Case Studies: Hospital Inpatient and ED, Process Improvement

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Norton Healthcare: A Strong Payer-Provider Partnership for the Journey to Accountable Care

January 27, 2012 - This case study explores the characteristics of Norton and its partners, including the insurer Humana, that have contributed to the development of the ACO, including: a strong payer–provider relationship bolstered by a joint ACO implementation committee, a focus on performance measurement and reporting, an expanding heath information technology infrastructure, and an integrated system that facilitates communication and collaboration across the continuum of care.

Case Study

Monarch HealthCare: Leveraging Experience in Population Health Management to Attain Accountable Care

January 27, 2012 - Monarch HealthCare, a physician-led independent practice association in Orange County, Calif., is one of the provider groups participating in the Brookings–Dartmouth ACO Pilot Program to form accountable care organizations, which assume responsibility for improving patient care and lowering total costs and, in turn, share in the savings achieved.

Case Study

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.

Case Study

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

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

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

The Triple Aim Journey: Improving Population Health and Patients' Experience of Care, While Reducing Costs

July 22, 2010 - These three case studies of organizations participating in the Institute for Healthcare Improvement's Triple Aim initiative shed light on how partnering with providers and organizing care can improve the health of a population and patients' experience while lowering—or at least reducing the rate of increase in—the per capita cost of care.

Case Study

Walla Walla General Hospital: Setting Staff Up for Success in Pneumonia Care

April 12, 2010 - This case study describes the strategies and factors that appear to contribute to high performance on pneumonia process-of-care measures at Walla Walla General Hospital. It is based on information obtained from interviews with key hospital personnel, publicly available information, and materials provided by the hospital during October through November 2009.

Case Study

Western Baptist Hospital: Problem Solving with Pneumonia Care Performance Improvement Teams

January 29, 2010 - This case study looks at the Western Baptist Hospital, one of the top-performing hospitals in the country in the pneumonia care process-of-care, or "core" measures.

Case Study

Texas Health Harris Methodist–Cleburne: A System Approach to Surgical Improvement

December 24, 2009 - This case study focuses on Texas Health's achievement in providing recommended treatment related to surgical care. The hospital has relied on concurrent review, changes to care processes, and preprinted order sets to improve.

Case Study