Technology—HIT

Innovations

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.

Comprehensive Screening, Guideline-Based Treatment, and Self-Management Support Enhanced Access to Asthma Care, Reduced Hospitalizations and Costs 12/02/08

The Urban Health Plan Asthma Relief Street program provides standardized, comprehensive asthma screening, guideline-based treatment, education, and self-management support, leading to more people being diagnosed and treated, fewer hospitalizations, and overall cost savings.

Interdisciplinary Clinic Using Team-Based Approach Improves Outcomes and Reduces Costs for Frail, Vulnerable Elderly 11/17/08

An interdisciplinary, hospital-based outpatient clinic staffed by geriatricians and other health professionals cares for seniors with one or more chronic health conditions, leading to improved outcomes and lower costs.

County-Wide Collaborative Uses Pathways Model to Enhance Access to Insurance, Primary Care, and Mental Health Services for Low-Income Children 11/17/08

Using the Pathways model, Access El Dorado helps low-income families navigate the health care system, obtain health information, and access appropriate medical and mental health services, leading to fewer emergency department visits.

Intravenous Infusion Safety Initiative Prevents Medication Errors, Leading to Cost Savings and High Nurse Satisfaction 11/06/08

A two-hospital system implemented an intravenous infusion safety initiative that has helped avoid many infusion-related errors, leading to significant cost savings and high levels of nurse satisfaction.

Use of Clinical "Bundles," Fixed Pricing, and Patient Compact Enhances Adherence With Guidelines and Improves Outcomes in Bypass Surgery, Diabetes, and Other Areas 11/05/08

The ProvenCare program uses guideline-based “bundles” of discrete clinical care elements to guide surgical care delivery, a fixed per-case rate for inpatient and followup care, and a “patient compact” and other educational activities to encourage patients to become more engaged in their care.

Proactive Assessment and Management of At-Risk Patients Reduces Pressure Ulcers and Saves $11 Million Annually in Two-Hospital System 10/20/08

The NCH Healthcare System's multifaceted program to prevent pressure ulcers in high-risk patients dramatically reduced their prevalence and saved the system more than $11 million annually.

Prenatal and Postpartum Behavioral Counseling Significantly Reduces Health Risks in African-American Women 10/14/08

An inperson and telephone-based behavior counseling program for pregnant African-American women at six prenatal care clinics significantly reduced health risks from baseline to 10 weeks postpartum.

Comprehensive Program Featuring Registry, Self-Management Education, Action Plans, and Home Visits Reduces Asthma-Related Admissions and Emergency Department Visits 10/08/08

A comprehensive asthma management program that includes a registry of all asthma patients, action plans, home visits from nurses, and specialized services for high-risk children led to a reduction in asthma-related hospitalizations and pediatric emergency department visits.

Increasing Patient Health Literacy Leads to Improved Reporting of Medication Allergies 09/24/08

The West Los Angeles Healthcare Center implemented a program to improve nurses' and patients' awareness and reporting of medication allergies and adverse drug reactions. Key program elements include a training module for nurses, educational brochures for patients, and distribution of an allergy/adverse drug reaction questionnaire to patients.

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