Medical record keeping

Innovations

Electronic Isolation Flags and Weekly Rounds by Infection Control Staff Improve Adherence to Contact Precautions 02/13/11

Through electronic flagging of infected patients and weekly surveillance rounds, infection control staff increased adherence to contact precautions from 58 to 90 percent.

Referring Physicians Send Electronic Handoff Note With Pertinent Patient Information to Emergency Department, Improving Physician Efficiency and Quality of Care 02/03/11

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.

Standardized Processes and Tools Significantly Enhance Provision of Recommended Care to Teens With Asthma 01/24/11

Teen Health Center providers use standardized processes and tools to enhance the provision of recommended care to teens with asthma.

Dedicated Emergency Department Team Follows Up With Discharged Patients, Easing Physician Workload and Enhancing Quality of Care 01/20/11

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.

Formal Processes Ensure System-Wide Focus on Heart Attack, Heart Failure, Pneumonia, and Surgical Care, Improving Performance on Core Measures 12/13/10

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.

Multidisciplinary Team Redesigns Care Processes and Systems, Leading to Significantly Improved Performance on Core Measures in Four Clinical Areas 12/09/10

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.

Health System Expands Pharmacy and Nursing Staff Roles and Institutes Focus on Accountability, Improving Performance on Core Measures 11/03/10

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).

Telephone Consultations Improve Medication Adherence and Physical Functioning in Patients With Rheumatoid Arthritis 11/02/10

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.

Statewide Screening of Fifth Graders Leads to Identification and Treatment of Those With Genetic Predisposition to Early-Onset Heart Disease 10/19/10

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.

Hospital Partnership Offers Pathways-Based Case Management Program, Leading to Enhanced Access to Appropriate Care for Uninsured 10/19/10

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.

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