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Hospitals In Action

 

Hospitals are driving value and affordability through redesigning the delivery system, managing risk and new payment models, improving quality and outcomes, and implementing operational solutions. Read the case studies below to learn about how AHA members are applying these strategies to improve quality and decrease health care costs.


 

Affordability Case Studies

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PeaceHealth Peace Harbor Medical Center – Florence, Or

Critical access hospital engages paramedics to improve care through home visits

Through the Peace Harbor’s Mobile Integrated Healthcare program, a dedicated paramedic checks on patients at home for their safety and provides preventive care to reduce their ED visits, avoidable readmissions and ambulance trips. For every dollar spent on the MIH program, the hospital saved $5 in health care costs.

Nationwide Children’s Hospital – Columbus, Oh

Healthy Neighborhoods Healthy Families

Nationwide Children’s Hospital wanted to make its surrounding neighborhoods a better place to live and work for its patients and employees. Through the Healthy Neighborhoods Healthy Families initiative, Nationwide and other stakeholders facilitate access to affordable housing, health and wellness programs, and workforce development opportunities.

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Spectrum Health – Grand Rapids, Mi

Telehealth Program Reduces Costs and Decreases Patient Transfers

Launched in 2014, Spectrum Health’s telehealth programs, MedNow and site-to-site specialty program Specialty MedNow, save patients time and money. MedNow and Specialty MedNow have also resulted in hundreds of avoided patient transfers, thousands of avoided emergency department and urgent care center visits, and yielded over $5 million savings to payers.

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Northwestern Medicine – Chicago, Il

Using the EHR to Drive Value

Northwestern Medicine created multi-disciplinary teams to maximize the EHR’s capabilities and improve care across the system. These Health System Clinical Collaboratives have resulted in system-wide improvements related to the patient experience, patient safety and the clinical experience, such as fewer duplicate tests, a universal consent form and improved hand-off tools.

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Boston Medical Center – Boston, Ma

Collaborative Purchases Solar Power, Reduces Greenhouse Gas Emissions

To decrease operating expenses and reduce greenhouse gas emissions, Boston Medical Center buys electricity from a solar farmland in North Carolina, as part of a renewable energy project with two other Boston-based entities. Since 2011, through a wide range of energy-saving efforts, BMC has reduced its greenhouse gases by 93%.

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Illinois Rural Community Care Organization – Princeton, Il

Statewide Rural Accountable Care Organization

Illinois Rural Community Care Organization provides an avenue for its rural providers to rebuild their primary care base and patient loyalty through improved coordination and management of care and services. Readmissions have decreased and post-discharge follows-up visits have increased.

 
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Intermountain Healthcare – Salt Lake City, Ut

Increasing Value by Integrating Behavioral Health Into Patient Visits

Intermountain Healthcare improved patient outcomes and reduced costs by integrating behavioral health into every patient visit and normalizing mental health care as routine medical care. 

 

Early Primary State Case Studies

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15 Hospitals in North Carolina and South Carolina

Hospitals Transforming Care in the Carolinas

Spurred by grant funding and collaboration, 15 hospitals in North Carolina and South Carolina are implementing financially sustainable initiatives to improve the patient experience, enhance care coordination and decrease avoidable readmissions.

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Genesis Health System – Davenport, IA

Wellness Program Improves Health, Saves Money

Genesis Health System’s employee wellness program financially rewards employees and their spouses for meeting biometric targets. Now in its tenth year, the program boasts a 95% participation rate and cumulative savings of $53 million.

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Cottage Hospital – Woodsville, NH

Critical Access Hospital Program Addresses Needs of Older Patients

Since it opened in October 2016, Cottage Hospital’s Ray of Hope program has addressed a significant need by focusing on the behavioral health needs of older patients in its community.

Catholic Medical Center, Manchester NH

Catholic Medical Center – Manchester, NH

A Multi-Pronged Approach to the Opioid Crisis

Catholic Medical Center has responded aggressively to the opioid epidemic by providing the hospital’s medical staff with tools to cope with the influx of patients suffering from substance use disorder.

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Greenville Health System – Greenville, SC

Promoting Health, Education, Advocacy and Leadership Development

Greenville Health System’s PASOS program helps the Latino community and service providers work together for strong, healthy families through education, support and grassroots leadership development.

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Tidelands Health – Georgetown, SC

Facilitating Access to Care

Tidelands Community Care Network helps facilitate access to medical care for uninsured adults. Tidelands also aims to address the health disparities in the area based on race, education, income and language. 

Tell us how your hospital is engaging with the 2020 election and we will feature your story. Email us at WeCareWeVote@aha.org. Please include your contact information, a photo, and a brief summary, and we'll contact you for more details.

Cleveland Clinic, Case Western Reserve to host first 2020 presidential debate

The Cleveland Clinic will partner with the Health Education Campus of Case Western Reserve University to host on Tuesday, Sept. 29, the first presidential debate between presumptive nominees Republican Donald Trump and Democrat Joe Biden, the Commission on Presidential Debates announced yesterday. “This pandemic has highlighted the critical importance of health care and scientific discovery in unprecedented ways,” Cleveland Clinic CEO and President Tom Mihaljevic, M.D., and Case Western Reserve University President Barbara Snyder said in a joint statement. “To have the presidential candidates discuss these issues in our innovative learning space represents a tremendous opportunity for both institutions — and our entire region.”

Physician creates initiative for voter registration in hospitals

Just over a year ago, Alister Martin, M.D., saw an overlap in individuals not registered to vote and those using emergency departments and community health centers for low-acuity or non-emergency complaints.

“The top three populations in both categories are those who are low-income, people of color and young Americans,” said Martin, who is a faculty member at Harvard Medical School and a practicing emergency physician at Massachusetts General Hospital. He immediately saw an opportunity to use these health care visits to increase voter registration and took on another title – executive director of VotER.

In coordination with a team from Harvard Kennedy School, a technology nonprofit called Turbovote, and the behavioral sciences firm ideas42, Martin launched an initiative that makes it easier for patients to register to vote while waiting in healthcare settings. The system uses a combination of site-based tools deployed at hospitals, clinics and community health centers, including kiosks, posters and discharge paperwork that allow patients to scan a QR code or text a number to register to vote directly from their smartphones. Turbovote makes sure registrations comply with state and local laws.

Due to COVID-19, the initiative has taken on a broader scope and now offers health care providers a Healthy Democracy Kit that helps to get their patients a mail-in ballot to vote at home this election cycle. This work will be featured in August during national Civic Health Month, a nonpartisan collaboration between healthcare organizations, voter registration organizations and providers aimed at making the connection between civic engagement and healthcare.

“At the end of the day, we wanted to put forth a system that is totally optional, non-partisan and does not impact or interrupt clinical care.” Martin said.

At least 60 hospitals currently use VotER with dozens more that have requested the program, and over 9,500 providers have ordered health democracy kits. Learn more and request a site based VotER set up for your hospital here or order healthy democracy kits here.