Policies and procedures
A hospital-affiliated physician group offers modest performance-based incentives to salaried physicians, leading to sustained improvements in performance on a broad array of quality-related metrics.
Hospitals use a real-time location system to track employees, patients, and/or major pieces of equipment, leading to lower equipment costs, better infection control processes, faster room turnaround, and high levels of patient, physician, and staff satisfaction.
A group of 14 long-term care facilities cede control of immunization policies to a regional pharmacy, leading to a significant increase in influenza vaccination rates among facility workers.
California legislation enhances access to affordable care by limiting the amount hospitals can collect from low- and moderate-income patients who are uninsured or lack adequate coverage and hence face high out-of-pocket medical expenses.
Patients receive a notepad with sample questions and informational prompts intended to facilitate communication with physicians, leading to more notetaking by patients and a greater likelihood of having their questions answered by physicians.
The Dentists' Partnership offers free oral health care to low-income individuals in exchange for community service, resulting in a 70-percent decline in emergency department visits for urgent dental conditions, a positive return on investment, and high levels of dentist and patient satisfaction.
Neurologists with expertise in movement disorders enhance access to specialty care by offering virtual house calls to patients with Parkinson's disease, generating very high levels of patient satisfaction.
A community cancer coalition employs navigators who work with community health centers in rural areas to identify those in need of colorectal cancer screening via colonoscopy and facilitate access to such screening, leading to more referrals and screenings and to more cancers and precancerous polyps being detected and treated.
The Georgia Medicaid program expanded the definition of reimbursable services provided by mental health peer specialists to include physical health and wellness services, resulting in the training and certification of 175 such specialists to provide these services and in anecdotal reports of improved physical health outcomes among clients who receive the services.
Massachusetts banned ambulance diversions and helped hospitals respond to the ban by improving patient flow, leading to reductions in emergency department length of stay for admitted patients, shorter turnaround times for ambulances, and strong support from emergency department leaders who believe the ban has yielded multiple benefits.