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