Organizational Processes Affected by the Innovation


Group Visits Expand Capacity to Serve Dementia Patients and Caregivers, Result in High Levels of Patient and Provider Satisfaction 01/28/08

Group visits allow substantially more patients with dementia to be served with only a modest increase in clinician time, leading to high levels of patient, caregiver, and provider satisfaction.

Team Communication Improvement Initiatives Enhance a Hospital's Culture of Safety, Leading to Improved Outcomes 01/28/08

Abington Memorial Hospital pursued a number of activities to build a culture of safety, including TeamSTEPPS ™ (Strategies and Tools to Enhance Performance and Patient Safety) training and other initiatives to enhance communication and awareness of safety issues.

Back Care Program That Emphasizes Pain Control and Behavioral Modifications Reduces Pain Levels and Lost Workdays 01/28/08

A health plan-led program that encourages patients with chronic low back pain to increase exercise, use appropriate medications, and reduce stresses on the back led to reduced pain levels and absenteeism.

E-Mail and Telephone Contact Replaces Most Patient Visits in Primary Care Practice, Leads to More Engaged Patients and Time Savings for Physicians 01/28/08

GreenField Health in Portland, OR, uses e-mail and telephone communications for the majority of patient contacts, thus saving physician time and freeing up capacity to serve patients who need inperson care more quickly.

Real-Time Vital Sign Monitoring Ensures Timely Care for At-Risk Patients, Leading to Fewer Unplanned Intensive Care Unit Admissions and Out-of-Intensive Care Unit Cardiac Arrests 01/28/08

Saint Mary's Health Care enhanced its hospital-based rapid response team by implementing a real-time, vital sign monitoring system that identifies and allows a quick response to high-risk patients.

Hospital-Based Day Treatment Program Provides Family-Centered Services to Children With Chronic Illnesses and Emotional Issues as an Alternative to Outpatient and Inpatient Care 01/25/08

The Hasbro Children's Partial Hospital Program—a medical treatment day program for children ages 6 to 18 years old who have chronic medical illnesses and emotional issues—has demonstrated sustained positive outcomes of treatment on several measures, including quality of life, emotional symptoms, and family beliefs about illness.

Strict Adherence to System-Wide Standards and Protocols Significantly Reduces Infections Associated With Central Venous Catheters 01/25/08

The North Shore-Long Island Jewish Health System uses a standard, system-wide process to reduce central venous catheter–related infections, with a focus on adhering to evidence-based standards and protocols related to inserting, maintaining, and removing the catheters.

Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Followup Care 01/25/08

The Re-Engineered Discharge project at Boston Medical Center standardizes the hospital discharge process through use of 11 separate but mutually reinforcing steps that health care professionals follow from patient admission to postdischarge.

Comprehensive Program That Includes Standardized Protocols and Pain Management Team Significantly Reduces Narcotic Oversedation in Hospital Setting 01/25/08

A comprehensive hospital program that includes standardized protocols and various support systems to encourage adherence to these protocols led to an 81-percent decline in serious narcotic oversedations.

Practice Enhancement Assistants Improve Quality of Care in Primary Care Practices 01/25/08

Practice enhancement assistants improve patient care through practice audits and feedback, staff training, sharing of innovative ideas, and support in the development of systems and infrastructure.


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