Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use
A Medicare Advantage plan uses employed "extensivists" who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.
Multidisciplinary Team Brings Palliative Care to Rural Patients, Leading to Improved Symptom Management and High Levels of Satisfaction
A palliative care program brings holistic physical, spiritual, and psychosocial support and care to patients in rural areas in their setting of choice, leading to improved symptom management and high levels of patient and provider satisfaction.
Nurse-Managed Facility in Home-Like Setting Helps Residents With Dementia Maintain Function, Avoid Falls and Disruptive Behaviors
Liberty Country Living, a long-term care facility for people with dementia, offered nurse-managed care in a home-like setting, with a focus on supporting residents' capabilities. The facility had a high ratio of staff to residents and promoted social interaction, ambulation, and continence. The program helped residents stay ambulatory, maintain continence, avoid weight loss, avoid falls and disruptive behaviors, and reduce psychotropic medication use. After 5 years of operation, Liberty closed abruptly due to changes in State regulations.
Provider Training, Standardized Protocol, and Onsite Specialists Improve Diagnosis and Treatment of Depression in Older Adults in Rural Sites
A multifaceted intervention that included education and training, use of a standardized protocol, and designation of an onsite specialist improved the diagnosis and treatment of depression in older adults in rural settings.
Telemedicine Consultations With Emergency Department Physicians Reduce Unnecessary Transfers of Nursing Home Residents in Rural Areas
A collaborative telemedicine program between a hospital and 10 nursing homes in rural communities prevents unnecessary transports of residents to the emergency department.
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2008 National Healthcare Quality Report
The 2008 National Healthcare Quality Report (NHQR) is a comprehensive overview of the quality of health care in the United States. The 2008 report focuses on the state of health care quality for a group of 45 core report measures that represent the most important and scientifically credible measures of quality for the Nation.
Advance Care Planning: Preferences for Care at the End of Life
This report, which presents findings from research funded by the Agency for Healthcare Research and Quality, can help health care professionals offer end-of-life care based on preferences held by the majority of patients under similar circumstances.
Improving Patient Safety in Long-Term Care Facilities: Training Modules
The Improving Patient Safety in Long-Term Care Facilities: Training Modules materials are intended for use in training frontline personnel in nursing homes and other long-term care facilities.
Making Health Care Safer: A Critical Analysis of Patient Safety Practices, Evidence Report/Technology Assessment
This evidence report presents practices relevant to improving patient safety, focusing on hospital care, nursing homes, ambulatory care, and patient self-management.
National Center for Patient Safety 2004 Falls Toolkit
This toolkit is a collection of resources and tools to help patient care facility staff create and improve comprehensive falls prevention programs.