Quality measurement, benchmarking, data feedback

Innovations

Multidisciplinary, Clinic-Based Teams Support Obese Children in Changing Behaviors, Leading to Increased Physical Activity, Improved Diet, and Weight Loss 03/09/11

Multidisciplinary, clinic-based teams work with obese children and their families to implement a weight control self-management plan tailored to the child's needs, leading to lower or stabilized body mass index, reductions in screen time and intake of sweetened beverages, and increased physical activity and fruit/vegetable consumption.

Unobtrusive, Actionable Reminders and Performance Feedback Improve Physician Performance on Standardized Quality Measures 02/17/11

Through its commercial electronic medical record system, a large internal medicine practice provides physicians with unobtrusive reminders related to 16 standardized measures and makes it easy for them to order recommended tests or treatment or document legitimate exceptions, leading to better performance on these measures.

Electronic Isolation Flags and Weekly Rounds by Infection Control Staff Improve Adherence to Contact Precautions 02/13/11

Through electronic flagging of infected patients and weekly surveillance rounds, infection control staff increased adherence to contact precautions from 58 to 90 percent.

Joint Nurse Practitioner–Geriatrician Management of Frail Elderly Increases Adherence to Recommended Care Processes for Common Conditions 01/27/11

Working in collaboration with geriatricians, a nurse practitioner comanaged the care of frail, elderly patients with any of five chronic conditions, leading to better adherence to recommended care processes.

Standardized Processes and Tools Significantly Enhance Provision of Recommended Care to Teens With Asthma 01/24/11

Teen Health Center providers use standardized processes and tools to enhance the provision of recommended care to teens with asthma.

Health Plan and Psychiatric Hospitals Reduce Readmissions by Reviewing Data and Developing Strategies to Improve Postdischarge Care 01/13/11

A partnership between a health plan and psychiatric hospitals focuses on sharing of quarterly data, case reviews, and deployment of specific strategies to improve postdischarge care, leading to significant reductions in readmissions, inpatient days, and costs.

Ongoing Monitoring, Prompt Feedback, and Reminders Improve Hand Hygiene in a Busy, Urban Emergency Department 12/28/10

A multifaceted strategy that includes ongoing auditing of adherence to established protocols and daily performance feedback to staff improved hand hygiene in a busy, urban emergency department.

Algorithm Enhances Provision of Preventive Treatment to At-Risk Inpatients, Reducing Incidence of Venous Thromboembolism 12/21/10

Providers use a computerized algorithm to classify inpatients as low, moderate, or high risk, and then prescribe anticoagulant (blood thinner) medication and/or mechanical devices as appropriate, leading to reduced incidence of venous thromboembolism.

Formal Processes Ensure System-Wide Focus on Heart Attack, Heart Failure, Pneumonia, and Surgical Care, Improving Performance on Core Measures 12/13/10

A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.

Multidisciplinary Team Redesigns Care Processes and Systems, Leading to Significantly Improved Performance on Core Measures in Four Clinical Areas 12/09/10

A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.

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