Success Story


Breaking language barriers with a phone call

An intervention used telephone access to expand translation services.

Take a chronology instead of a history

A chronology of present illness, an alternative history-taking strategy, can help medical student organize the more traditional history of present illness.

Improving access, education reduces readmissions after PCI

Physicians developed an initiative spanning all phases of PCI care.

Reducing HIT by removing the culprit

An “avoid heparin” policy yields benefit.

Hospitalists enter SNFs to snuff out readmissions

Outreach program helps improve outcomes after an acute hospitalization

Senior hospitalists get new hires up to speed

Peer mentorship program helps communicate expectations

Get patients moving in, and out of, the hospital

Two 24-bed general medicine units at the Johns Hopkins Hospital tackled inpatient mobility

Stretching the end of hospitalization past discharge

A new clinic in an outpatient care center focuses on recently discharged patients at high risk for readmission

An ear-ly intervention to reduce delirium

Providing earplugs in the ICU may be a low-cost way to reduce hospital noise and prevent arousal during sleep

Debriefs help make sense of adverse events

Two teaching hospitals enabled clinicians and staff to discuss serious adverse clinical events soon after they happen

A money-back guarantee for hospital care

A goal of the program is to identify flaws in the health care system's processes

Fixing folate testing for high-value care

Adding a message to the physician order entry system led to a decrease of 80% in tests ordered

Web-based therapy helps prevent suicidal ideation among interns

Those in the intervention group were 60% less likely than controls to report suicidal ideation during their internship year

App takes a hack at streamlining review of symptoms

Patients report their symptoms while waiting to be seen, and clinicians review, confirm, and edit the information.

Postdischarge case management, clinic combat readmissions

A 5-hospital health system improved patients' access to postdischarge care

Patient navigator program reduces length of stay

A 442-bed acute care urban academic health center in Toronto decreased length of stay by improving patient-physician communication and handoffs

Engaging a team to stop C. diff

A 528-bed acute care hospital reduced C. diff rates by 53% over 2 years

Patient surveys give hospitalists real-time feedback

A teaching hospital uses patient satisfaction data to improve care

A simple solution for hospital patients with poor vision: Glasses!

An academic medical center implements a method to test and correct patients' vision

Technology connects geriatricians and hospitalists to nursing home staff

Program improves quality of clinical care for older patients in long-term care facilities

Treating 1 patient at a time

Increased intern efficiency improves discharge rates, decreases duty-hour violations

A phone call puts patients in the right place

Collaboration includes hospitalists, ED, and patient placement manager

Consistent consults improve cirrhosis care

A tertiary care center used mandatory GI consults to help meet quality indicators

Speedy stroke treatment and feedback

An academic medical center reduces door-to-needle time dramatically

Searching for swift, secure communication

Pilot project shows use of the app is contagious among general medicine team members.

Improving care by targeting ‘superutilizers'

Health care costs and readmissions are reduced by focusing on patients with frequent ED visits and hospitalizations.

A traffic signal for discharge planning

Color-coded system helps clinicians prepare for likely discharges.

Turning talk about value into action

One hospital targets unnecessary treatment and tests.

A tasty solution to recurrent Clostridium difficile

Curing recurrent C. diff infections without fecal transplantation.

Let the computer do the math

Clinicians and information technology experts worked together to create a heparin dosing calculator for their electronic health record.

Tackling tPA through telemedicine

Researchers analyzed telemedicine stroke network involving 13 "spoke" hospitals.

Put a dermatologist in your pocket

Remote triage and in-person consults yielded similar diagnoses and care plans.

Getting with the C. difficile guidelines

Cleveland Veterans Affairs Medical Center in Ohio improved C. diff treatment by instituting a formal stewardship initiative.

Tablets aren't just for doctors anymore

As part of a pilot, St. Rita's Medical Center in Lima, Ohio, distributed tablets with patient-centric software to patients on a cardiac step-down unit.

Yogurt: A tasty tool against C. difficile

Program has been expanded to 2 long-term care facilities in the same health system.

