Onsite care coordination and support of seniors in affordable housing community leads to fewer falls, reduced hospital admissions, improved nutritional status, and increased levels of physical activity, promoting seniors' ability to remain in their homes as they age.
A Web-based registry assists primary care physicians, pediatricians, and school nurses in managing childhood asthma, leading to significant reductions in inpatient admissions and emergency department visits.
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 computerized decision support system uses algorithms and real-time patient information to guide the resuscitation of trauma patients, leading to fewer medical errors.
A collaborative telemedicine program between a hospital and 10 nursing homes in rural communities prevents unnecessary transports of residents to the emergency department.
Physician–nurse infection prevention teams round on hospital units at least weekly, leading to a 70-percent decline in central line–associated infections and very low rates of surgical site infections.
Hospital case managers telephone skilled nursing facility nurses within 48 hours of each heart failure patient's discharge to verify that appropriate care management is being provided, leading to a significant reduction in readmissions and associated cost savings.
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.
Hospital-based program increases use of pertussis vaccinations for mothers who have just given birth and others who will be in regular contact with the infant at home (and who therefore represent a potential source of infection to the infant).
Volunteer physicians, supported by paid nurse case managers, provide homeless women with needed medical care in homeless shelters and connect the women to other needed medical and social services. The program has enhanced access to services, improved outcomes, and generated significant cost savings.