All Case Studies

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HealthCare Partners: Building on a Foundation of Global Risk Management to Achieve Accountable Care

January 27, 2012 - This case study explores: the characteristics of HealthCare Partners and its partner organizations, including the insurer Anthem, that are contributing to the development of the ACO; the rationale behind the decision to develop an ACO; the steps taken to implement the model; milestones achieved; and lessons learned.

Case Study

Four Health Care Organizations' Efforts to Improve Patient Care and Reduce Costs

January 27, 2012 - This report synthesizes findings and lessons from case studies of four diverse health care organizations participating in the Brookings–Dartmouth ACO Pilot Program, launched in 2009 to support selected provider groups that are collaborating with private payers to form accountable care organizations.

Case Study

Tucson Medical Center: A Community Hospital Aligning Stakeholders for Accountable Care

January 27, 2012 - This case study explores the characteristics of Tucson Medical Center and its partners, including affiliated physician groups and the insurer United Healthcare, that have contributed to the development of their ACO, including: the medical center’s strong local governance, its institutional commitment to the ACO initiative, and its historical role as a community-based hospital.

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Presbyterian Intercommunity Hospital: Five Years Without a Central Line–Associated Bloodstream Infection

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Presbyterian Intercommunity Hospital. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital in January 2010.

Case Study

Englewood Hospital and Medical Center: Seven Consecutive Quarters Without a Central Line–Associated Bloodstream Infection

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Englewood Hospital and Medical Center. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital from December 2009 to January 2010.

Case Study

Southern Ohio Medical Center: Eliminating Central Line Infections in the ICU

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Southern Ohio Medical Center. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital from January to February 2011.

Case Study

Bronson Methodist Hospital: Reducing Central Line Bloodstream Infections in Critical Care Units and Beyond

December 28, 2011 - This case study describes the strategies and factors that appear to contribute to the low incidence of CLABSIs at Southern Ohio Medical Center. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital from January to February 2011.

Case Study

The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation's Largest Integrated Delivery System

September 16, 2011 - In April 2010, the U.S. Veterans Health Administration (VA) embarked on an ambitious three-year plan to build patient-centered medical homes in more than 900 primary care clinics across the nation. Its model organizes care around an interdisciplinary team of providers who work together to increase access and clinical effectiveness by identifying and removing barriers to high-quality care.

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Providence St. Vincent Medical Center: Improving Efficiency by Standardizing Care and Ensuring Access

July 29, 2011 - Providence St. Vincent Medical Center was recognized by the Leapfrog Group as a "Highest Value Hospital" in 2008.

Case Study

Fairview Southdale Hospital: Efficiency Through Quality and Innovation

July 29, 2011 - Fairview Southdale Hospital was recognized as one of 13 "Highest Value Hospitals" by the Leapfrog Group in 2008, based on efficiency scores that took into account quality of care as well as resource utilization.

Case Study

North Mississippi Medical Center: Improving Efficiency Through Hospital, System, and Community-Wide Practices

July 25, 2011 - North Mississippi Medical Center in Tupelo, Mississippi, was designated a Highest Value Hospital in 2008 for achieving a top efficiency score (reflecting both the quality of care and resource use) from the Leapfrog Group for coronary artery bypass graft, percutaneous coronary interventions, and pneumonia care.

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Park Nicollet Methodist Hospital: Aligning Goals to Achieve Efficiency

July 7, 2011 - Park Nicollet Methodist Hospital (Methodist) is the single hospital of Park Nicollet Health Services, an integrated health care delivery system based in St. Louis Park, Minnesota.

Case Study

A 'Meaningful' User of an Electronic Health Record System Describes Its Clinical and Financial Benefits

June 23, 2011 - One of the first physicians in the country to be certified as a "meaningful" user of health information technology says the electronic health record system she implemented has significantly improved her performance on measures of clinical quality by providing immediate feedback on her adherence to evidence-based standards of care.

Case Study

Reducing Hospital Readmissions: Lessons from Top-Performing Hospitals

April 6, 2011 - Significant variability in 30-day readmission rates across U.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.

Case Study

St. John’s Regional Health Center: Following Heart Failure Patients After Discharge Avoids Readmissions

April 1, 2011 - St. John’s Regional Health Center has very low readmission rates among patients with heart attacks, heart failure, and pneumonia—the three conditions for which hospitals report readmission rates to the Centers for Medicare and Medicaid Services.

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