Technology—HIT

Innovations

Early Activation of Acute Myocardial Infarction Team Reduces Time Between Emergency Department Arrival and Start of Angioplasty Procedure 02/26/08

The University of Michigan Health System redesigned the process for activating its acute myocardial infarction team, with an emphasis on the earliest possible electrocardiogram administration and team activation, ideally while the patient is en route to the hospital.

Pediatric Critical Care Physicians Provide Remote Consultations to Emergency Departments in Underserved Rural Areas, Leading to Better Diagnosis and Treatment 02/25/08

An academic medical center provides 24-hour evaluation and consultation services via interactive videoconferencing to emergency departments serving rural and underserved areas, leading to improvements in diagnosis, treatment, and patient satisfaction.

Field-Based Outreach Workers Facilitate Access to Health Care and Social Services for Underserved Individuals in Rural Areas 02/25/08

Rural and Urban Access to Health, an integrated network of field-based workers, connects vulnerable populations to health, human, and social services in nine largely rural counties in central Indiana.

Remote Assessment and Treatment via Telemedicine Combined With Onsite Case Management Enhance Access to Mental Health Services for Low-Income and Minority Students 02/25/08

In collaboration with several community partners, the University of Texas Medical Branch provides remote mental health assessment and treatment services via videoconferencing technology and onsite case management to low-income, minority, and other students and parents in seven school-based primary care clinics in the Galveston Independent School District.

Nurse Home Visitation Program Reduces Readmissions, Emergency Department Visits, Child Abuse, and Foster Home Placements for Medically Fragile Infants 02/25/08

Bridge to the Future provides nursing home visits to low-income families with medically fragile infants who have been discharged from the neonatal intensive care unit, thus ensuring a smooth transition to long-term care in the home.

Supplemental Remote Physician Rounds Lead to Reduced Length of Stay and Readmissions After Laparoscopic Gastric Bypass Surgery 02/22/08

Physicians at Sinai Hospital in Baltimore, MD, conduct periodic, remote bedside rounds to augment regular physician rounds for patients who undergo uncomplicated gastric bypass laparoscopy.

Pediatric Skin Care Program Focuses on Proactively Identifying and Providing Preventive Therapy to At-Risk Intensive Care Unit Patients, Leading to Significant Reductions in Pressure Ulcers 02/22/08

Children's Healthcare of Atlanta developed and implemented a comprehensive skin care program to reduce pressure ulcers in its intensive care units, reducing pressure ulcer incidence by 59 percent.

Standardized Nursing Terminology and Communication Protocols Lead to Increased Use of Patients' Plan of Care 02/20/08

Standardized plans of care, enabled by the Hands-on Automated Nursing Data System, helps nurses document and communicate patient information, which is particularly critical during patient handoffs.

Transition Coaches Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs 02/14/08

Transitions coaches encourage recently hospitalized Medicare patients with complex care needs to assert a more active role in their posthospital care, leading to fewer readmissions and lower costs.

Multidisciplinary Team-Generated Interventions Improve Medication Reconciliation and Patient Safety 02/11/08

Multidisciplinary teams implemented a comprehensive medication reconciliation program for patient admissions, transfers, and discharge to significantly improve the reconciliation process.

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