Organizational Processes Affected by the Innovation

Innovations

Patient and Family Advisor Rounding Contributes to Reduction in Falls and to Better Performance on Key Patient Experience Metrics 03/24/16

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 Spearhead Redesign of Bedside Shift-Change Reporting, Leading to More Consistent Use 03/09/16

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.

Statewide Association Creates Nation’s First Statewide Patient and Family Engagement Advisory Council, Increasing Adoption of Leading Practices by Member Hospitals 08/28/15

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.

Children’s Hospital Hires Parents To Promote Patient- and Family-Centered Care, Leading to Eightfold Increase in Patient and Family Advisors and Higher Satisfaction 06/16/15

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. 

Welcome Policy Eliminates Visiting Restrictions and Allows Loved Ones To Be With Patients Round-the-Clock, Generating Positive Feedback From All Stakeholders 01/12/15

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.

Collaborative Health Education and Access Events Offer No-Cost Screenings and Navigation Services To Connect Lesbian, Gay, Bisexual, and Transgender Individuals With Medical Homes Offering Culturally Competent Care 12/19/14

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.

Committee Reviews and Advises on Cases of Alleged Unprofessional Behavior as Alternative to Formal Investigation, Leading to Improvements in Physician Behavior 12/19/14

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.

Specially Trained Paramedics Respond to Nonemergency 911 Calls and Proactively Care for Frequent Callers, Reducing Inappropriate Use of Emergency Services 12/19/14

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.

Spine Clinic Offers Same-Day Appointments and Immediate Physical Therapy for Uncomplicated Back Pain, Reducing Absenteeism, Followup Appointments, and Costs 12/19/14

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 Does Not Improve Blood Pressure or Glycemic Control in Diabetes Patients 11/06/14

Home telemonitoring did not improve blood pressure or blood glucose control in diabetes patients with out-of-range values.

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