Intake/admissions

Innovations

Hospital System-Based Changes Enhance Throughput and Meet Increased Demand Without Adding New Facilities 09/19/08

The Lehigh Valley Health Network made systems-based changes to a variety of key processes related to patient throughput, allowing the network to meet increased demand for its services.

Streamlined Evaluation, Transfer, and Admission Processes Significantly Reduce Waiting Times for Emergency Department Patients Awaiting Admission to Psychiatric Facility 09/04/08

A multidisciplinary team from a medical center and its affiliated psychiatric hospital streamlined the evaluation, transfer, and admission processes for psychiatric patients presenting to the emergency department, leading to a significant decline in waiting times before transfer to the psychiatric facility.

Redesign of Telemetry Unit Admission and Transfer Criteria Leads to Improved Patient Flow and Reduced Emergency Department Waiting Times 08/08/08

Grady Memorial Hospital created the Telemetry Urgent Matters Initiative to improve patient flow by redesigning the telemetry unit discharge criteria to ensure appropriate use of monitored beds.

Low-Tech Medication Reconciliation Process Emphasizing Standardized, Easy-to-Execute Roles Significantly Reduces Rate of Unreconciled Medications 05/13/08

Contra Costa Health Services launched a medication reconciliation process at its county-owned hospital based on Institute for Healthcare Improvement concepts for redesigning work to achieve a high degree of reliability. The institution uses a process in which providers, pharmacy, and nursing staff have standardized, easy-to-understand, and easy-to-execute roles related to medication reconciliation.

Interim Methadone Maintenance Program Reduces Heroin Use and Increases Treatment Entry Rates for Addicts Awaiting Comprehensive Services 05/02/08

Operating within U.S. Federal regulations, the Baltimore Interim Methadone Maintenance program provides interim care (in the form of daily methadone with emergency counseling) to heroin addicts awaiting placement for comprehensive methadone treatment programs.

Interdisciplinary Team Identifies and Addresses Risk Factors for Falls Among Nursing Home Residents, Leading to Fewer Falls and Less Use of Restraints 02/18/08

Ethica Health and Retirement Communities developed a falls management program, the cornerstone of which is an interdisciplinary “falls team” at each nursing home that regularly assesses residents for risk of falling and develops intervention plans for those found at high risk.

Technology-Enabled Reengineering of Referral Intake Process and Case Management System Significantly Improves Field Nurses' Ability To Serve At-Risk Families 01/31/08

The County of San Diego Health and Human Services Agency implemented a Mobile Remote Workforce project to increase the amount of time field nurses in the agency's public health nurse home visitation program can spend providing direct services to at-risk families.

Two-Track ED Process Flow Reduces the Number of Untreated Patients, Lengths of Stay, and Waiting Times 01/22/08

A new change mode helps emergency departments redesign patient flow processes so that a clinical team rapidly triages each patient, allowing for accelerated treatment of less sick patients and faster admission for those who are very ill.

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