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Eliminating Central Line Infections and Spreading Success at High-Performing Hospitals

December 2, 2011

Synthesizes lessons in preventing central line-associated bloodstream infections, including the importance of evidence-based protocols, dedicated teams to oversee central line insertions, participation in collaboratives, and monitoring of infection rates.

Achieving Efficiency: Lessons From Four Top-Performing Hospitals

July 29, 2011

Synthesizes lessons from case studies of how four hospitals achieved greater efficiency, including pursuing quality and access, customizing technology, emphasizing communications, standardizing processes, and integrating care, systems, and providers.

Park Nicollet Methodist Hospital: Aligning Goals to Achieve Efficiency

July 28, 2011

Describes strategies to integrate with outpatient clinics and post-discharge treatment programs to minimize hospitalizations, distribute performance data organization-wide, delegate staff, and meet quality and safety standards while controlling costs.

Lessons From High- and Low-Performing States for Raising Overall Health System Performance

May 3, 2011

Examines socioeconomic, demographic, political, cultural, and marketplace factors that influence health system improvement in high- and low-ranking states in the State Scorecard on Health System Performance and outlines promising strategies.

Reducing Hospital Readmissions: Lessons From Top-Performing Hospitals

April 6, 2011

Synthesizes findings from four previous case studies of hospital strategies that help reduce patient readmission rates, including the use of health information technology, early care transition planning, and targeting high-risk patients for follow-up.

Mercy Medical Center: Reducing Readmissions Through Clinical Excellence, Palliative Care, and Collaboration

March 17, 2011

Outlines strategies and practices behind low readmissions rates for heart attack, heart failure, and pneumonia patients, such as investing in advanced practice nurses who help incorporate evidence-based standards into patient care. Lists lessons learned.

Intermountain Healthcare's McKay-Dee Hospital Center: Driving Down Readmissions by Caring for Patients the "Right Way"

February 16, 2011

Outlines the hospital's strategies for low readmission rates for heart failure and pneumonia, including standardization of care, interdisciplinary care coordination and discharge planning, and integration with community providers, and lessons learned.

Systems of Care Coordination for Children: Lessons Learned Across State Models

September 3, 2010

Outlines features of successful systems that refer children for developmental interventions, help coordinate care, offer support and follow-up, and give providers feedback, including maximum efficiencies and partnerships, as well as policy implications.

Norman Regional Health System: A City-Owned Public Trust Dedicated to Improving Performance

July 7, 2010

Describes successful strategies for providing recommended treatment on process-of-care measures, including board and administration support, order sets, concurrent review, performance feedback, transparency, and engaging nurses. Outlines lessons learned.

Aiming Higher for Health System Performance: A Profile of Seven States That Perform Well on the Commonwealth Fund's 2009 State Scorecard

October 8, 2009

Identifies policies and practices linked to high performance in six top-ranked states and the most-improved state in 2007-09. Offers insights into improving coverage, prevention and treatment, avoidable hospital use and costs, equity, and healthy lives.

St. Charles Hospital: Improving Surgical Care Through Best-Practice Literature and Order Sets

September 22, 2009

Describes how strategies focusing on quality improvement, performance data, and feedback; best-practice literature; and standardized orders reduced surgical complications. Outlines need to engage doctors and staff in redesigning processes around measures.

Oklahoma Heart Hospital: Clinician Leaders Establish Culture of Quality

April 13, 2009

Describes strategies for a culture of quality, including a flat organizational structure, optimal nurse experience and ratios, standardization through care sets, technology-enabled feedback and assessment, and continuous improvement through new practices.