Medical record keeping

Innovations

Advocacy Firm Assists Patients in Choosing Providers/Treatments and Coordinating Care, Leading to Quick Access to Services and High Satisfaction 08/26/08

PinnacleCare provides individualized care management services that include an initial health assessment, an annual health plan/consultation, round-the-clock access to medical advocates and advisers, facilitated access to top specialists and medical institutions, and management of electronic medical records.

Comprehensive Vaccine Program More Than Triples Immunization Rates for Children 08/20/08

A comprehensive vaccine program more than tripled childhood immunization rates through provider training, immunization tracking, reminders for physicians and parents when immunizations are not up-to-date, and nurse-run immunization clinics.

Enhanced Home Health Program Provides Remote Monitoring and Services, Leading to Fewer Hospitalizations and Increased Nurse Productivity 08/16/08

A home health program enhances services to congestive heart failure and other chronically ill patients by supplementing at-home visits with ongoing remote monitoring and services.

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.

Plan-Funded Team Coordinates Enhanced Primary Care and Support Services to At-Risk Seniors, Reducing Hospitalizations and Emergency Department Visits 08/08/08

Commonwealth Care Alliance developed a health plan that provides low-income, dually eligible, elderly enrollees in Massachusetts with a primary care team made up of a physician, nurse practitioner, and geriatric specialist who work out of the enrollee's primary care clinic.

Prevention and Treatment Program Integrates Actionable Reports Into Practice, Significantly Reducing Pressure Ulcers in Nursing Home Residents 06/27/08

The On-Time Pressure Ulcer Prevention and Treatment program uses standardized documentation data elements and actionable clinical reports that are integrated into practice at nursing homes, leading to a significant reduction in pressure ulcer rates.

Online Tools and Services Activate Plan Enrollees and Engage Them in Their Care, Enhance Efficiency, and Improve Satisfaction and Retention 06/22/08

An array of Web-based, interactive tools and services, including an online, shared health record, empowers health plan enrollees to take greater responsibility for their health and health care.

Automated Clinician Prompts and Referrals Facilitate Access to Counseling Services, Leading to Positive Behavior Changes Among Patients 06/13/08

Automated clinician prompts and referrals facilitates access to behavior counseling, leading to improved behaviors related to diet and exercise and higher quit rates among smokers.

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.

Priority-Based Hospital Order System Reduces Percentage of "STAT" Orders and Enhances Response Time--Especially for Clinical Results 05/02/08

Swedish Medical Center implemented a new service request system in which physicians and staff requesting services must prioritize the order into one of four categories. The four-category system applies to all hospital orders, including laboratory tests, requests for assistance from personnel, and facility repairs.

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