24-Hour, Bilingual Nurse Line Provides Advice and Interpreter Services for Plan Members, Leading to Wiser Decisions and Cost Savings
Molina Healthcare, a Medicaid managed care organization, instituted a 24-hour bilingual advice line to address the health and language needs of its low-income, Spanish-speaking members; the program helped members make wiser choices, leading to fewer emergency department visits and significant cost savings.
Checklist-Plus-Technology System Eliminates Wrong-Site Surgery and Near-Misses, Enhances Required Preoperative Process Compliance
Barnes-Jewish Hospital adopts an integrated checklist and armband technology system that ensures essential steps are completed during the outpatient preoperative process.
Electronic Hand Hygiene Monitoring System Significantly Reduces Health Care–Associated Infections
An electronic monitoring system confirms that providers conduct proper hand hygiene before patient contact, leading to a 61-percent decline in overall health care–associated infections and a 91-percent decline in non-Clostridium difficile infections.
Hospital Provides Non-English-Speaking Patients With Recording of Discharge Instructions in Native Language, Leading to Improved Comprehension and High Satisfaction
A hospital makes a telephone-based recording of discharge instructions available to non–English-speaking and low-literacy patients in their native language, leading to improved comprehension of discharge instructions and high levels of patient/family satisfaction.
Hospital Revamps Morbidity and Mortality Conferences to Focus on System-Wide Improvement, Leading to Better Identification and Addressing of Quality Problems
The Monroe Carell Jr. Children's Hospital at Vanderbilt University transformed its monthly morbidity and mortality conferences from didactic teaching opportunities for residents into interactive, multidisciplinary quality improvement forums.
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