Quality measurement, benchmarking, data feedback
A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.
A 1-year collaborative program; in which 21 Pennsylvania hospitals set target goals for urinary tract infection prevention, developed strategies to meet these goals, and shared best practices, tools, and resources; led to a 32-percent decline in hospital-acquired urinary tract infections.
Concurrent and postdischarge nurse chart review, performance feedback, and other support lead to near-perfect adherence to recommended care processes for heart attack, heart failure, pneumonia, and surgery.
A comprehensive process ensures that patients with limited English proficiency have timely access to high-quality interpreter services, leading to more service offerings, better quality, and shorter length of stay.
Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.
An interdisciplinary, comprehensive set of skin care guidelines, combined with support systems to encourage adherence, leads to a substantial reduction in facility-acquired pressure ulcers in hospitalized patients.
A comprehensive program to promote adoption of a “fair and just” culture improves employee perceptions of how a health system responds to errors.
New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.
A hospital implemented new processes to increase the provision of recommended care for heart failure, acute myocardial infarction, pneumonia, and surgery patients, leading to significant improvements in quality and a 25 percent reduction in mortality.
A comprehensive, interdisciplinary skin care program that relies on protocols and guidelines for proactive assessment and treatment, regular education and training of nurses, and ongoing performance monitoring significantly reduced the incidence of hospital-acquired pressure ulcers.