downloading a pdf of the Beacon. - Beebe Medical Center

More documents

Recommendations

Info

ProcessImprovementthe Building Block for Quality CareNurses prepare to insert a urinarycatheter (left to right): DeniseLarson, RN, MSN; Theresa Houston,RN, BSN, CCRN; and Ellen Purple,RN, BSN.Process improvement initiatives are ongoing atBeebe Medical Center as employees and leadershipfocus on bringing the best quality medical careto the communities we serve. The collective resulthas been recognized by the Centers for Medicareand Medicaid Services (CMS) through ways in whichit rates Beebe. For example, Beebe Medical Centerhas received a 73.3 rating in the “Hospital ValueBased Purchasing” rating system. This rating putBeebe Medical Center 32 percent higher than thenational average of 55.5, and 53 percent higherthan the Delaware hospital average of 47.9.This rating system is extremely important toU.S. hospitals because as of October 2012, it directlyimpacts how CMS will reimburse hospitals for thecare they give patients. If the quality of care is inferior,hospitals will be paid less. If the quality ofcare is superior, hospitals will be paid more. Therating is based on an analysis of such factors as:• patient outcomes related to how the hospitaltreated them for heart failure, heart attacks, andpneumonia;• how patients fared in regard to their healthduring and after surgery;• patient satisfaction.Beebe patient Holland Franks participates in the conversation between his nurses Joanna Robertson and Michele Robertsonat shift change. His participation is part of the Bedside Reporting initiative to improve communication and the quality ofpatient care.6
For consumers, it also is an important rating. Itmeans that hospitals with a high rating are providinga higher standard of care.Below are two of more than a dozen processimprovement initiatives at the hospital that we’d liketo highlight.The Hands-off Communication Initiative wasborn on the 3rd floor Medical-Surgical Unit (3MS).While in nursing school, nurse Joanna Robertson,RN, had studied about “Bedside Reporting,” a practicethat allows patients to take part in the nurses’daily shift change. Instead of having nurses meetat the nurses’ station to discuss the needs of eachpatient, they instead meet at the bedside and includethe patient, and even family members at the patient’srequest, in the discussion. The patient’s medicalinformation is communicated more quickly to thestaff members of the next shift, creating a seamlessflow of patient care that already has translated intoimproved quality and safety. Satisfaction scores haveincreased dramatically for both nurses and patients.The practice is now being introduced into otherpatient areas.The CAUTI Prevention Initiative acronymstands for “Catheter-associated Urinary TractInfections.” It’s well known that patients can developinfections associated with the use of urinary catheters,so hospitals want to remove them as soon as itis possible. In 2009, a nurse task force was formedto research best-practice recommendations. A nursedrivenurinary catheter discontinuation protocol wasdeveloped and implemented for the early removal ofunnecessary urinary catheters. The new protocol wasreviewed and approved by the Medical ExecutiveCommittee (MEC), which is made up of physicianleaders, and by the hospital’s Nursing Councils forApproval. The Professional Practice Council madesure that all nurses were trained in the new protocoland that additional equipment was purchased. Initialresults show that there has not been a single urinarytract infection in the Intensive Care Unit (where thepilot was introduced) in two years. The initiative wasexpanded hospital-wide in 2011. Since then, theseinfections have decreased by 30 pecent, and therehave been none in the Intermediary Care Unit(IMCU) for a year.These accomplishments reflect the dedicationand commitment across the hospital. In November2012, Beebe Medical Center recognized the processimprovement teams at the annual Quality and SafetyAwards banquet. Three teams were honored. Onewas the “Hands-off Communication” team, the othertwo were “Medical Staff Quality Measures,” whichfocused on the creation of a Medical Staff Committeethat is responsible for the measurement, evaluation,and oversight of the competency and performance ofmedical providers through a multispecialty approachwith an emphasis on the pursuit of excellence andcollegial learning; and the “Coordination of CareInitiative,” which implemented actions to improveand maintain the health of patients with chronic illnessessuch as heart failure after they are dischargedfrom the hospital. nHealthcare Associated InfectionsHealthcare Associated Infections (HAIs) are serious conditions that occurin some hospitalized patients. Many HAIs occur when devices, such ascentral lines and urinary catheters, are inserted into the body. Hospitalscan prevent HAIs by following guidelines for safe care.The Central Line Associated Blood Stream Infections (CLABSI) Score isreported using a Standardized Infection Ratio (SIR). This calculationcompares the number of central line infections in a hospital’s intensivecare unit to a national benchmark based on data reported to NHSN from2006–2008. The result is adjusted based on certain factors such as thetype and size of a hospital or ICU.Three teams received awardsat the Third Annual Quality andSafety Awards banquet. Picturedhere is the presentation to the“Coordination of Care Initiative”team representatives (left to right):Stephen M. Fanto, MD, Quality &Safety Committee Chairman;Dianne Bane, RN; Megan Williams,FNP-COPC; and Jeffrey M. Fried,FACHE, President and CEO ofBeebe Medical Center.Measures used to evaluate patient care Fiscal Year 2011 rates*Air bubble in the bloodstream 0.000 0.003Mismatch blood types 0.000 0.001Severe pressure sores (bed sores) 0.000 0.136Falls and injuries 0.098 0.527Blood infection from a catheter in a large vein 0.000 0.372Infection from a urinary catheter 0.195 0.358Signs of uncontrolled blood sugar 0.000 0.058Beebe Medical CenterU.S. NATIONAL RATEper 1,000 patient discharges7
Page 3: “We are proud to share our initia
Page 8 and 9: Integrating careConsidering the Who
Page 10 and 11: Working togetherCollaborating with
Page 12 and 13: you canExpectExcellence from usBeeb
Page 14 and 15: Vascular surgeon Mayer Katz, MD,per
Page 16 and 17: community reportHospital Quality Me
Page 18: Financial Report & