Ongoing support to nurse case managers improves their ability to serve high-cost Medicaid managed care enrollees with co-occurring medical conditions and substance abuse problems, enhancing access to services and treatment without significantly raising costs.
Adding a nurse practitioner and a multidisciplinary team reduced length of stay and costs at an academic medical center.
A simple scoring system allows nurses to quickly recognize patients likely to deteriorate and mobilize resources to assist them, leading to an increase in calls to the hospital rapid response team and a reduction in “code blue” (cardiopulmonary) emergencies.
A hospital created a new nursing position, the clinical resource nurse, to ensure continuity of care, facilitate care planning, coordinate with physicians, encourage adherence to evidence-based practices, and mentor less experienced nurses, leading to more timely discharges, fewer falls and pressure ulcers, lower nurse turnover, and higher patient, nurse, and physician satisfaction.
A hospital created a new position—the clinical nurse leader—to play a variety of clinical roles, leading to improved performance on Centers for Medicare & Medicaid Services core measures, lower nurse turnover, and higher patient and physician satisfaction.
A comprehensive program consisting of standardized protocols, an interdisciplinary team, a specialized inpatient unit, education and training support, and community outreach improves inpatient care for the elderly.
An outpatient cancer center redesign incorporated features that create a soothing, healing environment for patients, leading to an increase in patient and staff satisfaction.
Daily, telehealth-enabled symptom monitoring combined with as-needed interactions with a nurse reduced unexpected clinic visits and inpatient use among cancer patients undergoing chemotherapy.
A children's hospital empowers families to directly activate its pediatric rapid response team in case of a suspected emergency situation, leading to a significant increase in calls to the team by family and staff.
A diabetes care center works in partnership with middle and high school nurses to proactively monitor glycemic levels and administer doses of long-acting insulin as needed, leading to a substantial reduction in hemoglobin A1c levels in students with poorly controlled type I diabetes.