Multispecialty Practice Uses Electronic Templates to Provide Customized Support at Every Visit, Contributing to Improved Patient Behaviors and Outcomes
Using electronic templates, nurses and physicians provide a personalized report to patients at virtually every visit, with the goal of improving health-related behaviors; the program has contributed to a leveling off in the prevalence of overweight/obesity, above-average quit rates among smokers, better blood glucose control, and fewer racial disparities in chronic care.
Standardized Tools and Protocols Increase Provision of Recommended Care in Key Clinical Areas, Reducing Hospital Mortality
A hospital implemented new processes to increase the provision of recommended care for heart failure, acute myocardial infarction, pneumonia, and surgery patients, leading to significant improvements in quality and a 25 percent reduction in mortality.
Enhanced Home Health Program Provides Remote Monitoring and Services, Leading to Fewer Hospitalizations and Increased Nurse Productivity
A home health program enhances services to congestive heart failure and other chronically ill patients by supplementing at-home visits with ongoing remote monitoring and services.
Culturally Appropriate Education and Social Support Helps Chinese Immigrants With Diabetes Improve Knowledge, Self-Management Confidence, and Blood Glucose Control
Culturally and linguistically appropriate education and emotional support to low-income monolingual Chinese immigrants leads to improved knowledge and better blood glucose control in a pilot test of diabetes patients. Based on the success of this pilot, the program has been expanded to serve those with coronary artery disease and congestive heart failure as well.
Hospital-Based Heart Failure Nurse Advocate Reduces Readmissions and Hospital Costs
A trained nurse educated other nurses, physicians, and administrators on evidence-based heart failure treatment and provided disease management education and followup support to high-risk patients, leading to fewer readmissions and lower costs.
STate Action on Avoidable Rehospitalizations (STAAR) Materials
The STate Action on Avoidable Rehospitalizations (STAAR) Initiative of the Institute for Healthcare Improvement and The Commonwealth Fund aims to reduce avoidable rehospitalizations. This Web site features guides, presentations, and other tools related to reducing readmissions.
Expecting Success Toolkit
The Expecting Success Toolkit provides tips for hospitals on improving the quality of care and reducing disparities.
Heart Failure Self-Management—Caring for Your Heart: Living Well With Heart Failure
These health communication aides for clinicians can help them demonstrate to patients that organized self-management support can improve self-care behaviors and prevent hospitalizations.
Develop Your "Hospital At Home" Program
"Hospital At Home" is an innovative health care model that can provide hospital-level care in a patient’s home as a full substitute for acute hospital care until the patient is ready for discharge to their primary care physician. The Web site contains information and tools for organizations that are considering starting their own program.
Treating Congestive Heart Failure With Beta Blockers: What You Can Do To Make Yourself Feel Better
This brochure can help patients and their families understand congestive heart failure and current treatments, focusing on the use of a group of medications called beta blockers.