Experienced substance abuse counselors offer periodic, telephone-based assessment and counseling to individuals who have attained initial stability in alcohol and/or cocaine dependence, leading to comparable and in some cases better outcomes than traditional, more time-consuming face-to-face interventions.
Contra Costa Health Services provides video and telephonic interpretation services to diverse patient populations at its clinics and regional hospital through participation in a shared network of trained interpreters, leading to improved access to interpretation services for patients with limited English proficiency.
Community-based physicians send an electronic handoff note with pertinent information to Northwestern Memorial Hospital's emergency department personnel when referring patients for emergency care, leading to improvements in physician efficiency and satisfaction, care coordination, and the quality and timeliness of care.
Physicians and nurses provide in-home routine medical care and assessments to newly arrived refugees, leading to enhanced access to health care and social services and better continuity of care for those with chronic illnesses.
A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.
A dedicated team of nurses and clerks provides followup support for patients discharged from the emergency department, leading to better quality care, high satisfaction among patients and primary care providers, and fewer patient walkouts.
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 offer patients the option of requesting an appointment for nonurgent conditions via a Web-based system; the program has proven quite popular with patients and, along with other initiatives, has enhanced the clinics' ability to offer appointments quickly and serve new patients.
Sexual health clinics communicate most test results via text message, leading to faster diagnosis and treatment and greater clinic capacity for handling new cases.
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.