Case Studies
The 黑料正能量 Association produces case studies on its member organizations across a wide range of health-care topics.
In the 2010 reporting period (July 2009-June 2010), the medical center's incidence of early elective deliveries without medical justification per Leapfrog definitions was 33.5 percent. A gap was identified between their internal data and Leapfrog reported data. The department of obstetrics and鈥
The ER blood culture contamination rate remained above the national target even after implementing evidence-based practices. A blood culture collection team with designated staff from the ER was formed. They received education on proper blood culture collection protocols including the importance of鈥
July 2009-October 2011 baseline data for the blood culture contamination rate in the ED showed it was averaging 4.6 percent, above the national average of 3 percent. The ED staff had unsuccessfully tried various interventions to reduce the rate of contaminated blood cultures. In September 2011, a鈥
The project was to develop an infrastructure for a falls prevention program based on nursing fall risk assessment augmented by key information from the electronic medical record to support clinical practice standards and effective prevention strategies to decrease falls and fall-related injuries.鈥
A performance improvement project was initiated to reduce the number of elective inductions and cesarean sections.
In 2009, a multi-pronged approach involving all stakeholders was launched aimed at early identification and treatment to reduce inpatient sepsis mortality.
As part of Blueprint for Health (a statewide, public-private initiative authorized by the Vermont legislature), the largely rural St. Johnsbury health service area supports its six patient-centered medical home practices via a multidisciplinary team that provides preventive, chronic disease and鈥
Phase I consisted of developing and implementing protocols for cases presenting to the emergency department within 30 days of hospital discharge. Interventions included identifying potential readmissions during ED triage and paging key team members with every potential readmission. The teams and鈥
The all-cause, 30-day readmission rates for the hospital are higher than both the state and national average for all three quality indicators (AMI, CHF and community-acquired pneumonia). In January 2011, the hospital started a new CQI+ team to implement the Illinois Hospital Association Project Re鈥
To align the hospital ministry with the needs of the community and to reduce avoidable health care costs, a multifaceted approach to reducing the number of potentially avoidable hospital readmissions was developed for the heart failure population. This approach included: a focus on in-hospital鈥