All Innovations

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Lessons from a Health Information Technology Demonstration in New York Nursing Homes

April 13, 2010 - The New York State Nursing Home Health Information Technology Demonstration Project is a publicly subsidized initiative to implement comprehensive, point-of-care electronic medical records in 20 New York City nursing homes. This case study looks at the variations between homes regarding: 1) organizational aims for adapting HIT; 2) the technology’s perceived or real effects; and 3) implementation of quality improvement efforts as a result of newly available data.

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

Sustaining a Culture of Safety in the U.S. Department of Veterans Affairs Health Care System

April 8, 2010 - This case study looks at the National Center for Patient Safety formed by the U.S. Department of Veterans Affairs in 1999 to foster an organizational culture of patient safety within its 153 hospitals and 783 community-based clinics.

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

Rhode Island's Pediatric Practice Enhancement Project: Parents Helping Parents and Practitioners

January 15, 2010 - This case study looks at Rhode Island’s Pediatric Practice Enhancement Project which trains and places parent consultants into pediatric primary and specialty care practices to help families with children and youth with special health care needs coordinate and access the health system, as well as other services (e.g., social services, education, housing).

Case Study

Scott & White Healthcare: Opening Up and Embracing Change to Improve Performance

January 8, 2010 - This case study looks at Scott & White, the largest multispecialty health care system in the state of Texas, which delivers a comprehensive continuum of care to its health plan members and constituents.

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

Project ECHO Expands Access to Specialty Care for Rural Patients

November 30, 2009 - This case study looks at an innovative project in New Mexico that uses telemedicine, case-based learning, and disease management techniques to expand access to care for patients with hepatitis C and other chronic, complex conditions.

Case Study

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

New York: State and City Innovations to Scale Up Health IT

November 4, 2009 - Since 2006, New York State has awarded $226 million in public funds to develop and implement a comprehensive health information infrastructure—more than in all other states combined.

State Profile

Arizona Medical Information Exchange Outgrows Medicaid

November 4, 2009 - The Arizona Medical Information Exchange is a Web-based health information exchange that enables participating practitioners to view hospital discharge and other clinical reports, lab test results, and medication data for many of their patients.

State Profile

Delaware: First State, First Statewide Health Information Exchange

November 4, 2009 - Delaware established the first statewide clinical health information exchange (HIE) in 1997. Compared with other states, it has taken more of a public sector approach to HIE governance, though this strategy may be shifting.

State Profile

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