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Innovations
Early Identification and Intervention Leads to Lower-Than-Expected Rates of Schizophrenia for At-Risk Adolescents 7/30/2014
The Portland Identification and Early Referral program encourages community members to identify and refer adolescents with early warning signs of psychosis and then intervenes with counseling and medical therapy before the onset of full-syndrome psychosis.
Formalized, Technology-Enabled Referral Relationships Between Medical Center and Community Clinics Enhance Access and Reduce Inappropriate Emergency Department Visits 7/30/2014
A collaborative program leverages information technology to connect ED patients to a medical home and patients receiving care at FQHCs and county health clinics to specialists, leading to enhanced access to care, fewer ED visits, and significant cost savings.
Inner City Hospital Offers HIV Testing to All Emergency Department Patients, Improving Test Access and Subsequent Care for High-Risk Populations 7/30/2014
Providers routinely offer HIV testing to emergency department patients as a part of their visit, leading to a 50 percent increase in the number of patients tested.
Pagers Enable Patients Awaiting Test Results to Leave Pediatric Emergency Department, Improving Patient Flow and Satisfaction 7/30/2014
A hospital emergency department distributes pagers to the families of low acuity/medically stable children, allowing them to leave the examination area while waiting for test results and physician recommendations, thus freeing up emergency department beds for other patients.
Archived Adopting "Flow Management" Improves Efficiency, Throughput, and Quality of Care in Hospital Surgery Units 7/16/2014
Borrowing from other industries, a large hospital implemented principles of "flow management" to redesign the flow of operations in its surgical department, leading to enhanced quality of care, improved patient and provider satisfaction, and reductions in the frequency of delayed and canceled surgeries.
QualityTools
Protocol for the Prescription of Controlled Substances by Emergency Department Providers 3/12/2014
Protocol for the Prescription of Controlled Substances by Emergency Department Providers is a one-page, easy-to-understand protocol can help physicians and nurses decide how to treat patients complaining about pain who may be abusing opioid medications or other controlled substances.
Asthma Care Quality Improvement: A Resource Guide for State Action 12/18/2013
This 151-page resource guide was developed as a learning tool for State officials who want to improve the quality of health care for people with asthma in their States. The guide is designed to help officials assess quality of care, using State-level data, and fashion quality improvement strategies suited to State conditions.
Ask Suicide-Screening Questions 11/20/2013
This screening tool, called the Ask Suicide-Screening Questions (ASQ), is a set of four questions that emergency department nurses or physicians can administer to help identify youth at risk for attempting suicide.
Managing Drug-Seeking Behaviors & Super Users in the Emergency Department 10/23/2013
This guide for emergency department (ED) physicians, nurses, and caregivers includes information and tools for providing pain management care to drug "super users" in the ED.
Emergency Severity Index, Version 4: Implementation Handbook, 2012 Edition 10/9/2013
The Emergency Severity Index (ESI) is a simple to use, five-level triage instrument that categorizes emergency department (ED) patients by evaluating both patient acuity and resources.

Last updated: July 30, 2014.