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Robert Wood Johnson Foundation

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Bedside Registration

Cape Canaveral hospital implemented a streamlined bedside registration process in order to reduce the time patients spent waiting for treatment. This new registration process came out of a staff-focused quality improvement process. results showed an 85 percent decrease in average wait times from triage to treatment room (11 minutes), despite a 15 percent increase in patient volume during the same time period. Patient complaints began to decrease, and physician and staff morale started to improve. The report is available as a PDF, requiring Adobe Reader.

Charted Door-to-Bed Process Flow Chart

The goal was to improve door to bed, length of stay and patient satisfaction by reducing delays in ED triage and registration. St. Francis set out to integrate the processes of getting patient registration and clinical information upon ED arrival, and to standardize how long it took a nurse to triage a patient. Since implementation, St. Francis decreased their length of stay from 253 minutes in 2008 to 173 minutes in 2009. Also, the rate of patients who left without being seen decreased from 3.86% to 2.62%, and decreased staff turnover – all during a period of increased ED volume.

Urgent Matters: Pediatric Emergency Preparedness Toolkit

A toolkit developed to establish guidelines and actionable strategies to help hospitals move toward implementation, including: Guidelines for preparedness to care for children in the emergency department; Sample policies for the care of children in the emergency department; Clinical care guidelines ranging from triage methods to protocols for suspected sexual abuse; Referenced journal articles highlighting the clinical evidence behind the suggested policies; Pediatric resuscitation guidelines and an emergency medication calculator; Checklists for EDs to evaluate their preparedness to treat pe

Reducing Emergency Department Crowding Through the Full Capacity Protocol

Under the Full Capacity Protocol, when the emergency department (ED) is no longer able to evaluate and treat patients in a timely fashion due to lack of space, patients awaiting admission are transferred to acute care hallway beds on inpatient units. This protocol is implemented by the hospital Bed Coordinator with approval by the hospital Medical Director. The report is available as a PDF, requiring Adobe Reader.

PROMETHEUS PAYMENT® Pilot Assessment and Implementation Toolkit

The Health Care Incentives Improvement Institute designed this toolkit in order to provide the necessary information to obtain a solid understanding of the PROMETHEUS Payment ® model and consider the potential benefits of implementation. This toolkit explains the beginnings of this new payment approach and provides the steps needed for implementation. Descriptions are given on how to conduct your initial data analysis, build support among leaders, engage your providers and payers, define your project scope and launch your pilot. Additional resources are also provided to help you at each step.

Toolkit to Reduce Racial and Ethnic Disparities in Health Care

The National Health Plan Collaborative has developed this toolkit to address the disparities in health

Expecting Success: Excellence in Cardiac Care

RWJF developed "Expecting Success: Excellence in Cardiac Care" to focus on poor quality and inequality in care provided in U.S. hospitals and to assist and provide guides for hospitals to grade the quality of cardiac treatment they provide to patients. This toolkit targets ways of improving quality of cardiac care while reducing racial, ethnic and language disparities. The toolkit is available as a group of web pages and PDFs and requires a web browser and Adobe Reader to view them.

Translation Quality Assessment Tool

The Toolkit was developed by the Robert Woods Johnson Foundations for healthcare organization’s staff members, who are responsible for translations of health care information of all types in order to improve written communication with patients whose primary language is not English. This toolkit provides guidance on how to effectively remove organizational barriers in the translation process. Provided are the reasons why a healthcare organization should evaluate their need for a translation vendor and how to work with a translator.

Communications and Media Outreach Toolkit

The Toolkit was developed by the Robert Wood Johnson (RWJF) and Hitachi Foundations to support frontline worker career advancement. This program is based on providing work-based education for frontline health workers to improve their skills and at the same time improving the quality of patient care and health services. While working full time, frontline employees enter college and earn academic credit for workplace training, which provides an opportunity for career advancement.

Bryan LGH Medical Center: ED Connections

To help improve patient flow and reduce crowding in the ED, BryanLGH and Saint Elizabeth Regional Medical Center developed ED Connections. The purpose is to help uninsured patients with chronic medical conditions and mental health problems learn to manage their own care while finding a medical home beyond the Emergency Department. Through this program, patients work with caseworkers to find out about community providers, insurance coverage options, wellness programs and other resources in the area.

EM Xpress

The purpose of the EM Xpress toolkit is to eliminate ambulance bottlenecks at hospitals by expediting the transfer of patient care between emergency medical services (EMS) and the emergency department (ED) staff. The ultimate goal of the EM Xpress toolkit is to offload patients efficiently and safely so that ambulance crews can avoid delays at the ED and respond to other emergency calls. The toolkit is available as a PDF and requires Adobe Reader to view it.

Cape Canaveral Hospital: Nursing Process Council

The Nursing Process Council developed this toolkit to eliminate barriers between staff in order to focus on quality patient care. The toolkit contains methods to identify and resolve issues related to patients within the acute care setting. The Nursing Process Council is focused on empowering staff to make the necessary decisions regarding work setting issues, that could negatively impact patient care. This toolkit provides guidelines for staff to use in order to create positive changes and redesign necessary work setting processes.

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