Case Studies: Process Improvement

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Dedicated Surgical Care Improvement Team Guides Changes at Reid Hospital and Health Care Services

November 10, 2009 - This case study describes the strategies and factors that appear to contribute to high performance on surgical care improvement measures at Reid Hospital. It is based on information obtained from interviews with key hospital personnel and materials provided by the hospital during the spring of 2009.

Case Study

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

September 22, 2009 - From 2004 to 2008, St. Charles Hospital achieved dramatic improvement on process-of-care measures, particularly on those intended to reduce surgical complications. This case study examines how they achieved these quality improvements.

Case Study

Mayo Clinic: Multidisciplinary Teamwork, Physician-Led Governance, and Patient-Centered Culture Drive World-Class Health Care

August 13, 2009 - The Mayo Clinic is the world's oldest and largest integrated multispecialty group medical practice, combining clinical practice, education, and research at the regional, national, and international levels for the benefit of individuals with routine as well as complex health care needs.

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Gundersen Lutheran Health System: Performance Improvement Through Partnership

August 13, 2009 - Gundersen Lutheran Health System is a physician-led, not-for-profit integrated delivery system serving more than 550,000 people. Gundersen Lutheran has increased efficiency, improved patient care, and achieved the high performance associated with large urban institutions.

Case Study

Organizing for Higher Performance: Case Studies of Organized Delivery Systems--Series Overview, Findings, and Methods

July 2, 2009 - Fifteen case studies illustrate how diverse types of organized health care delivery systems promote higher performance through information continuity, patient engagement, care coordination, team-oriented care delivery, continuous innovation and learning, and convenient access to care.

Case Study

NorthShore University Health System: Achieving Rapid Improvement on Core Measures

July 2, 2009 - In 2007, NorthShore University Health System achieved 97 percent compliance with Centers for Medicare and Medicaid Services (CMS) process-of-care measures, a 12-point increase in one year. The measures relate to achievement of recommended treatment in: heart attack, heart failure, pneumonia, and surgical care.

Case Study

St. Mary's Health Center: Focus on Core Measures Improves Quality

April 14, 2009 - In 2005, under pressure to improve performance on indicators of financial well-being, patient satisfaction, and clinical quality, St. Mary's Health Center leadership made a deliberate decision to focus on Centers for Medicare and Medicaid Services process-of-care measures, or "core" measures.

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Oklahoma Heart Hospital: Clinician Leaders Establish Culture of Quality

April 14, 2009 - Oklahoma Heart Hospital, a for-profit hospital in Oklahoma City, Okla., has consistently demonstrated high adherence to process-of-care or "core" measures and high patient satisfaction.

Case Study

Case Study: Proving and Then Improving the Value of Palliative Care Services at Mount Sinai Medical Center

January 23, 2009 - This case study examines the services offered by the Lillian and Benjamin Hertzberg Palliative Care Institute, the palliative care program Meier founded and directs at Mount Sinai Medical Center. It also reviews the outcomes that the Institute, one of the largest academic palliative care programs in the country, has achieved both clinically and financially.

Case Study

Brigham and Women's Hospital--"Moving the Needle Takes People, Processes, and Leadership

December 19, 2008 - Brigham and Women's Hospital is a leading hospital nationally on measures of patient satisfaction.

Case Study

Duke University Hospital: Organizational and Tactical Strategies to Enhance Patient Satisfaction

December 19, 2008 - Duke University Hospital leaders say that ensuring patient satisfaction requires both organizational and tactical strategies.

Case Study

Flowers Hospital: Nearing Perfection on Core Measures

December 19, 2008 - Flowers Hospital, a community hospital located in southeast Alabama, climbed from average to exemplary on process-of-care, or "core" measures, across four clinical areas--heart attack, heart failure, pneumonia, and surgical infection prevention--in just two years.

Case Study

Gaston Memorial Hospital: Driving Quality Improvement with Data, Guidelines, and Real-Time Feedback

December 19, 2008 - At Gaston Memorial Hospital, a not-for-profit facility in Gastonia, N.C., adherence to evidence-based practice guidelines, multidisciplinary committees engaged in root-cause analysis, and strong leadership combined to produce near-perfect compliance with evidence-based process-of-care ("core") measures in four clinical areas

Case Study

Luther Midelfort Mayo Health System: Laying Tracks for Success

December 19, 2008 - Luther Midelfort Mayo Health System, a physician-led, integrated health system serving west-central Wisconsin, has advanced a culture that supports staff in their efforts to test new ideas and improve care.

Case Study

Munson Medical Center: Constant Focus on Patient Satisfaction

December 19, 2008 - By focusing on patient satisfaction and engaging frontline staff in improving care, Munson Medical Center has become one of the better large hospitals in the United States in terms of overall patient satisfaction.

Case Study