MultiCare Health System: Using a Modified Early Warning System ...

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MHS Annual All Cause Risk Adjusted Mortality % Discharged by ROM Score (bars) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 10.8% 18.3% November 13, 2012 MHS ROM Analysis 2008 to 2011 4.9% 5.6% 6.0% 6.4% 27.3% Change in MHS % Discharged by ROM Score & Mortality Rate by ROM Score 2008 to 2011 Source: HPM 12.1% 13.0% 13.6% 17.2% 23.5% 64.9% 64.7% 62.4% 60.3% 4.7% 4.7% 33 18.3% 21.9% 19.6% 22.1% 3.2% 3.0% 1.0% 0.10% 0.03% 0.8% 0.03% 0.6% 0.02% 0.5% CY 2008 CY 2009 CY 2010 CY 2011 Mortality Rate by ROM Score (lines) % ROM 1 % ROM 2 % ROM 3 % ROM 4 Mort ROM 1 Mort ROM 2 Mort ROM 3 Mort ROM 4 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0%
Septicemia Mortality Rate Septicemia Mortality Rates range from 14 - 20% nationally 20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% 12.70% 10.13% Adult Septicemia Mortality Rates MultiCare Health System Patient Admit Age > 17 and Discharge Disposition of Death (Code 20) per Total Discharges, 2011 vs. 2012 with Principal Diagnosis Code Beginning 038 Source: EDW 11.59% 8.24% 6.98% 12.37% 10.45% 14.29% 12.12% 9.33% 15.52% 12.20% 0.00% 0.00% 0.00% 0.00% 0.00% MultiCare 2012 Clinical Quality 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 14.14% Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2011 MHS 2012 GSH Adult Septicemia Mortality Rate 2012 Tacoma Adult Septicemia Mortality Rate YTD 2011 MHS Adult Septicemia Mortality Rate (YTD) 2012 MHS Adult Septicemia Mortality Rate (YTD) 2012 GSH Adult Septicemia Mortality Rate (YTD) 2012 Tacoma Adult Septicemia Mortality Rate (YTD) 2011 MHS Adult Septicemia Mortality Rate 2012 MHS Adult Septicemia Mortality Rate 2012 Adult Septicemia Mortality Target (
Page 1 and 2: MultiCare Health System: Using a Mo
Page 3 and 4: Serving South Puget Sound Since 188
Page 5 and 6: Session Objectives »What is MEWS?
Page 7 and 8: http://www.ihi.org/knowledge/Pages/
Page 9 and 10: Recent Review
Page 11 and 12: What MEWS “IS” and what it is
Page 13 and 14: IOWA HEALTH SYSTEM - MEWS
Page 15 and 16: MultiCare Modified Early Warning Sc
Page 17 and 18: PILOT mMEWS Scoring Action Plan Sco
Page 19 and 20: Allenmore Baseline (Pre Pilot) Stat
Page 21 and 22: Overview of Transfers, RRT, and Cod
Page 23 and 24: Lessons Learned from the Pilot Moni
Page 25 and 26: Final mMEWS Scoring Action Plan Sco
Page 27 and 28: Training and Education 26
Page 29 and 30: Training and Education 28
Page 32 and 33: Where are we now? All 3 adult hospi
Page 38 and 39: Lessons Learned »It’s never abou

MultiCare Health System: Using a Modified Early Warning System ...

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