Flowers Hospital: Nearing Perfection on Core Measures

Describes elements of a strategy for achieving high process-of-care performance by continuously monitoring patients in four clinical areas and ensuring they receive the right care -- including concurrent reviews and quality improvement teams

Memorial Healthcare System: A Public System Focusing on Patient- and Family-Centered Care

Outlines a successful multifaceted strategy that includes personalizing healthcare quality, monitoring and reporting of performance data, careful design of care processes, and the system's vertical and horizontal integration. Lists lessons learned

Carolinas Medical Center: Demonstrating High Quality in the Public Sector

Outlines safety and quality improvement strategies including electronic medical records, multi­disciplinary teams accountable to leadership, reporting of performance indicators; and redesigned care processes. Discusses physician buy-in and nurses' roles

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

Presents a case study of strategies and factors that improved surgical measures, including a multidisciplinary team supported by strong leadership, a clinical information system aligning orders with standards, and performance data analysis and feedback

Luther Midelfort Mayo Health System: Laying Tracks for Success

Describes strategies for establishing a culture of experimentation, including creating interdisciplinary teams to decide the content of care and providing timely measurement and feedback

Parkwest Medical Center: Focusing on Patient and Staff Satisfaction

Outlines the strategies and factors behind high patient satisfaction, including a culture of teamwork and care coordination, based on a module that aligns performance standards for administrators, managers, and staff, reinforced with merit increases

Memorial Hermann Memorial City Medical Center: Excellence in Heart Attack Care Reduces Readmissions

Highlights the factors and strategies behind low readmission rates for heart attack and pneumonia patients, including a focus on quality, concurrent review, extensive training, discharge planning, patient education, and use of risk assessment software

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

Describes efforts to reduce variance in provider practice patterns through data analysis and benchmarking of process-of-care measures. Discusses strategies such as sharing data, feedback, and best practices in ways physicians can utilize them immediately

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

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

Park Nicollet Methodist Hospital: Aligning Goals to Achieve Efficiency

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