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.
Immediate team debriefings after a cardiopulmonary resuscitation code event improve multiple aspects of the team's response to future codes and generate high levels of staff satisfaction.
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.
An easily accessible center offers a safe, welcoming, nonjudgmental environment in which homeless youth, particularly those who identify themselves as being lesbian, gay, bisexual, or transgender, can access a wide array of medical and social services.
A transitional care program that identifies frail elderly patients in the hospital and provides them with in-home support after discharge significantly reduces readmissions and emergency department visits.
Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.
An inpatient psychiatric unit holds regular 30-minute “community” meetings focused on violence prevention, with all on-duty unit staff and patients attending; the meetings—which serve as a forum for expressing concerns, reviewing recent episodes, and brainstorming prevention strategies—reduced violent episodes by 85 percent.
Medical center–employed nurses work at elementary and middle schools, providing typical school nurse services, annual health screenings, and periodic classroom presentations, leading to improvements in the ability to identify health issues and in the lifestyle choices and academic performance of individual students.
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 primary care physician-health coach team delivers intensive, ongoing care management services to medically complex, chronically ill patients, leading to significant improvements in self-management behaviors, clinical outcomes, and patient satisfaction and to lower utilization and markedly slower growth in costs.