Nursing

Innovations

Medicaid Plan-Sponsored Support of Case Managers Serving High-Cost Enrollees With Substance Abuse Disorders Enhances Access to Services Without Increasing Costs 08/06/09

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 Nurse Practitioners and Creating a Multidisciplinary Care Team Reduce Length of Stay and Costs at Academic Medical Center 07/17/09

Adding a nurse practitioner and a multidisciplinary team reduced length of stay and costs at an academic medical center.

Early Warning Scoring System Proactively Identifies Patients at Risk of Deterioration, Leading to Fewer Cardiopulmonary Emergencies and Deaths 07/14/09

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.

Creation of Unit-Based, Clinically Focused Nurse Leader Position Expedites Discharge, Improves Quality, and Reduces Turnover 07/14/09

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.

Implementing Clinical Nurse Leader Role Improves Core Measures Performance, Patient and Physician Satisfaction and Reduces Nurse Turnover 06/04/09

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.

Comprehensive Program Including Specialized Inpatient Unit, Standardized Protocols, and Interdisciplinary Team Improves Care Quality for Geriatric Patients 05/18/09

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.

Patient-Centered Redesign Improves Patient and Staff Satisfaction at Outpatient Cancer Center 04/29/09

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 Remote Monitoring and As-Needed Nurse Contacts Reduce Unexpected Clinic Visits, Hospitalizations for Chemotherapy Patients 01/28/09

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.

Family-Activated Pediatric Rapid Response Team Increases Calls From Both Families and Staff, Supports Improvements in Outcomes 12/23/08

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.

School Nurses Provide Daily Testing, As-Needed Administration of Insulin, Leading to Better Glycemic Control in Low-Income Students With Diabetes 12/16/08

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.

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