Take note

Patients at University of Michigan's University Hospital are given bedside notepads to encourage discussions about care.

A new place between the hospital and the office

Effort by Holston Medical Group in Virginia and Tennessee aims to provide inpatient-level care without the negative effects of hospitalization.

Play it again

Effort at Cullman Regional Medical Center in Cullman, Ala. led to better patient satisfaction scores and lower 30-day readmissions rates.

Music soothes ventilated patients

Patients listened to preferred music at least twice a day.

A different kind of bundle

St. Joseph Health Services of Rhode Island program has achieved high compliance with isolation attire and hand hygiene.

From zero to 100 in six months

Cincinnati Children's Hospital Medical Center initiative targeted pneumonia treatment.

One hospital gets smart about discharge paperwork

Anne Arundel Medical Center in Maryland uses whiteboards, worksheets to instruct patients.

The early referral gets the rehab

Henry Ford Hospital in Detroit boosted rehab rates to over 70%.

Catheter caps cut CLABSIs

NorthShore University HealthSystem in Illinois reduced its infection rate by 52%.

Facing the problem of patient ID errors

Children's Hospital Colorado used photos to reduce errors in computerized physician order entry.

Shifting views on shiftwork

The University of Pittsburgh Medical Center developed a new system to maintain night coverage in the ICU under resident work-hour limits.

Doctoring at a lower decibel

Rochester General Hospital in New York used a team approach to reduce noise throughout the facility.

Be your own rapid response

Beth Israel Deaconess Medical Center developed rapid response teams composed of patients' main clinicians and tested the outcomes.

A new home for hospitalists

Denver Health Medical Center helped reduce boarding of patients in the emergency department.

Appreciating a good signout

University of Virginia Medical Center in Charlottesville, Va., improved the signout of patients from one resident to another.

From a warm welcome to a follow-up appointment

DePaul Hospital in St. Louis, Mo., improved patient satisfaction scores by improving communication.

But why should I take it?

Brigham and Women's Hospital set up a program that involved individual counseling from a research pharmacist.

Hospitalists and intermediate care prove to be a good fit

A Spanish intermediate care unit is staffed entirely by hospitalists.

Four-day blocks match hospitalists' and patients' schedules

Johns Hopkins Bayview Medical Center in Baltimore changed hospitalists' schedules to improve physician satisfaction and quality of care.

Paging Dr. Right

Sunnybrook Health Sciences Centre in Toronto developed a program to help ensure pages were sent to the correct physician.

Competitors collaborate on cardiac care

Schneck Medical Center in Seymour, Ind., worked with another nearby facility to help get door-to-balloon times for cardiac catheterization below 90 minutes.

Discharge coordinator pleases patients, eases residents' burden

Massachusetts General Hospital smoothed the discharge process by having a nurse practitioner work with residents.

Hospitalist-resident teams find happiness and efficiency

Strong Memorial Hospital in New York developed a new rotation system to help ease pressure on residents.

Put a number on it: Rating patient acuity

The University of Chicago Medical Center found a reliable way to transmit vital information about patient status.

Improving outcomes with new roles

A medical center in Vero Beach, Fla., reduced code blues and implemented multi-disciplinary rounds through a patient safety and quality initiative.A medical center in Vero Beach, Fla., reduced code blues and implemented multi-disciplinary rounds through a patient safety and quality initiative.

Nurses turn evidence into action

A care management department at Mercy Medical Center in Cedar Rapids, Iowa, helps incorporate new evidence and guidelines into daily practice.

Yet another use for duct tape

Trinity Medical Center in Illinois saved over $110,000 in personal protective equipment costs.

It takes a hospital to reduce pressure ulcers

Fairview Southdale Hospital, a 352-bed acute care hospital in Edina, Minn., reduced pressure ulcer rates from 0.35 to 0.16 per 1,000 patient-days.

Technology helps to monitor hand hygiene

A new system at Princeton Baptist Medical Center in Birmingham, Ala., reduced health care-associated infections by about 20%.

