Organizational Processes Affected by the Innovation
Patient and family advisors conduct regular rounds with patients and their family members on inpatient units and in the emergency department, contributing to a reduction in falls and to better performance on key patient experience metrics.
Patient and family advisors work with other stakeholders to redesign the structure and process for bedside change-of-shift reports, leading to more consistent use of the new approach.
A statewide advisory council provides guidance to and supports hospital association activities to promote patient and family engagement, leading to increased adoption and use of practices that promote the delivery of patient- and family-centered care by member hospitals.
A children’s hospital created a paid position where parents work to promote patient- and family-centered care, leading to an eightfold increase in the number of patient and family advisors working on hospital committees and to many committee-generated improvements that have increased parent and staff satisfaction.
Replacing traditional visiting restrictions, a hospital’s “welcome” policy allows loved ones (including minors) to be with patients round-the-clock, leading to very positive feedback from patients, family members and friends, and hospital staff.
Lesbian Health Initiative of Houston, Inc., creates a gateway to medical homes for lesbian, gay, bisexual, and transgender women and transgender men through a program that combines culturally competent outreach, education, screening, and patient navigation.
Three hospitals within the University of Pennsylvania Health System succeeded in changing physician behavior through a Professionalism Committee that handles cases of alleged disruptive, unprofessional behavior by a physician, as an alternative to a formal investigation under medical staff bylaws.
Community Health Access Program helps patients who call 911with nonemergent needs. The dispatcher sends a specially trained paramedic, known as an advanced practice paramedic, to the scene along with the ambulance to confirm that the patient does not need emergency care and then either provide treatment, schedule an appointment with a primary care provider, or arrange for same-day transport to a health resource center.
Virginia Mason Medical Center created a spine clinic that provides rapid, efficient treatment for uncomplicated low back pain, with the goal of allowing patients to return to their jobs and other regular activities as soon as possible.
Home telemonitoring did not improve blood pressure or blood glucose control in diabetes patients with out-of-range values.