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Changing Patient Flow Improves Pneumonia Care
Mission Hospitals (Asheville, North Carolina, USA) achieved the 2nd decile ranking in the CMS Hospital Quality Incentive project and improved quality of care for pneumonia patients by implementing a clinical pathway, evidenced-based order set, and a new admission process flow.
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Doing an Extreme Makeover of Patient Flow: Going from Condition Red to Green in One Week (or Less)
Western Pennsylvania Hospital–Forbes Regional Campus (Monroeville, Pennsylvania, USA) decided to avoid condition red by trying to solve patient flow problems through an intense Extreme Team week and were able to sustain and enhance care for several months.
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Streamlined Processes Mean Less Waiting and Less Expense in Sweden
The County Council in Jönköping, Sweden, responsible for delivering health care to 330,000 residents, has overseen a wide and varied array of improvement projects during the past several years, strengthened by their participation in the Pursuing Perfection initiative.
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Kaiser Foundation Hospital-Roseville Schedules Patient Discharges to Improve Throughput
Discharge appointments are one of the tools IHI recommends for improving the flow of patients into, through, and out of the hospital. Kaiser Foundation Hospital-Roseville (Sacramento, California, USA) has put this and other flow improvement tools to good use.
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Charting the Way to Greater Success: Pursuing Perfection in Sweden
Jönköping County (Sweden) began its association with Pursuing Perfection in 2001. In conjunction with previous improvement work, the new processes and concepts from Pursuing Perfection has led to advances across the county’s health care system. Jönköping is setting the pace for many of the system-level dimensions of quality that Pursuing Perfection has tackled.
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Restructuring the ER: The NewsHour with Jim Lehrer Interview
Studies show that more than half the nation's emergency rooms are facing overcrowding, a problem that has led to patients being turned away at the door and one that may cause avoidable deaths, according to some doctors.
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Pursuing Perfection: Report from Hackensack University Medical Center on Multidisciplinary Rounds
With Pursuing Perfection as a catalyst, Hackensack University Medical Center (Hackensack, New Jersey, USA) has undertaken a wide range of quality initiatives, from delivering more effective care to heart attack patients, to instituting programs that improve medication safety. One of their successful creations is the multidisciplinary rounds; a team of caregivers who make daily visits to patients — one one by one — on specified medical units.
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Improving Patient Flow by Reducing Variability in the Discharge Process at University Hospital Lewisham
The staff on an orthopaedic ward at University Hospital Lewisham (London, United Kingdom) have reduced the average length of stay for 80 percent of patients from 13 days to 4 days by reducing the variability of the discharge process for their patients.
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Cath Lab Flow Improvement Reduces Unnecessary Waiting and Delays for Patients and Creates a Cath Lab of Capacity
St. Joseph Health Care (Lexington, Kentucky, USA) reduced Cath lab room turn around (done to 1st stick) from 43 minutes to less than 20 minutes over a 3 month period. This eliminated waiting and delays for patients, by allowing a more predictable schedule, while creating an additional cath lab of capacity and the potential for $4.5 million in additional revenue.
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Driving Quality of Care Using Advanced Demand/Capacity Matching
Overlook Hospital (Summit, New Jersey, USA) used an advanced software solution to enhance the management of demand/capacity and implement multiple performance and quality improvement projects, including the reduction of ER diverts (mean time between ER diverts went from 7 days to 193 days) by improving patient flow and communication/collaboration between departments.
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