Claudette Shook

TL;DR: National recommendations for inpatient vaccination against influenza and pneumococcal disease are not being followed for the vast majority of eligible Medicare patients admitted to the hospital.

TL;DR: Improvements in processes of care achieved by the intervention hospitals resulted from activities initiated because of participation in a quality improvement organization-directed project, demonstrated the effectiveness of quality improvement activities in very small hospitals.

TL;DR: Influenza vaccination before hospitalization was effective in decreasing subsequent mortality and hospital readmission in elderly patients with pneumonia.

TL;DR: The CCP stimulated interest in QI activities for AMI care in the institutions identified for the Working Group, and the characteristics of the hospitals' improvement plans were consistent with those identified by contemporary leaders of clinical QI as central to improving care.

TL;DR: Since 1994, there have been significant improvements in the use of aspirin and beta-blockers at discharge, and avoidance of calcium channel blockers in those patients with poor left ventricular function, and there continues to be considerable room for improvement in care.