Innovations: Health Care Quality

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Dedicated Surgical Care Improvement Team Guides Changes at Reid Hospital and Health Care Services

November 10, 2009 - This case study describes the strategies and factors that appear to contribute to high performance on surgical care improvement measures at Reid Hospital. It is based on information obtained from interviews with key hospital personnel and materials provided by the hospital during the spring of 2009.

Case Study

Holland Hospital: Improving Pneumonia Care by Hardwiring Process Enhancements

October 7, 2009 - Holland Hospital has significantly improved its performance on the pneumonia process-of-care, or "core" measures, over the last five years. The core measures, developed by the Hospital Quality Alliance, relate to provision of recommended treatment in four clinical areas: heart attack, heart failure, pneumonia, and surgical care.

Case Study

St. Charles Hospital: Improving Surgical Care Through Best-Practice Literature and Order Sets

September 22, 2009 - From 2004 to 2008, St. Charles Hospital achieved dramatic improvement on process-of-care measures, particularly on those intended to reduce surgical complications. This case study examines how they achieved these quality improvements.

Case Study

Mayo Clinic: Multidisciplinary Teamwork, Physician-Led Governance, and Patient-Centered Culture Drive World-Class Health Care

August 13, 2009 - The Mayo Clinic is the world's oldest and largest integrated multispecialty group medical practice, combining clinical practice, education, and research at the regional, national, and international levels for the benefit of individuals with routine as well as complex health care needs.

Case Study

Henry Ford Health System: A Framework for System Integration, Coordination, Collaboration, and Innovation

August 13, 2009 - Henry Ford Health System is a vertically integrated health care system in southeastern Michigan whose leadership is committed to systemic integration, clinical excellence, and customer value through the core competencies of collaboration, care coordination, and innovation and learning.

Case Study

Marshfield Clinic: Health Information Technology Paves the Way for Population Health Management

August 13, 2009 - Marshfield Clinic is a not-for-profit, physician-governed multispecialty group practice serving residents of rural Wisconsin through a regional ambulatory care system, an affiliated health plan, and related foundations supporting health research and education.

Case Study

Group Health Cooperative: Reinventing Primary Care by Connecting Patients with a Medical Home

July 2, 2009 - Group Health Cooperative (GHC) is a nonprofit, consumer-governed health care organization serving 580,000 members in Washington State and Idaho through an integrated multispecialty group practice and a network of community providers.

Case Study

United Hospital Center: Improving Surgical Care Through Evidence-Based Education and Standardization

July 2, 2009 - In just a few years, the United Hospital Center (UHC) rose from being one of the lower-performing U.S. hospitals on process-of-care measures to being one of the top performers. This case study focuses on UHC's achievement in providing recommended treatment related to surgical care.

Case Study

Organizing for Higher Performance: Case Studies of Organized Delivery Systems--Series Overview, Findings, and Methods

July 2, 2009 - Fifteen case studies illustrate how diverse types of organized health care delivery systems promote higher performance through information continuity, patient engagement, care coordination, team-oriented care delivery, continuous innovation and learning, and convenient access to care.

Case Study

NorthShore University Health System: Achieving Rapid Improvement on Core Measures

July 2, 2009 - In 2007, NorthShore University Health System achieved 97 percent compliance with Centers for Medicare and Medicaid Services (CMS) process-of-care measures, a 12-point increase in one year. The measures relate to achievement of recommended treatment in: heart attack, heart failure, pneumonia, and surgical care.

Case Study

The Valley Hospital: Leaders Set the Tone for Patient Service and Satisfaction

May 22, 2009 - At The Valley Hospital, hospital leaders exemplify on a daily basis the hospital's dedication to patient service. Each morning, the chief executive officer and chief financial officer visit patients.

Case Study

Case Study: State of Maine Ranks Providers Based on Quality

April 15, 2009 - A state employee health plan designated hospitals, and later primary care physician practices, that met certain performance criteria as "preferred" providers, and then gave employees incentives to use them. While this initiative appears to have improved the quality of care, its impact on costs has not yet been evaluated.

Case Study

St. Mary's Health Center: Focus on Core Measures Improves Quality

April 14, 2009 - In 2005, under pressure to improve performance on indicators of financial well-being, patient satisfaction, and clinical quality, St. Mary's Health Center leadership made a deliberate decision to focus on Centers for Medicare and Medicaid Services process-of-care measures, or "core" measures.

Case Study

Oklahoma Heart Hospital: Clinician Leaders Establish Culture of Quality

April 14, 2009 - Oklahoma Heart Hospital, a for-profit hospital in Oklahoma City, Okla., has consistently demonstrated high adherence to process-of-care or "core" measures and high patient satisfaction.

Case Study

Case Study: Proving and Then Improving the Value of Palliative Care Services at Mount Sinai Medical Center

January 23, 2009 - This case study examines the services offered by the Lillian and Benjamin Hertzberg Palliative Care Institute, the palliative care program Meier founded and directs at Mount Sinai Medical Center. It also reviews the outcomes that the Institute, one of the largest academic palliative care programs in the country, has achieved both clinically and financially.

Case Study