Workflow redesign

Innovations

Comprehensive Initiative to Create a Culture of Safety Significantly Reduces Harm Caused by Medical Errors, Mortality, Length of Stay, and Hospital-Acquired Pneumonia and Infections 02/11/08

Sentara Healthcare launched a program designed to create a strong culture of safety. The initiative includes an assessment of the existing safety culture, establishment of goals related to improved safety, the development of specific strategies to identify and correct safety problems, and the use of ongoing processes and systems to monitor progress and encourage continued improvement.

Adoption of Rapid Cycle Improvement Process From Toyota Increases Efficiency and Productivity at Community Health Clinics 02/08/08

Community clinics use the Toyota “Lean” rapid cycle process improvement system to enhance efficiency and productivity, leading to a significant increase in revenues.

Standardized Shift-Change Process Optimizes Time for Transfer of Patient Care Responsibility, Leads to High Levels of Nurse and Patient Satisfaction 02/07/08

A six-step process related to nurse shift changes is designed to enhance patient safety by conveying vital patient information accurately, concisely, and consistently, leading to improved nurse and patient satisfaction and more nurse time spent at the bedside.

Centralized Orthopedic Center and Streamlined Referral and Triage Processes Enhance Access to Appropriate Treatment 02/07/08

Thedacare, a four-hospital system, has redesigned its musculoskeletal care process to make it more efficient and effective for patients and providers. Improvements include a centralized orthopedics center that houses physicians (orthopedic surgeons, sports medicine physicians, and rehabilitation specialists), therapists, and supplies; changed the traditional process of most patients with musculoskeletal injuries seeing an orthopedic surgeon first; and the creation of referral protocols and a triage system designed to get patients the level of care they need quickly.

Remote Consultations Provide On-Demand Access to Stroke Specialists for Network of 31 Emergency Departments, Facilitating Rapid Stroke Treatment and Patient Transfers 01/31/08

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.

Technology-Enabled Reengineering of Referral Intake Process and Case Management System Significantly Improves Field Nurses' Ability To Serve At-Risk Families 01/31/08

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.

Group Visits Expand Capacity to Serve Dementia Patients and Caregivers, Result in High Levels of Patient and Provider Satisfaction 01/28/08

Group visits allow substantially more patients with dementia to be served with only a modest increase in clinician time, leading to high levels of patient, caregiver, and provider satisfaction.

Unit-Based Safety Program Improves Safety Culture, Reduces Medication Errors and Length of Stay 01/25/08

The Comprehensive Unit-Based Safety Program (CUSP) improves patient safety awareness and quality of care by empowering staff to take charge, create partnerships between units, improve organizational culture, and obtain resources for unit efforts.

Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Followup Care 01/25/08

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.

Patient- and Family-Centered Care Initiative Is Associated With High Patient Satisfaction and Positive Outcomes for Total Joint Replacement Patients 01/24/08

Magee-Womens Hospital of the University of Pittsburgh Medical Center implemented the Patient and Family Centered Care Methodology and Practice, a low-technology, systems-based approach to inpatient care that focuses on providing care from the patient's and family's perspective; the program is associated with high rates of patient satisfaction, functional status, and adherence to evidence-based care protocols, along with low infection rates and length of stay.

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