Policies and procedures

Innovations

Redesign of Telemetry Unit Admission and Transfer Criteria Leads to Improved Patient Flow and Reduced Emergency Department Waiting Times 08/08/08

Grady Memorial Hospital created the Telemetry Urgent Matters Initiative to improve patient flow by redesigning the telemetry unit discharge criteria to ensure appropriate use of monitored beds.

Fall Prevention Education and Outreach Reduces Injuries and Use of Fall-Related Medical Services Among Community-Dwelling Seniors 07/24/08

The Connecticut Collaboration for Fall Prevention initiative encourages clinicians and other individuals who work with seniors to incorporate assessment and management of the risk of falls into their everyday practices.

Transition Home Program Reduces Readmissions for Heart Failure Patients 07/23/08

The Transition Home for Patients with Heart Failure program incorporates a number of components to ensure patients a safe transition to home or another health care setting, leading to fewer readmissions.

Community Health Collaborative Reduces Inappropriate Emergency Department Use by Providing Access to Health Care, Social Support for Low-Income Clients 07/18/08

A community health collaborative helps vulnerable populations secure and retain insurance coverage, access primary care, and connect to a medical home, leading to fewer emergency department visits, higher provider revenues, and high levels of provider satisfaction.

Baby-Friendly Hospital Initiative Leads to Sustained Increases in Breastfeeding Among Low-Income Whites and Minorities 07/11/08

Boston Medical Center adopted the Baby-Friendly ™ Hospital Initiative, a 10-step program that has led to sustained increases in the initiation of breastfeeding.

Posting Expected Discharge Date Facilitates Communication, Leads to On-Time Patient Departures and High Levels of Satisfaction 07/10/08

The Mayo Clinic's Department of Medicine establishes and posts estimated discharge dates and times in patients' rooms to facilitate ongoing communication about discharge-related issues between patients/families, physicians, and nurses.

Cooperative Network Improves Patient Transitions Between Hospitals and Skilled Nursing Facilities, Reducing Readmissions and Length of Hospital Stays 07/04/08

Summa Health System's Care Coordination Network strives to ensure smooth transitions between the hospitals and 40 local skilled nursing facilities, leading to fewer readmissions and lower length of stay in the hospital.

Prevention and Treatment Program Integrates Actionable Reports Into Practice, Significantly Reducing Pressure Ulcers in Nursing Home Residents 06/27/08

The On-Time Pressure Ulcer Prevention and Treatment program uses standardized documentation data elements and actionable clinical reports that are integrated into practice at nursing homes, leading to a significant reduction in pressure ulcer rates.

Consortium of Pennsylvania Hospitals Adopts Standardized Wristband Colors, Leading to Reduction of Falls, Allergic Reactions at Rehabilitation Hospital 06/24/08

In 2006, a consortium of 11 hospitals in northeastern Pennsylvania voluntarily agreed to initiate a process to standardize the colors of patient wristbands that identify high-risk clinical situations (e.g., patient allergies). Before the program, Pennsylvania hospitals used many different color schemes, leading to an increased risk of near-misses and medical errors.

Revised Consent Process Based on Customized, Easy-to-Understand Form Enhances Patient Understanding and Decisionmaking for Cardiac Catheterization 06/09/08

The Mid America Heart Institute of Saint Luke's Hospital developed a customized consent process based on a computer-generated consent form for cardiac catheterization and related interventional procedures.

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