Medical record keeping
Through electronic flagging of infected patients and weekly surveillance rounds, infection control staff increased adherence to contact precautions from 58 to 90 percent.
Community-based physicians send an electronic handoff note with pertinent information to Northwestern Memorial Hospital's emergency department personnel when referring patients for emergency care, leading to improvements in physician efficiency and satisfaction, care coordination, and the quality and timeliness of care.
Teen Health Center providers use standardized processes and tools to enhance the provision of recommended care to teens with asthma.
A dedicated team of nurses and clerks provides followup support for patients discharged from the emergency department, leading to better quality care, high satisfaction among patients and primary care providers, and fewer patient walkouts.
A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.
A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.
Norman Regional Health System uses an expanded role for pharmacists and nurses, ongoing monitoring and reporting, physician peer review, and financial incentives to improve performance on core measures, achieving adherence rates of 96 percent or more on 17 of 25 measures (above both State and national averages).
A licensed pharmacist or registered nurse periodically consults via telephone over a 7-month period with adult patients with rheumatoid arthritis, leading to improvements in medication adherence and physical functioning and to high levels of patient satisfaction.
Screening of fifth graders in West Virginia identifies those with a genetic predisposition that can lead to early onset of heart disease and other health risks, with those identified (and their family members) receiving treatment for the condition. The program has screened 100,000 fifth graders and secured treatment for the vast majority of those identified as being at risk.
A joint case management program sponsored by two competing hospitals addresses the health and social needs of uninsured and underinsured individuals who have a history of using the emergency department for nonemergent issues. The program has led to enhanced access to appropriate care and to a significant decline in emergency department use and costs for nonemergent conditions.