Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use
A Medicare Advantage plan uses employed "extensivists" who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.
Standardized Contact Process Based on Individual Physician Preferences Saves Nurses Significant Time When Trying to Reach Doctors
St. Rita’s Medical Center uses a system based on individualized physician preferences that allows nurses to contact physicians at any time of day by making only one phone call, leading to significant time savings.
Early Warning Scoring System Proactively Identifies Patients at Risk of Deterioration, Leading to Fewer Cardiopulmonary Emergencies and Deaths
A simple scoring system allows nurses to quickly recognize patients likely to deteriorate and mobilize resources to assist them, leading to an increase in calls to the hospital rapid response team and a reduction in "code blue" (cardiopulmonary) emergencies.
Interdisciplinary, Comprehensive Skin Care Program Significantly Reduces Hospital-Acquired Pressure Ulcers
A comprehensive, interdisciplinary skin care program that relies on protocols and guidelines for proactive assessment and treatment, regular education and training of nurses, and ongoing performance monitoring significantly reduced the incidence of hospital-acquired pressure ulcers.
Nursing Interventions Among Surgical Patients Eliminate Stage 3 and 4 Pressure Ulcers and Reduce Incidence of Other Pressure Ulcers
Nurses at Aultman Hospital assess patients preoperatively for risk of pressure ulcers, carefully monitor and address risk factors during surgery, and complete a communication tool to inform postoperative surgical care; the program led to the elimination of Stage 3 and 4 pressure ulcers hospital-wide and very low incidence of Stage 1 and 2 pressure ulcers in surgical patients.
Increasing Efficiency and Enhancing Value in Health Care: Ways to Achieve Savings in Operating Costs per Year
This white paper describes the concepts and steps necessary to systematically identify and eliminate waste at health care organizations while maintaining or improving quality.
Patient- and Family-Centered Care Organizational Self-Assessment Tool
This self-assessment tool, developed by the Institute for Healthcare Improvement (IHI) in conjunction with the National Initiative for Children's Healthcare Quality (NICHQ), allows organizations to understand the range and breadth of elements under patient- and family-centered care, and to assess where they are against the leading edge of practice.
How-to Guide: Improving Hand Hygiene
This how-to guide helps organizations reduce health care-associated infections, including infections due to antibiotic-resistant organisms, by improving hand hygiene practices and use of gloves among health care workers.
Plan-Do-Study-Act (PDSA) Cycle
The Plan-Do-Study-Act cycle is part of the Institute for Healthcare Improvement Model for Improvement, a simple yet powerful tool for accelerating quality improvement.
Queueing ToolPak 4.0
The Queueing ToolPak (QTP) is a Microsoft Excel add-in that performs basic calculations for waiting time analysis.