New Jersey success stories

NJ Local Success Stories
Quality improvement endeavors can often feel overwhelming, but chances are, you can learn from the experiences that another physician, hospital or nursing home has had in a similar situation. Coupled with support from Quality Insights Quality Innovation Network, learning what has worked for others — and what didn't — is a valuable strategic planning component. View local stories about the Everyone with Diabetes Counts (EDC) program

An accountable care organization (ACO) in Monmouth County, NJ has taken a unique, data-driven approach to improving opioid prescribing habits within its service area. With Quality Insights as its partner, the outlook is promising.

Practice LogoThe 18-member staff of Columbus Family Physicians, LLC serves about 8,000 patients per year in Columbus, New Jersey. When Practice Manager Karen Mahler discovered an increase in abnormal blood pressure readings, she was compelled to investigate further.

Heart Failure Support GroupTrinitas Regional Medical Center, located in Elizabeth, NJ, has been an active Learning and Action Network (LAN) participant in Quality Insights Quality Innovation Network’s Care Coordination and Medication Safety initiative, as a member of the Central Jersey Community, since 2014. Quality Insights has provided ongoing assistance to Trinitas by developing data collection tools, providing data analysis, and sharing best practices to support Trinitas’ readmission reduction efforts.
In 2016, Trinitas determined that the rate of emergency room visits and readmissions among heart failure patients was extremely alarming. The rate of recidivism among those patients was high, and they further learned that it was correlated with lack of effective communication and the culture of the patients. In an effort to improve care for these patients, the Transitional Care team formed a Heart Failure support group. 

Hunterdon Care Center in Flemington, NJ is the recipient of the the prestigious 2016 Silver AHCA/NCAL National Quality Award.

Three years ago, Greenwood House in Trenton, NJ began the journey to reduce the use of physical restraints on its residents after learning its restraint rates were higher than they wanted them to be.

Dr. Lipi Soni, a transitional care pharmacist at Trinitas Regional Medical Center in Elizabeth, NJ, has a very special job. She counsels patients on their medications after they are discharged from the hospital, and in some cases, makes a follow-up visit to the patient’s home or meets with them in her office. It is part of a program funded by the Grotta Fund for Senior Care of the Jewish Community Foundation of Greater MetroWest NJ – in collaboration with Holy Redeemer Home Care North and Jewish Family Service of Central NJ – in which patients identified as high risk for readmission receive a home visit from a nurse practitioner and/or a pharmacist after hospital discharge. 

PFCC Group PhotoThe Valley Hospital in Ridgewood, New Jersey, has taken action in integrating and incorporating patient and family-centered care (PFCC) into its patient care and culture. PFCC is an approach to the planning, delivery and evaluation of healthcare that is grounded in mutually beneficial partnerships among healthcare providers, patients and families.  Moreover, PFCC is The Valley Hospital’s approach to healthcare that shapes policies, programs, facility design and day-to-day staff interactions.

As part of a pilot program funded by the Grotta Fund for Senior Care of the Jewish Community Foundation of Greater MetroWest New Jersey, Saint Barnabas Medical Center clinical pharmacist Jessica Bente is making house calls. In collaboration with nurse practitioner Dawn Howard, the pair visits patients that have recently been hospitalized who are at high risk for a readmission.

In one recent house call, a patient was frantic about not having her medications. She reported to Ms. Bente that the hospital had not sent her home with any prescriptions for her blood pressure medications or insulin and that she had nothing left.