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Approximately 28 percent of the hospital's patients with Congestive Heart Failure (CHF) are readmitted to the hospital within 30 days compared to the national average of 24.7 percent. Homeward Bound, a grant-initiated program administered through the CHF Team and the Hospital's School of…
MOU—Mobile Observation Unit—provides home-based urgent care for patients experiencing at-risk medical events believed to be treatable at home with enhanced care. It is a high-quality alternative to emergency services and hospitalization for patients in the Greater Boston area who would…
Dedicated to eliminating catheter-associated urinary tract infections, North Shore Medical Center in Boston focused on this goal by using Toyota Production System methods. Through a series of multiday improvement events driven by front-line staff, the hospital was able to improve process measures…
At Massachusetts General Hospital for Children, the pediatric intensive care unit has been implementing practices to eliminate central line-associated blood stream infections (CLABSI): standardizing a central line infection prevention checklist; stocking a central line insertion cart with required…
With the national focus on decreasing hospital-acquired infections, Massachusetts General Hospital determined that a focused approach to decrease catheter-associated urinary tract infections—the most prevalent of all HAIs—was vital. A thorough literature review was conducted to identify…
The Hospital Group focused on reducing the readmission rate on the rehabilitation service unit (RSU) at the Boston campus of Hebrew Senior Life, an affiliate of the Harvard Medical School. Initially, the RSU transfer rate was equal to or above the state and national benchmarks. A Center for…
Hallmark Health System, Inc., is participating in the Community-based Care Transitions Program (CCTP) as part of one of the regional teams awarded funding by the CMS Innovation Center. A five-year program created by the Affordable Care Act, CCTP provides a broad spectrum of interventions and…
The project's goal was to reduce the incidence of ventilator-associated pneumonia in trached and ventilated children. The project team at Franciscan Hospital for Children in Brighton, Mass., focused on taking the evidence-based practice for reducing VAP—that is, the ventilator bundle…
In early 2010, Emerson Hospital board members, medical staff and executive leaders convened to address the goal of accomplishing a breakthrough patient safety aim–one which would target a dramatic reduction in preventable harm events. This quality improvement initiative at the Concord, Mass…
At Boston Medical Center, a multidisciplinary team developed a strategy to reduce pulmonary complications, based on comprehensive patient and family education and a set of standardized electronic physician orders to specify early postoperative mobilization and pulmonary care. This work was in…