System-affiliated
An AHA research synthesis report presents an overview of bundled payment, including evidence of its impact in the public and private sector. Before bundled payments are implemented, these key considerations must be addressed:
When change proves challenging, involving everyone in the process can be key. Advocate Good Shepherd Hospital, Barrington, Ill., encountered challenges while working to streamline lab workflow and redesign the lab's physical layout. The hospital began the project after surveys showed medical…
At any one time, more than 100 patients are in this busy and complex ED. Historically, staff actively tracked patients with manual entry of a patient's location into a computer system. Keeping track of such a high number of patients in real time was clearly a challenge given the ongoing…
The Problem Pneumonia accounts for 15 percent of all hospital-associated infections. It is the second most common hospital-associated infection after urinary tract infections. The primary risk factor for the development of hospital-associated bacterial pneumonia is mechanical ventilation. Fatality…
The Problem Advocate Christ Medical Center's space in the admittance bay area and resource usage was unable to meet the increase in demand. An average GI patient experienced 70 minutes of total wait time, with 19 minutes of this wait time occurring in the procedure room. Only 24 percent of GI…
The Problem In a 2008 medical staff satisfaction survey, 93 percent of Advocate Good Shepherd physicians indicated overall satisfaction with the hospital. However, the satisfaction rate for hospital laboratory turnaround times was between 50 percent and 60 percent. In addition, a discharge-time…
The Problem Inapproprate inductions of labor, defined as elective iductions less than 39 weeks gestation or whent he cervix is not readily inducible, have a negative impact on patient safety. It increases the risk of admission intot he NICU for the infant. The Solution An obstetrical task force was…
The Problem While all facitilites aspire to limit the incidence of ventilator-associated pneumonia, doing so within the confines of a spinal cord injury population presents unique challenges. In April of 2008, we had several patients, some of whom had spinal cord injuries and were on ventilators,…