Organizational culture change
Regulations from the New York State Office of Alcoholism and Substance Abuse Services mandated that all substance abuse treatment facilities in the state become tobacco free and integrate smoking cessation education and therapy into the treatment of other addictions. The regulation resulted in increased access to cessation services and reduced smoking rates among patients and staff as well as some cost savings.
A statewide, multipayer pilot program provides technical and financial support to physician practices interested in becoming patient-centered medical homes, leading to all participating practices being recognized as medical homes and to anecdotal reports of better access and higher quality.
A statewide program supports physician practices through multidisciplinary community-based health teams, preventive health expertise, easy access to needed information via electronic systems, and financial incentives, leading to lower utilization and growth in health care spending and enhanced provision of appropriate services.
A multidisciplinary hospital team reaches out to and meets with patients and family members in a compassionate, supportive manner, allowing them to better deal with the loss of a loved one or other unexpected, negative events.
A scoring system assists hospital staff in selecting approaches and, if needed, assistive devices for lifting, moving, and/or repositioning patients, leading to significant reductions in staff injuries and the near elimination of lost and restricted work days caused by these injuries.
A statewide collaborative initiative targeting six key sectors promotes policy and practice changes in schools, leading to the widespread adoption of strategies to promote healthy eating and physical activity, including improvements in the nutritional quality of school meals.
Culturally competent community liaisons help members of the Orthodox Jewish, Arab, and Chinese communities access health care and community-based services, leading to a better patient experience.
Mental health practitioners provide smoking cessation counseling and treatment to patients with posttraumatic stress disorder as part of their regular mental health care, leading to higher quit rates and fewer relapses.
Nurses and medical assistants use electronic tools and standardized workflows and processes before, during, and after the patient encounter to identify and address preventive, screening, and chronic care needs at every primary and specialty care visit, leading to greater adherence to recommended care processes and better blood pressure control in those with diabetes and hypertension.
Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.