Administrative Overhaul Improves Access to Substance Abuse Services for Iowa Patients
Using tools and resources developed by NIATx, the Iowa Department of Public Health and local providers conducted an administrative overhaul of substance abuse services to improve access to care for patients in Iowa.
Safety-Net Hospital Enhances Access to Specialty Care by Immediately Notifying Surgical Oncologists About Patients With Imaging Results That Suggest Possible Gastrointestinal Malignancy
A safety-net hospital enhances access to timely specialist care by revamping its critical results reporting system to immediately notify surgical oncologists of imaging results that suggest a possible gastrointestinal malignancy.
Statewide Partnership Provides Mental Health Assessments via Telemedicine to Patients in Rural Emergency Departments, Reducing Wait Times, Hospitalizations, and Costs
Through a statewide telemedicine program, psychiatrists evaluate patients with mental health issues who present at rural hospital emergency departments, leading to reductions in wait times, inpatient admissions, and costs; increased attendance at followup visits; and high levels of patient and clinician satisfaction.
Clinics and Hospitals Use Trained, Certified Community Members To Screen and Support Primary Care and Postdischarge Patients, Reducing Physician Visits and Costs
Specially trained and certified lay workers known as "Grand-Aides" use illness-specific protocols to ensure that patients receive appropriate treatment in primary care settings and to ease the transition from hospital to home after discharge. The primary care-based program has reduced unnecessary visits and demonstrated the potential to reduce costs. Early data from one hospital program show significant reductions in readmissions.
Patient Flow Improvements Eliminate Ambulance Diversions and Reduce Waiting Times for Inpatient Beds
A hospital used a multipronged strategy to reduce delays in patient admission and discharge, eliminating ambulance diversions and reducing waiting times for patients who require inpatient admission.
Door-to-Doc Patient Safety Toolkit
"Door to Doc" is a patient flow redesign process that improves the safety of care for patients in the emergency department (ED) by reducing the time patients wait to be seen, and by expediting admission to the most appropriate hospital unit.
Emergency Severity Index, Version 4: Implementation Handbook, 2012 Edition
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.
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
This guide, for hospital administrators and emergency department leaders, provides step-by-step instructions for planning and implementing patient flow improvement strategies to ease emergency department crowding.
Sharing Specialty Services: A Business Guide and Toolkit for Community Clinics
This business planning guide is designed to assist CCHCs and clinic consortia as they consider developing networks to share specialty services.
The Hospital Overcrowding Web site includes resources on overcrowding, including the "full capacity protocol," which guides the movement of patients when the hospital is full, addressing high hospital census in a distributive and safe fashion.