Case Studies

Cox Health System's (Springfield, Mo.) medical leadership created a list of medical indications that, if met, allowed physicians to schedule inductions prior to 39 weeks. Any exceptions have to be approved by the OB chief or perinatologist.
Based on the consultant's recommendations, Lee Memorial's (Fort Myers, Fla.) senior management determined it needed a comprehensive approach for decreasing readmissions that reached beyond the four walls of the hospital. After investigating different options, Lee Memorial decided to largely model…
Project Brotherhood is dedicated to helping Greater New Haven-area men make the healthy lifestyle choices needed to prevent cancer. This project is part of CHA's Response to Disparities.(Click here for a complete list of projects)
The Muskegon Community Health Project, in partnership with Mercy Health Partners, is an inclusive, community-based, decision-making not-for-profit agency that has as its mission improving health care and its delivery in Muskegon County and in the surrounding West Michigan region. An appointed Board…
The heart failure program began in 1995. The hospital developed a multidisciplinary heart failure clinic and inpatient team. In 2010, the medical staff supported each patient receive congestive heart failure education with transitions of care in a nurse-run clinic one week after discharge and a…
The project began with a focus on CHF readmissions. As the multidisciplinary team saw decreases in those readmissions, the health center realized the positive effect they were having on all-cause readmissions as well. They then shifted their focus to all-cause readmissions. The organization's…
This facility's coronary artery stents per admission rate was consistently higher than the national benchmark. Increased stent use can expose patients to greater risk and drives up costs, while not necessarily improving patient outcomes. Intensive, case-by-case review of outliers by…
Variation and delays in the early mobilization of patients in the ICU can result in an increased length of stay, poorer functional outcomes and an increased cost-per-patient stay. A team was created to develop a consistent process for patient mobilization for physicians and nursing staff to follow…
The hospital recognized an urgent need to improve the current rate of colorectal cancer screening and to identify precancerous lesions at an earlier stage in the normal risk population. In 2011, the hospital developed a CRC screening initiative involving 38 primary care physicians,…
Ascension Health created a business unit called Transformational Development. It is charged with identifying potential changes and innovations to address those challenges. It addresses six platforms: early life interventions; senior care; population-based care and chronic care; transformation in…