View June's Board Pack - Royal Bournemouth Hospital

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<strong>Board</strong> of Directors10 June 20115 Infection ControlMRSAIn April there were no hospital acquired bacteraemia and there were no communityacquired bacteraemia. This year the Trust has a de minimis target of 6 (Monitor).Local PCT / SHA targets remain under discussion.MRSA Monitoring 2011/127654MRSA cases pre 48 hrsMRSA cases post 48 hrsCumulative casesTarget - Contract3210Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12MRSA ScreeningThe Trust continues to meet the MRSA screening target for elective patients.Achievement over 100% occurs as this target is calculated by dividing the number ofadmissions by the number of screens. Some admitted patients receive more thanone screen.MRSA Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12Elective Admissions 3323No of MRSA Screens 4018% MRSA Screening 121%Internal audit of the new non elective screening shows good compliance.C.DifficileThe C.Difficile target and trajectory for 2011/12 is 87. The graph below shows theposition for April with performance well within target.Performance Monitoring Page 6 of 11For Information
<strong>Board</strong> of Directors10 June 2011C.Difficile Monitoring - 2011/12C.Difficile cases10090807060504030C.Diff cases - post 48 hrsCumulative - post 48 HrsTarget20100Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-126 StrokeStroke target80% of stroke patients treated on a dedicated stroke ward for 90% of theirspell60% of high risk TIA cases investigated and treated within 24 hours by April2011April’s performance against the Stroke targets remains good. 84% of stroke patientswere treated on a dedicated stroke unit for 90% of their spell. This is a PCT target,Monitor has yet to confirm the Stroke target & threshold for 2011/12.Performance Monitoring Page 7 of 11For Information
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Detailed reportIntroduction22 The P
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31 The remaining 100 FCEs were sele
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40 The HRG error rate at the Trust
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The net value of the HRGs that chan
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Follow up of previous year’s reco
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Financial impact of errorsTable 10:
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