Automated Care Tools for Population Health Management
Automated Care Tools for Population Health Management
With various forms of value-based reimbursement starting to take hold, healthcare providers have become increasingly interested in new care delivery models centered on population health management (PHM).
Hand Hygiene: Moving Toward the Five Moments
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Hand Hygiene
Moving Toward the Five Moments
Much has been written and discussed about the Five Moments for Hand Hygiene from the World Health Organization (WHO). Most healthcare workers agree that doing hand hygiene at those five events is important to improve patient care but not everyone agrees on the real-world implementation.
Interruptions Lead to Errors and Unfinished…Wait, What Was I Doing?
Interruptions Lead to Errors and Unfinished…Wait, What Was I Doing?
If you’re a health professional, it’s hard to get through a single hour of the day without being distracted or interrupted, even when performing critical tasks. For instance, nurses administering medications and pharmacists and technicians dispensing medications are distracted and interrupted as often as once every 2 minutes (Relihan et al., 2010; Silver, 2010)!
Electronic Physician Documentation: Not Just Another IT Project
Electronic Physician Documentation
Not Just Another IT Project
As hospitals throughout the country sprint towards Meaningful Use, computerized physician order entry (CPOE), electronic medication reconciliation, ICD-9-generated diagnosis tables, nursing documentation, and bedside barcoding seem to be riding a tsunami incentivized by the American Recovery and Reinvestment Act of 2009 (ARRA).
Editor’s Notebook: Nurses and Social Media
Editor’s Notebook
Nurses and Social Media
Working on an article for this issue (pg. 32), I conducted a brief survey of 12 nurse executives, which included a question about social media. Their responses confirmed my sense that most healthcare professionals are interested but tentative in their use of social media.
Medical Home: Information, Communication, and Teamwork for Care Collaboration
Medical Home
Information, Communication, and Teamwork for Care Collaboration
Hospitals now face penalties if too many discharged patients are readmitted within 30 days. This Medicare stipulation in the Affordable Care Act comes in response to expert analysis that indicates lack of discharge planning and poor follow-up care can lead to unnecessary admissions and higher healthcare costs.
Health IT & Quality: We Know What to Do
Health IT & Quality
We Know What to Do
Almost eight years ago Richard Hillestad and his colleagues from the Rand Corporation predicted that electronic medical record systems (EMRs) would generate cumulative efficiency and safety savings of $142 to $371 billion during a 15-year period, an average of $81 billion annually (Hillestad et al., 2005). These savings were based upon assumptions of a low-end 1.5% productivity improvement from information technology (experience of the retail industry) to a high-end 4% productivity improvement (half of telecom industry experience).
EMPSF: The Role of Nurse Leaders in Quality and Patient Safety
EMPSF
The Role of Nurse Leaders in Quality and Patient Safety
In October 2010, The Institute of Medicine (IOM) released The Future of Nursing: Leading Change, Advancing Health. This report was the result of a 2-year initiative by The Robert Wood Johnson Foundation (RWJF) and the IOM, designed to respond to the need to assess and transform the nursing profession. The report outlines four key messages:
2012 John M. Eisenberg Patient Safety and Quality Award Recipients Announced
The National Quality Forum (NQF) and The Joint Commission have announced the 2012 recipients of the annual John M. Eisenberg Patient Safety and Quality Awards. The awards will be presented on March 8, during a luncheon at the 2013 NQF Annual Conference and Membership Meeting in Washington, DC.
“What I believe really matters” – Partnering with Patients for Best Outcomes
“What I believe really matters,” my patient said to me, and she was right. It took me a while to get it, but when I did it opened a new frame of reference on quality and safety and achieving desired outcomes. Medicine today can provide more good and yet simultaneously do more harm than ever before. Understanding this modern healthcare conundrum is essential to achieving best outcomes while avoiding harm.
By Daniel L. Cohen, MD, FRCPCH, FAAP