Workflow redesign

Innovations

Solo Physician's Use of Virtual and Phone Visits, Same-Day Appointments, and Extended In-Person Visits Leads to High Patient Satisfaction and Improved Chronic Disease Outcomes 07/18/08

A solo family practitioner provides 24-hour-a-day, 7-day-a-week access to care for her patients through liberal use of “virtual” or e-mail visits, telephone calls, same-day appointments, and extended office visits.

Cooperative Network Improves Patient Transitions Between Hospitals and Skilled Nursing Facilities, Reducing Readmissions and Length of Hospital Stays 07/04/08

Summa Health System's Care Coordination Network strives to ensure smooth transitions between the hospitals and 40 local skilled nursing facilities, leading to fewer readmissions and lower length of stay in the hospital.

Revamped Chemotherapy Dispensing Process Based on Expected Patient Arrival Time Increases Timeliness of Medication Administration 06/17/08

An enhanced chemotherapy dispensing process prioritizes orders for pharmacy processing based on when patients are expected to be on the unit and ready for their chemotherapy, leading to more timely medication administration.

Automated Clinician Prompts and Referrals Facilitate Access to Counseling Services, Leading to Positive Behavior Changes Among Patients 06/13/08

Automated clinician prompts and referrals facilitates access to behavior counseling, leading to improved behaviors related to diet and exercise and higher quit rates among smokers.

Emergency Department Tracks and Streamlines Patient and Staff Flow, Leading to Shorter Treatment Time, Fewer Walkouts, and Higher Patient Satisfaction 06/06/08

Albert Einstein Medical Center uses a patient and workflow management process to improve communication and workflow in the emergency department, leading to shorter length of stay, fewer walkouts and diversions, and higher patient satisfaction.

Six-Sigma Inspired Workflow Redesign Leads to Better Adherence to Evidence-Based Protocols and Fewer Infections for Surgery Patients 06/03/08

To reduce surgical site infections, Decatur Memorial Hospital used Six-Sigma techniques to review and standardize workflow processes for surgical patients throughout their hospital stay, with a focus on increasing adherence to evidence-based protocols related to antibiotics.

Low-Tech Medication Reconciliation Process Emphasizing Standardized, Easy-to-Execute Roles Significantly Reduces Rate of Unreconciled Medications 05/13/08

Contra Costa Health Services launched a medication reconciliation process at its county-owned hospital based on Institute for Healthcare Improvement concepts for redesigning work to achieve a high degree of reliability. The institution uses a process in which providers, pharmacy, and nursing staff have standardized, easy-to-understand, and easy-to-execute roles related to medication reconciliation.

Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Fewer Emergency Department Visits for Low-Income Seniors 04/25/08

As part of the Geriatric Resources for Assessment and Care of Elders (GRACE) program, social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and primary care physicians to develop and implement individualized care plans for low-income seniors, leading to significant improvements in health status.

Health Plan–Financed, Nurse-Led Care Coordination Improves Quality of Care and Reduces Costs for Latinos With Chronic Illnesses and Disabilities 04/21/08

A community-based primary care clinic uses nurses to provide culturally competent care coordination to Latino patients with chronic illnesses and disabilities, leading to greater provision of recommended care, lower health care costs, and enhanced self-management capabilities.

Integrating Behavioral Health and Nutrition Services Into Primary Care Clinics Significantly Reduces Mental Health-Related Hospitalizations for Staff-Model Health Maintenance Organization 03/28/08

A health maintenance organization integrated mental and behavioral health care and nutrition services with primary care delivery, leading to a more than 50-percent reduction in mental health–related hospitalizations.

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