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  • Why Not The Best
    Site Case Studies Mercy Medical Center Reducing Readmissions Through Clinical Excellence Palliative Care and Collaboration Mercy Medical Center in Cedar Rapids Iowa had readmission rates in the lowest 3 percent among U S hospitals in all three clinical areas heart attack heart failure and pneumonia reported to the Centers for Medicare and Medicaid Services for the selection period Download Case Study PDF Performance Improvement Strategies Primary focus on clinical excellence

    Original URL path: http://www.whynotthebest.org/contents/view/237 (2016-04-30)
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  • Why Not The Best
    S hospitals suggests that some are more successful than others at providing safe high quality inpatient care and promoting smooth transitions to follow up care This report offers a synthesis of findings from four case studies of hospitals with exceptionally low readmission rates McKay Dee Hospital in Ogden Utah Memorial Hermann Memorial City Medical Center in Houston Texas Mercy Medical Center in Cedar Rapids Iowa and St John s Regional Health Center in Springfield Missouri Hospitals environments contribute to their capacity to reduce readmissions The four hospitals studied are influenced by the policy environment their local health care markets their membership in integrated systems that offer a continuum of care and the priorities set by their leaders Download Case Study PDF Performance Improvement Strategies Invest in quality first care for patients correctly and readmission rates fall performance on quality measures improves and savings are realized as byproducts Use health information technology e g electronic health records patient registries and risk stratification software to improve quality and integrate care across settings Begin care management and discharge planning early target high risk patients and ensure frequent communication across the care team Educate patients and their families in managing conditions Teach at a

    Original URL path: http://www.whynotthebest.org/contents/view/238 (2016-04-30)
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  • Why Not The Best
    Regional Health Center Following Heart Failure Patients After Discharge Avoids Readmissions St John s Regional Health Center has very low readmission rates for heart attack heart failure and pneumonia the three conditions for which hospitals report readmission rates to the Centers for Medicare and Medicaid Services Its rates are better than the top 10 percent of hospitals reporting Download Case Study PDF Performance Improvement Strategies telephone calls to all heart

    Original URL path: http://www.whynotthebest.org/contents/view/236 (2016-04-30)
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  • Why Not The Best
    13 million New York City residents the largest municipal hospital and health care system int the United States In response to external pressures HHC has undertaken a series of improvement initiatives that appear to be transforming its organizational culture systems and care processes This case study describes how HHC is achieving higher levels of performance through a common clinical information system that promotes information continuity across care settings care coordination

    Original URL path: http://www.whynotthebest.org/contents/view/46 (2016-04-30)
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  • Why Not The Best
    document the progress achieved in the past five years by health care organizations that were early leaders in patient safety improvement Their experience reflects an expansion of interventions from individual hospital units to whole facilities and delivery systems including new settings such as home health care Approaches include developing practical methods for training coaching and motivating staff to engage in patient safety work designing effective tools and systems to minimize

    Original URL path: http://www.whynotthebest.org/contents/view/234 (2016-04-30)
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  • Why Not The Best
    an early leader in promoting a collaborative approach to patient safety improvement OSF has enhanced these efforts during the past five years by continuing to build awareness of safety risks through systemwide error reporting and local risk assessment by identifying clinicians who can serve as models for their peers and by engaging staff in intraorganizational learning and competition to spur improvement It also has raised performance expectations by educating hospital

    Original URL path: http://www.whynotthebest.org/contents/view/232 (2016-04-30)
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  • Why Not The Best
    saved reports Log In Register Reports Map Improvement Tools Resources Methodology About Case Studies Improvement Tools Related Publications Commentaries How to Use This Site Case Studies Presbyterian Intercommunity Hospital Five Years Without a Central Line Associated Bloodstream Infection At this nonprofit community hospital nurses are assigned responsibility for monitoring adherence to the CLABSI prevention protocol but all staff are encouraged to stop the central line insertion procedure if a lapse

    Original URL path: http://www.whynotthebest.org/contents/view/251 (2016-04-30)
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  • Why Not The Best
    parts of Virginia and North Carolina has developed a systematic program to foster a culture of safety throughout its member hospitals with the aim of reducing the potential for patient harm During the past five years Sentara has intensified and expanded the program by engaging the health system s physician group and other operating units in efforts to 1 encourage employees to be mindful of the signals of inadequate care

    Original URL path: http://www.whynotthebest.org/contents/view/231 (2016-04-30)
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