Organizational culture change

Innovations

Patient and Family Advisor Rounding Contributes to Reduction in Falls and to Better Performance on Key Patient Experience Metrics 03/24/16

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 Spearhead Redesign of Bedside Shift-Change Reporting, Leading to More Consistent Use 03/09/16

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.

Statewide Association Creates Nation’s First Statewide Patient and Family Engagement Advisory Council, Increasing Adoption of Leading Practices by Member Hospitals 08/28/15

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.

Children’s Hospital Hires Parents To Promote Patient- and Family-Centered Care, Leading to Eightfold Increase in Patient and Family Advisors and Higher Satisfaction 06/16/15

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. 

Welcome Policy Eliminates Visiting Restrictions and Allows Loved Ones To Be With Patients Round-the-Clock, Generating Positive Feedback From All Stakeholders 01/12/15

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.

Committee Reviews and Advises on Cases of Alleged Unprofessional Behavior as Alternative to Formal Investigation, Leading to Improvements in Physician Behavior 12/19/14

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.

Multifaceted Initiative To Reduce "Alarm Fatigue" on Cardiac Unit Reduces Alarms and Increases Nurse and Patient Satisfaction 04/07/14

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.

Mental Health Center Provides Integrated Primary Care and Care Coordination to Medicaid Beneficiaries With Severe Mental Illness, Enhancing Access to Services and Improving Outcomes 12/20/13

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.

Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees 03/03/13

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.

Statewide Initiative Combines Policy, Practice-Based Changes, and Social Marketing To Produce Positive Behavior Changes, Help Halt Increase in Childhood Obesity 03/02/13

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.

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