Workflow redesign

Innovations

Physician Practice–Based Medical Assistants Have Limited Success in Early, Ongoing Efforts to Engage Diabetes Patients in Self-Management 06/24/10

Guided by a health educator, medical assistants at an internal medicine practice are only modestly successful in encouraging diabetes patients to engage in goal setting, create personal action plans, and communicate home blood pressure and glucose measurements to physicians.

Co-Located, Independent Primary Care and Specialty Practices Collaborate to Enhance Access, Improve Quality and Satisfaction 06/03/10

A medical complex houses a primary care practice, a wide array of specialty practices, and ancillary service providers who operate independently but collaborate closely to provide same-day access and communicate in real time on individual cases, leading to improvements in breast and colon cancer screening rates and to higher physician and patient satisfaction.

Smoking Cessation Intervention by Thoracic Surgeons Achieves Above Average Pre- and Postoperative Quit Rates 05/29/10

During pre- and postsurgery visits, thoracic surgeons encourage lung cancer patients to quit smoking and provide assistance to help them do so, leading to a 35 percent quit rate, which is above the average quit rate documented in other smoking cessation programs.

Multiple Safeguards in Hospital Intravenous Medication Administration Processes Reduces Dosing Limit Violations and Improves Nurse Efficiency 05/24/10

A hospital revamped its process for administering intravenous medications to incorporate multiple automated and human safeguards, leading to increased adherence to drug dosing limits and the elimination of many error-prone steps involved in manually programming the intravenous infusion pump.

Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use 05/17/10

Care staff use software-based protocols to screen older clients' medications and collaborate with pharmacists and physicians to reduce the risk of medication errors and adverse effects, leading to more appropriate medication use and fewer cases of duplicative medications.

Transferring Admitted Emergency Department Patients to Hallway Beds Leads to Lower Length of Stay and Higher Patient Satisfaction 05/14/10

In instances of institutional overcrowding, a protocol allows patients admitted to the hospital but boarded in the emergency department to be transferred to beds located in inpatient unit hallways, leading to expedited patient placement in a room, lower length of stay, and higher patient and staff satisfaction.

Emergency Department-Based Phlebotomists Expedite Blood Sample Collection and Turnaround Time, Reduce Specimen Contamination and Cost, and Increase Patient Satisfaction 05/11/10

During peak census hours, phlebotomists are assigned to work in the emergency department to quickly collect blood specimens and label them for priority processing and analysis by laboratory staff, leading to faster turnaround times, lower rates of blood culture contamination, more than $400,000 in annual cost savings, and higher levels of patient satisfaction.

VA Patients Use Waiting Room Kiosk to Enter Medication List, Facilitating Reconciliation With Electronic Medical Record and Identifying More Discrepancies 05/06/10

Clinic providers compare patients' self-reported medication lists (generated through an easy-to-use automated system featuring a computer kiosk and simple touchscreen interface) to medications listed in the electronic medical record, allowing them to adhere more closely to established medication reconciliation practices and to identify and address more medication discrepancies, including potentially lethal ones.

Language Concordant Health Coaches Team with Residents to Help Improve Patients' Self Care Skills, Leading to Better Diabetes Management 05/05/10

Language-concordant health coaches team with residents to improve the self-management skills of patients who have limited English proficiency and health literacy, leading to improvements in the management, documentation, treatment, and clinical outcomes of patients with diabetes.

Low-Overhead Medical Home Leverages Information Technology To Attract Both Providers and Patients in Underserved Rural Areas 04/27/10

A low-overhead medical home leverages information technology to produce a financially viable, high-quality primary care experience that proves to be attractive to both physicians and patients in an underserved rural area.

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