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.
Heartland Regional Medical Center operates a walk-in “Quick Clinic” that treats minor acute conditions for employees and their spouses and dependents, leading to reductions in employee absenteeism, high user satisfaction, and cost savings.
An automated reporting system communicates critical laboratory test results to physicians via pager, allowing the vast majority of results to be quickly communicated to and acknowledged by physicians, and virtually eliminating thousands of calls historically made by laboratory technologists to relay such information.
A statewide program in North Carolina promotes early initiation of evidence-based heart attack treatment through collaboration with trained paramedics and partnerships between and within hospitals, leading to earlier initiation of therapy and faster transfer of patients.
On-call, pediatric intensive care unit attending physicians consult with onsite clinicians and patient/family members from their homes via audiovisual technology that allows real-time communication, leading to improved quality and timeliness of care and high levels of patient/family 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.
In instances of institutional overcrowding, a protocol allows patients admitted to the hospital but boarded in the emergency department to be transferred to beds located in inpatient unit hallways, leading to expedited patient placement in a room, lower length of stay, and higher patient and staff satisfaction.
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 capitated system proactively identifies, screens, and treats those with or at risk for osteoporosis, leading to a 49 percent decline in hip fractures, more than 350 lives saved each year, and tens of millions of dollars in annual cost savings.