Quality measurement, benchmarking, data feedback


Capitated Health Center Uses Health Coaches to Manage Chronic Illnesses, Leading to Improved Clinical Outcomes 05/12/10

Trained, bilingual medical assistants in a capitated health center serve as health coaches to chronically ill (often diabetic) patients of similar ethnic or racial backgrounds, leading to better disease management and clinical outcomes for those with diabetes, very positive feedback from patients and center staff, and low turnover among medical assistants and coaches.

Emergency Department-Based Phlebotomists Expedite Blood Sample Collection and Turnaround Time, Reduce Specimen Contamination and Cost, and Increase Patient Satisfaction 05/11/10

During peak census hours, phlebotomists are assigned to work in the emergency department to quickly collect blood specimens and label them for priority processing and analysis by laboratory staff, leading to faster turnaround times, lower rates of blood culture contamination, more than $400,000 in annual cost savings, and higher levels of patient satisfaction.

Internet-Based Interactive Program Helps Time-Pressed, Geographically Constrained Military Personnel Control Weight 04/29/10

An Internet-based support program featured ongoing monitoring of weight and weight-related behaviors, personalized feedback from counselors, interactive educational lessons, and motivational interviewing, allowing many time-constrained military personnel to avoid weight gain or lose a moderate amount of weight.

Capitated System Identifies, Screens, and Treats Osteoporosis Risks, Preventing Hip Fractures, Saving Lives, and Reducing Costs 04/28/10

A capitated system proactively identifies, screens, and treats those with or at risk for osteoporosis, leading to a 49 percent decline in hip fractures, more than 350 lives saved each year, and tens of millions of dollars in annual cost savings.

Low-Overhead Medical Home Leverages Information Technology To Attract Both Providers and Patients in Underserved Rural Areas 04/27/10

A low-overhead medical home leverages information technology to produce a financially viable, high-quality primary care experience that proves to be attractive to both physicians and patients in an underserved rural area.

Shared Decision Making for Breast Cancer Patients Leads to High Levels of Patient Satisfaction, and Comfort With Decisions and Treatment Preferences 04/14/10

Decision aids and one-on-one counseling sessions help newly diagnosed breast cancer patients evaluate their treatment options and preferences before the initial surgeon visit, leading to high levels of patient satisfaction and knowledge, less conflict about and greater comfort with decisions made, many changes in treatment preferences, and better patient–surgeon interactions.

Medicaid Managed Care Plan Provides Reports, Guidelines, and Education Materials to Physicians, Reducing Inappropriate Prescribing of Antibiotics to Children and Adolescents 03/10/10

As part of a collaborative, a California health plan provides quarterly provider performance reports, educational materials, and other support to physicians and parents, leading to a reduction in inappropriate prescribing of antibiotics to children, adolescents, and adults with an upper respiratory infection or acute bronchitis enrolled in the insurer's Medi-Cal managed care plan.

Protocols, 24-Hour Neurologist Access, and Ongoing Training Lead to More Patients Receiving Timely Stroke Diagnosis and Treatment 02/22/10

A comprehensive initiative to improve stroke care features protocols to facilitate faster evaluation and diagnosis, quick administration of tissue plasminogen activator when indicated, 24-hour access to a neurologist, enhanced discharge planning, improved documentation and data collection, continuous staff training, and community outreach, leading to more timely administration of appropriate diagnostic tests and treatment and to many more eligible patients receiving tissue plasminogen activator.

Engaging Patients as Observers Represents Low-Cost, Accurate Way to Monitor and Improve Hand Hygiene in Outpatient Settings 12/08/09

Using patients to observe the hand hygiene habits of providers in outpatient clinics proves to be a low-cost, accurate way to monitor and improve adherence to recommended guidelines.

Improvement Projects Led by Unit-Based Teams of Nurse, Physician, and Quality Leaders Reduce Infections, Lower Costs, Improve Patient Satisfaction, and Nurse–Physician Communication 12/04/09

Unit-based teams of physicians, nurses, and quality leaders develop and implement unit-specific initiatives designed to improve quality and safety, leading to reductions in infections and pressure ulcers, increased adherence to medication reconciliation standards, more reporting of errors and near-misses, higher patient satisfaction, and better overall nurse/physician communication and teamwork.


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