A children's hospital uses an enterprise data warehouse to assist multidisciplinary teams in identifying and addressing opportunities to improve quality, leading to better adherence to evidence-based guidelines, less unnecessary care, and significant cost savings.
A regional health system with 21 hospitals implemented a comprehensive sepsis care initiative featuring proactive screening in the emergency department, algorithms to guide evidence-based treatment, and tools to support the provision of appropriate care, leading to better diagnosis, more appropriate care, lower mortality rates, and more patients meeting clinical targets.
The California Department of Health provides education and support to hospitals throughout the state, allowing many to create programs to address appropriate use of antimicrobials in response to State legislation.
A rural hospital's telemedicine-based antimicrobial stewardship program provides ongoing education and daily case reviews related to use of antibiotics, leading to more appropriate prescribing and less bacterial resistance to the drugs.
Hospitals participating in a collaborative used screening criteria, fast-track diagnostic testing, protocols to support the prompt initiation of treatment, and ongoing monitoring to reduce sepsis mortality by 54.5 percent.
An online tutorial and interactive workshop supported family physicians in engaging in shared decisionmaking with patients, reducing use of antibiotics for acute respiratory infections.
A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.
A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.
A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.
As part of a collaborative, a California health plan provides quarterly provider performance reports, educational materials, and other support to physicians and parents, leading to a reduction in inappropriate prescribing of antibiotics to children, adolescents, and adults with an upper respiratory infection or acute bronchitis enrolled in the insurer's Medi-Cal managed care plan.