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North Shore Medical Center is dedicated to safely transitioning all emergency department patients who require an inpatient stay into a bed within 90 minutes. Over the past year, a multidisciplinary team has focused on this goal by using Toyota Production System methods, including waste reduction,…
The Perioperative Medicine Model of Care is a three-pronged approach to the postoperative care of patients at New England Baptist Hospital. The surgeon, hospitalist (MD, NP or PA), case manager, nurse, physical therapist and occupational therapist comprise the team. Pharmacy, laboratory,…
Under the leadership of the Process Improvement (PI) Department, the organization has been driving organizational efficiency through the deployment of continuous improvement using lean and six sigma methodologies. The deployment is based on four pillars; Education and Culture, Improvement Projects…
At Brigham and Women's Hospital, a small group of challenging patients account for a disproportionate share of emergency department visits. Between March 2013 and February 2014, 50 patients accounted for 1,083 visits, or 1.7 percent of the total volume. We designated these patients ED super-users.…
Nighttime or off-shift intubations are a low-frequency, high-risk procedure in a community hospital with no anesthesia in-house and an inconsistent level of skill from our traditional in-house resident and hospitalist coverage. Solving the problem is complex and can be costly. Brigham and Women's…
Mercy Medical Center committed to delivering the highest quality care with the greatest efficiency at the lowest costs. To do so, hospital leaders launched a bold transformation initiative called CareConnect. This innovative approach to care delivery applies many proven processes and tools used in…
The skilled nursing facility three-day waiver program is an exciting opportunity at Partners HealthCare to test a new way of improving care and reducing costs. The waiver allows Pioneer accountable care organization beneficiaries to receive coverage for SNF services without a prior three-day…
North Shore Medical Center aims to provide the perfect patient experience based on evidence-based medical practices. To achieve this, the organization worked to formalize the creation, review and implementation of a patient's plan of care that connects the clinical care team to the patient.…
The ICMP Program is a Care Manager collaborative created to ensure the transition of patient care across various settings. When an ICMP patient enters the emergency department, they are flagged in our computer system so that the Care Manager (CM) is notified. Once notified, the CM then informs the…
For patients, the transition between acute and post-acute care is rife with risk. Even with modern electronic medical records and responsible clinicians who seek to collaborate with each other, information can be lost or misunderstood, patients can decompensate and setbacks are common. Particularly…