Staffing

Innovations

Common Cause Analysis: A Hospital's Review of Vulnerabilities During Which Common Themes Are Identified, Prioritized, and Addressed 05/08/08

A children's hospital annually reviews all findings from root cause analysis to identify and address common themes and vulnerabilities, leading to a number of institutionwide changes that have improved patient safety and to better communication about safety issues with organizational leaders.

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.

Individualized, In-Home Program Identifies and Addresses Environmental Problems That Can Worsen Asthma Control 04/30/08

A health plan's individualized, in-home, environmental asthma intervention program targets all pediatric members with confirmed allergies to indoor allergens and symptomatic asthma. During multiple in-home visits, trained asthma counselors provide education, perform an environmental assessment, demonstrate intervention equipment, devise a written care plan, and assess and address psychosocial issues.

Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Fewer Emergency Department Visits for Low-Income Seniors 04/25/08

As part of the Geriatric Resources for Assessment and Care of Elders (GRACE) program, social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and primary care physicians to develop and implement individualized care plans for low-income seniors, leading to significant improvements in health status.

Specialty-Specific Medical Librarians Provide Quick Access to Evidence-Based Research, Leading to Reports of Improvements in Clinician Decisionmaking 04/22/08

Medical librarians at Vanderbilt University Medical Center's Eskind Biomedical Library developed a rapid turnaround service to provide answers to medical queries from clinicians that are based on the latest evidence-based research.

Hospital-Based Program Proactively Identifies, Addresses Delirium Risk Factors in Elderly, Leading to Less Cognitive/Functional Decline and Lower Nursing Home Costs 04/22/08

The Hospital Elder Life Program screens all patients aged 70 years and older at admission for the presence of six risk factors for delirium, and then implements targeted interventions to reduce these risks, leading to less cognitive and functional decline and lower costs.

Membership Program Provides Community-Dwelling Seniors With Access to Wide Array of Health and Social Services, Helping Them Remain in Their Homes 04/22/08

Beacon Hill Village offers a membership program that provides access to or discounts on a wide array of health care and social support services that are designed to allow people 50 years and older to maintain their health status and independence and thus stay in their own homes as they age (rather than moving to an expensive long-term care facility).

Health Plan–Financed, Nurse-Led Care Coordination Improves Quality of Care and Reduces Costs for Latinos With Chronic Illnesses and Disabilities 04/21/08

A community-based primary care clinic uses nurses to provide culturally competent care coordination to Latino patients with chronic illnesses and disabilities, leading to greater provision of recommended care, lower health care costs, and enhanced self-management capabilities.

Creation of Households Program in Nursing Home Improves Residents' Health Status, Reduces Staff Turnover, and Boosts Demand for Services 04/09/08

Meadowlark Hills, a retirement community, renovated one of its facilities so residents can live together in group households and become more independent. This led to improved residents' health and a sharp decrease in staff turnover.

Bilingual, Bicultural Asthma Intervention Program Significantly Improves Outcomes for Poor, Inner-City Youth 04/07/08

The El Rio Inner-City Asthma Intervention Program is a comprehensive bilingual, bicultural program that primarily serves low-income, inner-city Latino children with moderate or severe persistent asthma.

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