Effectiveness

Innovations

Telemedicine-Based Diabetes Management Program Focusing on Education and Eye Exams Improves Self-Management Capabilities and Outcomes For Low-Income Rural Patients 01/24/08

A diabetes disease management program provides remote education and eye screenings for low-income individuals in rural South Carolina, leading to increased eye examination rates, reduced blood glucose and cholesterol levels, improved self-management behaviors, and high levels of patient satisfaction.

Four-Step Protocol Determines Therapy for Patients With Acute Respiratory Failure, Leading to Improved Mobility, Shorter Stays 01/23/08

Use of a four-step, standardized protocol to determine the appropriate level of physical therapy in intensive care unit patients with acute respiratory failure led to earlier ambulation and lower length of stay.

Medical Response Team Saves Lives by Empowering Nurses to Recognize and Act on Early Warning Signs of Trouble 01/23/08

The medical response team at Baptist Memorial Hospital in Memphis, TN, responds to early warning signs that patients are in cardiac or respiratory distress and moves quickly to rescue them before medical emergencies develop; the team has reduced cardiac arrests by 26 percent.

Two-Track ED Process Flow Reduces the Number of Untreated Patients, Lengths of Stay, and Waiting Times 01/22/08

A new change mode helps emergency departments redesign patient flow processes so that a clinical team rapidly triages each patient, allowing for accelerated treatment of less sick patients and faster admission for those who are very ill.

Multistakeholder, Community-Wide Collaborative Prevents Disease and Promotes Health 01/22/08

A multistakeholder, community-wide collaborative offers employer-based health and productivity management programs, along with targeted, community-focused chronic disease prevention programs.

Periodic, Nurse-Initiated Telephone Contact Provides Quality Followup Care to Infants With Lung Disease in Rural Areas 01/22/08

A nurse specialist maintains regular telephone contact with the primary caregivers and health care providers of premature infants with chronic lung disease who are discharged from the hospital.

Comprehensive Emergency Department and Inpatient Changes Improve Emergency Department Patient Satisfaction, Reduce Bottlenecks That Delay Admissions 01/22/08

To improve emergency department patient satisfaction and throughput, St. Francis Medical Center in Los Angeles implemented a comprehensive bundle of interrelated strategies.

Enhanced Posthospitalization Services Prove Popular With the Severely Mentally Ill and Their Providers 01/22/08

La Cheim Behavioral Health Services began offering a series of posthospitalization meetings and support services for “alumni” who had achieved their therapeutic goals in partial hospitalization or intensive outpatient therapy.

Onsite Nurses Manage Care Across Settings to Increase Satisfaction and Reduce Cost for Chronically Ill Seniors 01/21/08

Specially trained nurses work with primary care physicians in their offices to improve the quality and efficiency of care for seniors with multiple chronic illnesses by coordinating care, facilitating transitions in care, and acting as the patient's advocate across health care and social settings.

Alerts, Standing Orders, and Care Pathways Boost Quality of Care for Pneumonia, Heart Attack, and Heart Failure 01/18/08

Reid Hospital created a computer-based system of alerts, standing orders, and care pathways to eliminate gaps in the care of patients with pneumonia, acute myocardial infarction, and heart failure, and to address surgical complication and infection prevention, leading to significant improvements in quality of care.

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