and Personal Health Record System Enhances Patient Engagement and Improves Efficiency of Physician Practice 10/07/10

A large group practice operates an electronic health record system that is closely integrated with a personal health record system that gives patients (and authorized caregivers as proxy users) secure access to key components of their medical records and the ability to request appointments, renew prescriptions, and communicate with physicians electronically. The integrated system has generated high levels of satisfaction among patients and caregivers, who report increased involvement in their health care, and physicians who report being able to practice more efficiently.

Hospital Posts Appropriate Diet for Patient on Room Door, Reducing Diet-Related Mistakes and Nursing Interruptions 09/27/10

An adjustable “diet wheel” posted on each inpatient's doorway indicates which of 15 physician-ordered diets a patient should receive and prompts dietary staff to check that food trays match the ordered diet, leading to fewer diet-related miscommunications, mistakes, and interruptions.

Rapid Admission Protocol for Emergency Department Patients Reduces Boarding Time 07/23/10

A rapid admission protocol streamlines the process between the decision to admit an emergency department patient and the arrival of the patient on the inpatient unit by reassigning care responsibilities and reducing process steps, leading to reduced emergency department boarding time.

Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use 07/12/10

A Medicare Advantage plan uses employed “extensivists” who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.

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