WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Date: July 13, 2017
Featuring:
Patients undergoing dialysis typically do so in a hospital or health care facility. Most people don't question the need to have experienced health care staff on hand or what's considered a safe environment for the treatments. But that might be changing.
A growing number of patients in Sweden have 24/7 access to special units at health systems where they schedule and conduct their hemodialysis themselves. And, inspired by Sweden, a small number of US nephrology centers are trying something similar. Even more ambitious: One of the largest safety net hospitals in the US has been teaching a few thousand patients how to administer their own IV antibiotics at home.
A team at Parkland Health and Hosptial System in Dallas, led by WIHI guest Dr. Kavita Bhavan, wanted to see if a population of patients without health insurance, whose multiple hospital days on an antibiotic drip weren't being reimbursed by anyone, might do as well and maybe even better than patients with insurance, receiving nurse-assisted IV antibiotic therapy at home, at an infusion center, or skilled nursing facility. The answer seems to be, "Yes."
This is patient engagement at a whole new level. Listen to this episode of WIHI to hear more about this groundbreaking quality improvement work.
WIHI: Innovation and Improvement in Times of Crisis
WIHI: How to Navigate Power and Enhance Psychological Safety
WIHI: Which Way is North? Setting Your Compass for Population Health
WIHI: Workload, Stress, and Patient Safety: How Human Factors Can Help
WIHI: Special Edition Podcast: Creating a Culture of Continuous Improvement that Outlasts Your Leaders
WIHI: The Benefits of Behavioral Health in the ED
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
WIHI: Let’s Get to Work on Waste in Health Care
WIHI: NO LET UP ON SAFETY
WIHI: Black Women and and Maternal Care: Redesigning for Safety, Dignity, and Respect
WIHI: Aim High For Equity in the Health Care Workforce
WIHI: Assessing the Value of Age-Friendly Health Care
WIHI: Taking Acute Pain Seriously, Treating it Safely
WIHI: What’s an Apology Worth? The Case for Communication and Resolution
WIHI: How to Make Patient Safety Easier to Explain and to Champion
WIHI: How to Speak So Leaders Will Listen
WIHI: New Guidance for Governance of Health System Quality - What Trustees Should Know and Do
Special Edition WIHI - Women in Action: Paving the Way for Better Care
WIHI: BUILDING THE WILL AND SKILL TO BE A CLINICAL IMPROVER
WIHI: Lowering Readmissions, Reducing Disparities
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