Organizational culture change
Patient and family advisors conduct regular rounds with patients and their family members on inpatient units and in the emergency department, contributing to a reduction in falls and to better performance on key patient experience metrics.
Patient and family advisors work with other stakeholders to redesign the structure and process for bedside change-of-shift reports, leading to more consistent use of the new approach.
A statewide advisory council provides guidance to and supports hospital association activities to promote patient and family engagement, leading to increased adoption and use of practices that promote the delivery of patient- and family-centered care by member hospitals.
A children’s hospital created a paid position where parents work to promote patient- and family-centered care, leading to an eightfold increase in the number of patient and family advisors working on hospital committees and to many committee-generated improvements that have increased parent and staff satisfaction.
Replacing traditional visiting restrictions, a hospital’s “welcome” policy allows loved ones (including minors) to be with patients round-the-clock, leading to very positive feedback from patients, family members and friends, and hospital staff.
Three hospitals within the University of Pennsylvania Health System succeeded in changing physician behavior through a Professionalism Committee that handles cases of alleged disruptive, unprofessional behavior by a physician, as an alternative to a formal investigation under medical staff bylaws.
A series of interventions to reduce “alarm fatigue” on an inpatient cardiac unit leads to significant declines in the number of alarms with no adverse events attributed to the changes and to increases in nurse and patient satisfaction.
With support from State funding, a community mental health center provides integrated mental health, primary care, care coordination, and wellness services to Medicaid beneficiaries with severe and persistent mental illness, leading to better chronic disease outcomes.
HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.
A statewide initiative combining policy and practice change—supported by tools, technical assistance, and social marketing—has led to favorable behavior changes that have helped to halt the increase in overweight and obesity among Delaware children and youth.