Workflow redesign

Innovations

Clinical Microsystem Improvements in Children's Hospital Lead to Fewer Codes and More Timely Delivery of Essential Care 12/02/08

A children's hospital uses a clinical “microsystem” approach to improve patient safety and quality, leading to fewer codes and more timely care.

Co-Locating Gynecologic Services Within an HIV Clinic Increases Cervical Cancer Screening Rates, Leading to Identification and Treatment of Many Cancer Cases 11/19/08

By “nesting” a weekly gynecologic clinic into their HIV program, Christiana Care reduces barriers to screening and preventive care for female patients.

Use of Clinical "Bundles," Fixed Pricing, and Patient Compact Enhances Adherence With Guidelines and Improves Outcomes in Bypass Surgery, Diabetes, and Other Areas 11/05/08

The ProvenCare program uses guideline-based “bundles” of discrete clinical care elements to guide surgical care delivery, a fixed per-case rate for inpatient and followup care, and a “patient compact” and other educational activities to encourage patients to become more engaged in their care.

Implementation of Attention Deficit Hyperactivity Disorder Guidelines With Community-Based Physicians Results in Fewer Hospital Referrals and Improved Outcomes 10/24/08

A children's hospital works with community-based primary care physicians to increase adherence to established guidelines for the diagnosis and treatment of children with attention deficit/hyperactivity disorder.

Standardized Ordering and Administration of Total Parenteral Nutrition Reduces Errors in Children's Hospital 09/23/08

A pediatric academic medical center adopted a standardized ordering and administration process for total parenteral nutrition, leading to a significant reduction in errors and other improvements.

Web-Facilitated Home Monitoring and Ongoing Pharmacist Support Improve Blood Pressure Control in Hypertensive Patients 09/22/08

A patient-centered model of care for controlling hypertension incorporates three elements: education and training on use of an existing Web-based system, home monitoring of blood pressure, and periodic contact from pharmacists to review blood pressure readings and adjust therapy as needed.

Hospital System-Based Changes Enhance Throughput and Meet Increased Demand Without Adding New Facilities 09/19/08

The Lehigh Valley Health Network made systems-based changes to a variety of key processes related to patient throughput, allowing the network to meet increased demand for its services.

Pagers Enable Patients Awaiting Test Results to Leave Pediatric Emergency Department, Improving Patient Flow and Satisfaction 09/17/08

A hospital emergency department distributes pagers to the families of low acuity/medically stable children, allowing them to leave the examination area while waiting for test results and physician recommendations, thus freeing up emergency department beds for other patients.

Simple Scoring System and Action Algorithm Identifies Children at Risk of Deterioration, Leading to Fewer Codes and More Timely Transfer to Intensive Care Unit 09/04/08

A children's hospital uses a simple scoring system and “action algorithm” to identify and promptly attend to at-risk patients, leading to fewer codes, lower mortality and length of stay, and improved communication and teamwork among staff.

Streamlined Evaluation, Transfer, and Admission Processes Significantly Reduce Waiting Times for Emergency Department Patients Awaiting Admission to Psychiatric Facility 09/04/08

A multidisciplinary team from a medical center and its affiliated psychiatric hospital streamlined the evaluation, transfer, and admission processes for psychiatric patients presenting to the emergency department, leading to a significant decline in waiting times before transfer to the psychiatric facility.

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