Expanding Nursing Role via RN “Co-Visit” Model @ Clinica Family Health

A multi-site community health center implemented a care model expanding nurses’ roles in intake, documentation, and care plan communication, working alongside providers in “co-visits.”

Achieving IBD Clinical Trial Recruitment in a Day via Digital Medicine Platform @ Mount Sinai Health System

Digital recruitment of patients for clinical trials is an efficient, effective way to enroll patients more quickly in clinical trials for inflammatory bowel disease (IBD).

Reduction of Opioid Misuse in Primary Care via Transforming Opioid Prescribing in Primary Care (TOPCARE) Program @ Boston Medical Center

Nurses provide electronic and in-person monitoring of high-risk primary care patients on long-term opioid prescriptions to ensure appropriate use and efficacy of medication.

TOPS: Telephonic Outreach in the Pulmonary Service @ Boston VA

TOPS utilizes nurse-driven, phone-based outreach to improve transitional care, decrease requirements for in-person follow-up, and decrease readmission among COPD patients.

Nurse Practitioner-Physician Primary Care Teams via “NP Anchor” @ Boston Medical Center

NP-MD primary care teams were created to address clinician burnout and increase patient access in an urban safety-net hospital.

Improving Burnout Rates and Attitudes of Primary Care Physicians via an Educational Program in Mindful Communication @ University of Rochester

The innovators implemented a CME course for primary care physicians to address burnout, incorporating mindfulness meditation, narrative medicine, and appreciative inquiry.

Improving Timely Referrals via implementation of Lower Extremity Amputation Prevention (LEAP) Tool @ Suburban Wound Care Clinic

This program sought to standardize diabetic ulcer assessments and timely referral to vascular/podiatry services.

Palliative Care Mentor Program for Generalists @ USC & CareMore Health System

The University of Southern California (USC) Section of Palliative Medicine and CareMore Health System collaborated to create a ‘train the trainer’ model to improve the…

Driving Down Opioid Prescribing Via Nudging Behavior @ HealthPartners

Changing the default quantity for opioid medications in the electronic medical record was found to change prescribing habits and reduce overall quantity prescribed.

Project Diabetes Obesity Control (Project DOC) @ University of Texas System

The University of Texas System implemented Project Diabetes Obesity Control (Project DOC), a virtual ecosystem with public and private organizations connected by a core digital…