Quality measurement, benchmarking, data feedback

Innovations

Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization 11/18/09

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.

Collaborative Supports Hospitals in Sharing and Implementing Best Practices, Leading to 33-Percent Decline in Urinary Tract Infections 10/27/09

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 Retrospective Chart Review, Performance Reporting, and Other Support Significantly Improve Adherence to Core Measures in Four Clinical Areas 10/27/09

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.

Revamped Processes and Systems Enhance Access to High-Quality Interpretation Services for Patients With Limited English Proficiency 09/20/09

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.

Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover 09/02/09

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.

Comprehensive, Interdisciplinary Guidelines, Combined With Tools to Promote Adherence, Significantly Reduce Hospital-Acquired Pressure Ulcers 06/26/09

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.

Comprehensive Program to Promote "Fair and Just Principles" Improves Employee Perceptions of How a Health System Responds to Errors 06/24/09

A comprehensive program to promote adoption of a “fair and just” culture improves employee perceptions of how a health system responds to errors.

System-Wide Quality Improvement Infrastructure Facilitates Adoption of Best Practices and Leads to Better Outcomes 05/11/09

New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.

Standardized Tools and Protocols Increase Provision of Recommended Care in Key Clinical Areas, Reducing Hospital Mortality 12/15/08

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.

Interdisciplinary, Comprehensive Skin Care Program Significantly Reduces Hospital-Acquired Pressure Ulcers 09/24/08

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.

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