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Until recently, Stony Brook University Medical Center's approach to core measure data consisted of retrospective chart reviews by the decision support department after final coding. This approach did not allow the facility to know outcomes until they were reviewed and finalized, which, on…
South Nassau Communities Hospital initiated the 'Knot So Fast' project to promote a safe and efficient restraint-reduced environment in critical care and to identify registered nurses' attitudes, knowledge, and practice issues toward the use of physical restraints. Forty-two nurses from critical…
Rome Memorial Hospital began this project as a prelude to developing a progressive mobility program. The critical care literature of the past decade emphasized the importance of lighter sedation for ventilator patients. Rome Memorial Hospital was using the Ramsey sedation scale and received…
Since The Joint Commission implemented the National Patient Safety Goal, 'Reduction of the Likelihood of Patient Harm Associated with the Use of Anticoagulant Therapy' in 2008,Lutheran Medical Center has used a multidisciplinary approach to manage its anticoagulation program. The facility addressed…
The Joint Academy is a multidisciplinary team approach that begins in the community with orthopedic surgeons giving lectures on Joint Pain and Hip and Knee Wellness. When a patient decides to have surgery, he or she is encouraged to find a personal coach who will attend pre-admission testing and…
Highland Hospital's Geriatric Fracture Center has achieved improved clinical outcomes (complications, length of stay, mortality, and readmission rates) and lower costs using a model of co-managed care. The patient population includes those age 60 and older with fragility fractures, who are…
Highland Hospital established its Rapid Response Team in late 2006 to provide a quick, multidisciplinary medical team approach to assess and treat a patient whose condition is deteriorating, and to provide support and education to staff, as needed. Goals include stabilization of patients to prevent…
Good Samaritan Hospital's Clinical Transformation Team guided the formation of a Ventilator-Associated Pneumonia Team with a goal of decreasing cases of VAP to as close to zero as possible, to improve patient outcomes and reduce costs.
Aurelia Osborn Fox Memorial Hospital's quality management team, led by the outcomes manager, partnered with the operating room (OR) staff to work on improving the temperature management of surgical patients in the OR and post-anesthesia care unit (PACU). In 2009, compliance with the Surgical…
Health care equity has become an important discussion nationally as policymakers aim to improve quality of care while lowering costs through a variety of changes to existing incentives. Recognizing that there are areas for improvement is a first step, but it must be followed by actionable…