Observation moves faster with dedicated hospitalists

Clinicians at University Hospital in San Antonio, Texas, opened a Clinical Decision Unit to improve care efficiency for observation patients.

Creative solutions to difficult discharges

Denver Health Medical Center's complex discharge committee helps find creative dispositions for patients who are medically ready for discharge but, for many reasons, unable to leave the hospital.

Getting patients on the move in the ICU

Two academic tertiary care medical centers begin mobilization early in mechanically ventilated ICU patients.

Smart software and simple posters keep patients on their feet

Standardizing interventions at Partners HealthCare facilities in and around Boston helped reduce patient falls.

Handoff strategy cuts chitchat and confusion

The Mayo Clinic formed a team to address its main handoff problems: unpredictable schedules, inefficiency, poor communication and poor physical environment.

Spreading the word about glucose control

SSM St. Mary's Health Center, a 525-bed teaching hospital in St. Louis, Mo., implements a comprehensive program to improve glucose control.

Collaboration and experimentation reduce C. difficile infections

Rates drop by 73% on pilot wards at English hospital Salford Royal.

Hospitalists cost-effective even with per diem payments

Olive View-UCLA Medical Center improved census coverage and reduced payment denials.

Individual schedules maximize autonomy, efficiency

At Munson Medical Center in Michigan, hospitalists' workload and compensation are determined by personal preference.

Reducing readmissions by empowering patients

St. Joseph Hospital in Whatcom County, Wash., reduced unnecessary readmissions by improving patient self-management after hospital discharge.

Residency redesign helps patients and pleases doctors

Brigham and Women's Hospital redesigned its residency program to focus on integrated teaching.

Stickers, candy help reduce drug errors

Auckland City Hospital in New Zealand reduced medication errors due to inaccurate recording of patients' medications.

PA training gives hospitalists helping hands and new teaching opportunities

The Mayo Clinic in Phoenix, Ariz., has developed a fellowship program for physician assistants.

Fewer catheters…fewer infections

The Michigan Health and Hospital Association reduced unnecessary use of catheters and thereby catheter-associated UTIs.

Telemetry unit initiative reduces ED crowding, smooths patient flow

Grady Memorial Hospital in Atlanta standardized admission and transfer criteria for its telemetry unit.

System catches codes before they're called

Mercy Hospital Anderson in Cincinnati used a scoring system to reduce the number of code blues called outside the ICU.

Watchful eyes make for clean hands

Greater Baltimore Medical Center used signed pledges and volunteer auditors to dramatically improve hand hygiene rates.

A bundle of care that keeps elderly patients out of the hospital

Baylor University Medical Center in Dallas instituted a pilot project providing a "care bundle" to elderly patients at particularly high risk for returning to the hospital.

Homemade computer program improves glucose control

The Medical University of South Carolina Medical Center in Charleston, S.C., developed a nurse-driven Web-based insulin infusion protocol to manage blood glucose in the intensive care unit, as well as in the rest of the hospital

Hospitalist Web site streamlines signouts, helps communication

At St. John's Mercy Medical Center in St. Louis, Mo., a hospitalist-developed Web site makes it easy to identify and contact each patient's attending physician.

Hospitalist-led initiative reduces ambulance diversion, improves ED throughput

Johns Hopkins Bayview Medical Center in Baltimore recently introduced a hospitalist-led bed management program in a successful attempt to improve emergency department wait times and decrease ambulance diversion hours. Find out how they did it.

Improvements in emergency department create ripple effect in hospital

Kennan Hospital & University Health Center, Sioux Falls, S.D. used a manufacturing concept called Lean to identify wasted steps in the delivery of care. The result: decreased wait times and more efficiency in a new emergency department.

Risk-assessment tool makes sure clots are prevented whenever possible

A hospitalist creates a program to teach VTE prophylaxis, and then teaches others to spread the word.

Hospitalist-only unit frees time, improves care

St. Mary's Hospital in St. Louis, Mo. saves an hour a day of hospitalists' time