Peer specialists and decision support aids help mental health clients identify preferences about their treatment and communicate these preferences to clinicians during consultations, leading to frequent use of shared decisionmaking, more effective and efficient visits, and high levels of client satisfaction.
A hospital-based telephone triage system allows patients to describe their symptoms to a nurse, who uses an algorithm to assess acuity and determine the best setting for treatment, leading to reductions in emergency department patient volumes, wait times, average length of stay, and walkouts.
A medical complex houses a primary care practice, a wide array of specialty practices, and ancillary service providers who operate independently but collaborate closely to provide same-day access and communicate in real time on individual cases, leading to improvements in breast and colon cancer screening rates and to higher physician and patient satisfaction.
Popup, color-coded alerts within an electronic health record moderately improve adherence to established guidelines in primary care practices serving pediatric patients with asthma.
A hospital revamped its process for administering intravenous medications to incorporate multiple automated and human safeguards, leading to increased adherence to drug dosing limits and the elimination of many error-prone steps involved in manually programming the intravenous infusion pump.
During peak census hours, phlebotomists are assigned to work in the emergency department to quickly collect blood specimens and label them for priority processing and analysis by laboratory staff, leading to faster turnaround times, lower rates of blood culture contamination, more than $400,000 in annual cost savings, and higher levels of patient satisfaction.
A low-overhead medical home leverages information technology to produce a financially viable, high-quality primary care experience that proves to be attractive to both physicians and patients in an underserved rural area.
Nurses and other hospital staff use a radiofrequency identification system to pinpoint the location of needed equipment, leading to enhanced productivity, better equipment maintenance, expedited patient care and discharge, and high levels of nurse satisfaction.
Inpatient capacity management strategies initially developed to accommodate the potential influx of patients during a natural or manmade disaster were adopted for everyday use by a capacity-constrained hospital, leading to earlier-in-the-day discharges, steady length of stay despite rising patient acuity, and a multimillion dollar financial return due to increased throughput, with no negative impact on quality or patient satisfaction.
Firefighters and emergency medical technicians use a computer-based system to connect 911 callers, particularly those who call frequently in nonemergency situations, to community-based health, social service, behavioral health, and other services, leading to meaningful reductions in nonemergency calls, particularly among frequent callers.