Physical environment modification

Innovations

Comprehensive, Shelter-Based Clinic Enhances Access to Oral Health Services for Homeless in Los Angeles 02/26/08

A collaborative partnership between the University of Southern California School of Dentistry, Union Rescue Mission shelter, and other community stakeholders has led to free, comprehensive dental services available to homeless individuals in the Skid Row area of Los Angeles.

Child Abuse Experts Provide Videoconference-Enabled Consultations to Providers in Remote Emergency Departments and Clinics, Leading to More Accurate Diagnosis 02/25/08

Using interactive videoconferencing, the University of California at Davis provides 24-hour child abuse evaluation and consultation services to underserved rural areas and also provides monthly child abuse training to health care providers in these areas.

Advanced Practice Nurse-Mental Health Provider Partnership Enhances Access and Improves Health Outcomes for Those With Severe Mental Illness 02/25/08

Advanced practice nurses provide primary, preventive, and mental health care to individuals with severe mental illness, leading to improvements in health outcomes.

Home-Like, Self-Directed Environment Provides Superior Quality of Life Than in Traditional Nursing Homes and Assisted Living Facilities 02/21/08

THE GREEN HOUSE ® model provides elders with an alternative to nursing homes and traditional assisted living facilities.

Comprehensive, Hospital-Based Program Significantly Reduces Pressure Ulcer Incidence and Associated Costs 02/20/08

OSF Saint Francis Medical Center in Peoria, IL, developed a comprehensive program called “Save Our Skin” that significantly reduced the incidence of pressure ulcers.

Comprehensive School-Based Program Enhances Access to Oral Health Education, Prevention, and Treatment Services for Low-Income Children 02/20/08

The Boston University/Chelsea Partnership Dental Program is a city-wide, school-based program designed to increase access to dental services for low-income children by providing oral health education, dental screening and referrals, fluoride varnish applications, dental sealants, examinations, x-rays, cleanings, and restorations.

Process Improvements Based on Lean Principles Reduce Operating Room Foot Traffic, Leading to Reduced Risk of Infection and Enhanced Staff Productivity and Satisfaction 02/20/08

Exempla Lutheran Medical Center used principles adopted from the Lean method of the Toyota Production System to improve patient safety and the overall functioning of the operating room by reducing foot traffic into and out of the surgical suite.

Interdisciplinary Team Identifies and Addresses Risk Factors for Falls Among Nursing Home Residents, Leading to Fewer Falls and Less Use of Restraints 02/18/08

Ethica Health and Retirement Communities developed a falls management program, the cornerstone of which is an interdisciplinary “falls team” at each nursing home that regularly assesses residents for risk of falling and develops intervention plans for those found at high risk.

Onsite Clinic Staffed by Bilingual, Culturally Competent, Interdisciplinary Team Brings Health Education and Primary Care to Low-Income, Uninsured Workers 02/15/08

Work Healthy brought together an interdisciplinary team of certified nurse practitioners, health educators, and community health workers to provide onsite health education, health promotion, and primary care services to low-income, uninsured workers in the mushroom industry.

Centralized Orthopedic Center and Streamlined Referral and Triage Processes Enhance Access to Appropriate Treatment 02/07/08

Thedacare, a four-hospital system, has redesigned its musculoskeletal care process to make it more efficient and effective for patients and providers. Improvements include a centralized orthopedics center that houses physicians (orthopedic surgeons, sports medicine physicians, and rehabilitation specialists), therapists, and supplies; changed the traditional process of most patients with musculoskeletal injuries seeing an orthopedic surgeon first; and the creation of referral protocols and a triage system designed to get patients the level of care they need quickly.

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