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Improving Service Quality and Efficiency for Pediatric Patients Requiring Conscious Sedation
At Santa Clara Valley Medical Center (San Jose, California, USA) we implemented an organization-wide approach that has reduced delays in provision of care and diagnostic testing for pediatric patients requiring conscious sedation by streamlining processes for referral, authorization, and scheduling, and incorporating a patient and family-friendly focus.
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Children’s Preventive Healthcare Initiative
Through the Children’s Preventive Healthcare Initiative (CPHI), OMPRO (Portland, Oregon, USA) succeeded in improving preventive care for children by increasing immunizations by 16 percent in one clinic and well child visits by 52 percent in another clinic.
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Creating the Organisational Climate for New Ways of Working – A Whole System Change Initiative
The Changing Workforce Programme, part of the NHS Modernisation Agency, has over the past three years developed a climate of transformational change to enable health and social care organisations develop sustainable new ways of working that are better for staff and patients/clients.
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Renal Disease Management Across the Continuum
The Renal Team implemented a multidisciplinary approach to improve the care of patients with CKD and their unique needs for vascular access once dialysis was initiated, resulting in a decreased number of ED visits and admissions for vascular-related problems.
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Realizing Revenue Opportunities in the Operating Room
CMH (South Hill, VA) realized an 11 percent increase in revenue, reduced expenditures by 24 percent, and substantially improved scheduling, surgeon utilization, late starts and after hour surgeries over a 12 month period, by focusing project objectives on identifying, and capturing lost revenue opportunities in the OR
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Bridging the GAP in Heart Failure Program
Catholic Healthcare Partners (Cincinnati, Ohio, USA) implemented a system-wide strategy to significantly reduce heart failure readmissions through a partnership approach utilizing specially trained nurse “advocates” who provide intensive follow up after discharge and improve communication and coordination of care.
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Eliminating Pathology Specimen Handling and Labeling Errors/Deficiencies
Carle Foundation Hospital (CFH) and Carle Clinic Association (CCA) of Urbana, Illinois (USA) are taking measures and approaching a zero error/deficiency rate for the handling and labeling of pathology specimens.
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Improvement in 7- and 30-Day Aftercare Appointments
Within three years, Beacon Health Strategies (Woburn, Massachusetts, USA) significantly increased (test of proportions P=0.000) the overall percentage rate of mental health members attending an aftercare appointment within 7 days (from 51 percent to 63 percent) and 30 days (from 79 percent to 86 percent) following discharge from an inpatient hospital setting.
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Multidisciplinary Rounds: Not MORE Work but THE Work
Implementation of multidisciplinary rounds at Baptist Memorial Hospital - Memphis (Memphis, Tennessee, USA) facilitated collaborative patient care planning and implementation of evidence based practices resulting in improved patient outcomes, including decreased length of stay (LOS), decreased mortality rate, decreased ventilator days and decreased rates of ventilator associated pneumonia (VAP), catheter related blood stream infections (CR BSI) and urinary tract infections (UTI).
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Decision to Incision: Emergent Cesarean Section in Less Than 30 Minutes
The Cesarean Section (C/S) process improvement team in conjunction with the Department of Obstetrics at Alice Peck Day Memorial Hospital (Lebanon, New Hampshire, USA) has developed a pathway that ensures less than 30-minute “decision to incision” times for emergent Cesarean delivery.
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