A redesigned inpatient care model based on Toyota Production System principles uses daily multidisciplinary clinical team visits, individualized care plans, and facility and staffing changes to reduce costs and average length of stay and improve adherence to recommended care processes, nurse productivity, and patient, staff, and physician satisfaction.
A solo practitioner leverages various functions within the electronic medical record to redesign care processes, leading to greater adherence to recommended care processes and improved outcomes for patients with diabetes.
Rheumatology clinics used information technology and redesigned associated care process to allow clinicians to access relevant patient information and focus scarce visit time on solving problems, leading to improvements in the provision of needed services and patient-reported symptoms.
Nurses and nursing assistants conduct hourly rounds to assess and address patient needs, contributing to reductions in falls, pressure ulcers, and call light use, and to improvements in patient satisfaction with nursing care.
A primary care clinic offers patients 3- to 5-minute educational video modules, leading to enhanced patient knowledge without placing incremental demands on physicians and staff.
Primary care practices incorporate standing orders for preventive care services into the electronic health record, allowing nonphysician clinical staff to fill gaps in care; the program substantially increased the provision of needed services to eligible patients.
Teen Health Center providers use standardized processes and tools to enhance the provision of recommended care to teens with asthma.
A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.
A dedicated team of nurses and clerks provides followup support for patients discharged from the emergency department, leading to better quality care, high satisfaction among patients and primary care providers, and fewer patient walkouts.
A telepharmacy program enables offsite pharmacists to review and approve medication orders in 14 hospitals, leading to expanded hours of service, reduced order processing times, enhanced pharmacy services, higher nurse satisfaction, freed up pharmacist time, and more than $1 million in annual cost savings.