Case Studies
A Medicare Payment Advisory Commission report to Congress highlighted the financial enormity of the readmission crisis in health care. In anticipation of potential readmission penalties, the organization developed a multidisciplinary improvement initiative to reduce avoidable readmissions and…
Appropriate treatment for pressure ulcers requires accurate initial evaluation and the ability to track ulcer status. Adhering to the philosophy of transparency and promotion of patient well-being, the nursing staff at Coney Island Hospital incorporated information technology and digital imaging…
At the end of the second quarter of 2010, The Brooklyn Hospital Center identified that only four out of the nine measures in the Surgical Care Improvement Project (SCIP) measure set had met the established goals for at least five quarters. Administration of prophylactic antibiotic within one hour…
The Brooklyn Hospital Center formed a multidisciplinary rapid response team in 2009 to respond to emergent patient care situations within the non-critical care areas of the hospital. This performance improvement initiative also helped to satisfy The Joint Commission's related National Patient…
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…