All Innovations

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Implementing Change in Long-Term Care: A Practical Guide to Transformation

April 20, 2009 - Implementing Change in Long-Term Care: A Practical Guide to Transformation is a manual for nursing home staff that offers evidence-based recommendations on preparing a nursing home to take the first steps toward clinical and cultural changes, as well as methods to implement and sustain those changes.


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

Maine Rejects Beverage Tax for Replacing Dirigo's 'SOP' Funding

January 23, 2009 - Maine voters rejected a beverage tax in November designed to replace the current funding mechanism that supports the Dirigo Health Program.

State Profile

Brigham and Women's Hospital--"Moving the Needle Takes People, Processes, and Leadership

December 19, 2008 - Brigham and Women's Hospital is a leading hospital nationally on measures of patient satisfaction.

Case Study

Duke University Hospital: Organizational and Tactical Strategies to Enhance Patient Satisfaction

December 19, 2008 - Duke University Hospital leaders say that ensuring patient satisfaction requires both organizational and tactical strategies.

Case Study

Flowers Hospital: Nearing Perfection on Core Measures

December 19, 2008 - Flowers Hospital, a community hospital located in southeast Alabama, climbed from average to exemplary on process-of-care, or "core" measures, across four clinical areas--heart attack, heart failure, pneumonia, and surgical infection prevention--in just two years.

Case Study

Gaston Memorial Hospital: Driving Quality Improvement with Data, Guidelines, and Real-Time Feedback

December 19, 2008 - At Gaston Memorial Hospital, a not-for-profit facility in Gastonia, N.C., adherence to evidence-based practice guidelines, multidisciplinary committees engaged in root-cause analysis, and strong leadership combined to produce near-perfect compliance with evidence-based process-of-care ("core") measures in four clinical areas

Case Study

Hutcheson Medical Center: Focusing on Personal Interactions

December 19, 2008 - By focusing intently on patient–staff interactions and patients' needs, Hutcheson Medical Center has turned around its quality and financial indicators in the last two-and-a-half years.

Case Study

Luther Midelfort Mayo Health System: Laying Tracks for Success

December 19, 2008 - Luther Midelfort Mayo Health System, a physician-led, integrated health system serving west-central Wisconsin, has advanced a culture that supports staff in their efforts to test new ideas and improve care.

Case Study

Munson Medical Center: Constant Focus on Patient Satisfaction

December 19, 2008 - By focusing on patient satisfaction and engaging frontline staff in improving care, Munson Medical Center has become one of the better large hospitals in the United States in terms of overall patient satisfaction.

Case Study

Case Study: Indian Health Council Creates a Medical Home for Patients

November 20, 2008 - To build trust with patients and improve continuity of care, a tribally run ambulatory clinic in Southern California assigned patients with chronic conditions to one of several teams of providers.

Case Study

Case Study: Perfecting Patient Care at Allegheny General Hospital and the Pittsburgh Regional Healthcare Initiative

September 30, 2008 - Pittsburgh-based Allegheny General Hospital, with 829 beds, is part of the six-hospital West Penn Allegheny Health System and a partner in the Pittsburgh Regional Healthcare Initiative.

Case Study