A regional health system with 21 hospitals implemented a comprehensive sepsis care initiative featuring proactive screening in the emergency department, algorithms to guide evidence-based treatment, and tools to support the provision of appropriate care, leading to better diagnosis, more appropriate care, lower mortality rates, and more patients meeting clinical targets.
A health system allows patients to receive certain routine laboratory tests without a physician's order, enhancing access to these tests and generating positive feedback.
Hospitals participating in a collaborative used screening criteria, fast-track diagnostic testing, protocols to support the prompt initiation of treatment, and ongoing monitoring to reduce sepsis mortality by 54.5 percent.
Primary care physicians order standardized bundles of tests and specialty referrals for common diagnoses, which are then managed by a care coordination team, resulting in expedited patient care and high physician satisfaction.
Series of interactive videoconference sessions provide didactic and interactive instruction in specialty care to primary care clinicians in community-based clinics, boosting their knowledge and confidence in these areas, and enhancing access to specialty care for their low-income, urban patients.
Hospital creates a “safe zone” where staff can interact with patients placed on contact precautions without putting on personal protective equipment, leading to significant time savings, lower costs, more frequent interactions with patients, and high levels of satisfaction.
An integrated health system offered a customized suite of interactive, Web-based education and tools to individuals with diabetes, leading to high levels of engagement, enhanced knowledge and attitudes about the disease, and improvements in hemoglobin A1c levels.
Nurses remotely monitor key indicators of end-stage renal disease patients and intervene as appropriate, leading to less inpatient and emergency department use and higher quality of life.
Pop-up alerts significantly reduce D-dimer testing to diagnose venous thromboembolism in elderly patients, increasing use of a more accurate alternative imaging test instead.
A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.