As part of a statewide collaborative, hospital-based multidisciplinary teams developed and implemented projects aimed at improving adherence to a set of standardized, evidence-based protocols for the management of acute stroke.
The Michigan Stroke Network provides on-demand remote consultations to emergency department physicians in 30 hospitals and one freestanding emergency department throughout Michigan. These consultations provide the physicians with access to stroke care specialists within 12 to 15 minutes of the physician making a telephone call.
The County of San Diego Health and Human Services Agency implemented a Mobile Remote Workforce project to increase the amount of time field nurses in the agency's public health nurse home visitation program can spend providing direct services to at-risk families.
Patients at Dartmouth-Hitchcock Clinic have increased access to their electronic medical record and they may communicate with providers via a secure Web messaging system through an online portal.
Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.
GreenField Health in Portland, OR, uses e-mail and telephone communications for the majority of patient contacts, thus saving physician time and freeing up capacity to serve patients who need inperson care more quickly.
The Re-Engineered Discharge project at Boston Medical Center standardizes the hospital discharge process through use of 11 separate but mutually reinforcing steps that health care professionals follow from patient admission to postdischarge.
Practice enhancement assistants improve patient care through practice audits and feedback, staff training, sharing of innovative ideas, and support in the development of systems and infrastructure.
A county health department implemented disease management programs for uninsured and underinsured, low-income diabetes, asthma, and heart failure patients, leading to improved outcomes.
Researchers at the University of Michigan Medical School transformed the way services are delivered at their family practice clinics using an electronic clinical reminder and tracking system designed to support evidence-based quality improvement efforts.