Comprehensive Initiative to Create a Culture of Safety Significantly Reduces Harm Caused by Medical Errors, Mortality, Length of Stay, and Hospital-Acquired Pneumonia and Infections
Sentara Healthcare launched a program designed to create a strong culture of safety. The initiative includes an assessment of the existing safety culture, establishment of goals related to improved safety, the development of specific strategies to identify and correct safety problems, and the use of ongoing processes and systems to monitor progress and encourage continued improvement.
Surgical Hospitalist Model Enhances Access to Surgical Consultations, Increases Physician Perceptions of Quality at Academic Medical Center
The surgical hospitalist model improves care and revenues for hospital-based emergency surgical care.
Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
Hospital Gain-Sharing Program Offers Incentives to Physicians Based on Their Efficiency, Producing Significant Cost Savings Without Decline in Quality
A group of 12 New Jersey hospitals offered upside incentives to individual physicians based on their performance on various efficiency metrics, leading to significant cost savings without negatively affecting quality of care.
Round-the-Clock Intensivists Eliminate Ventilator-Associated Pneumonia, Central Line Infections, and Pressure Ulcers in Intensive Care Unit
Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.
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.