Quality measurement, benchmarking, data feedback
Nurses and medical assistants use electronic tools and standardized workflows and processes before, during, and after the patient encounter to identify and address preventive, screening, and chronic care needs at every primary and specialty care visit, leading to greater adherence to recommended care processes and better blood pressure control in those with diabetes and hypertension.
Sexual health clinics offer patients the option of requesting an appointment for nonurgent conditions via a Web-based system; the program has proven quite popular with patients and, along with other initiatives, has enhanced the clinics' ability to offer appointments quickly and serve new patients.
Norman Regional Health System uses an expanded role for pharmacists and nurses, ongoing monitoring and reporting, physician peer review, and financial incentives to improve performance on core measures, achieving adherence rates of 96 percent or more on 17 of 25 measures (above both State and national averages).
A health system uses formal structures and processes to ensure that performance on core measures remains a consistent focus throughout the organization, leading to a significant improvement in overall adherence to these measures.
A large multispecialty clinic launched a multidimensional campaign to increase influenza immunizations of pregnant patients, with key elements including educating providers and nurses about the safety and effectiveness of immunizations, publicizing the immunization rates of individual obstetricians' patients, and making vaccinations a part of standing orders; the program led to a dramatic increase in the immunization rate over a 10-year period.
A multispecialty clinic promotes influenza vaccinations among employees by offering free vaccines, providing education about vaccine safety and effectiveness, designating an immunization champion within each clinic, and sponsoring friendly competitions across sites; the program led to more than doubling the employee immunization rate over a 7-year period.
The Pathways to a Healthy Bernalillo County Program identifies vulnerable, underserved residents and connects them to needed health and social services.
As part of a quality improvement collaborative, a nonprofit clinic serving uninsured patients created new processes to identify those in need of colorectal cancer screening and smoking cessation education, formed partnerships with community-based organizations and providers to offer additional support to such patients, and participated in ongoing performance monitoring, reporting, and improvement; the program significantly increased the percentage of eligible patients receiving the targeted services.
A community cancer center identifies all patients hospitalized due to chemotherapy-related toxicity and enters data on such patients into a toxicity registry; analysis of registry data has stimulated quality improvement initiatives that have reduced admissions of nondiabetic multiple myeloma patients due to hyperglycemia and reduced the risk of treatment-related diarrhea in colorectal cancer patients.
Behavioral health clinicians lead a 24-week program consisting of alternating group sessions and in-home consultations with obese preschoolers and their overweight parent(s), leading to improved dietary habits, less weight gain, and lower body mass index among preschoolers and to greater weight loss and lower body mass index among parents.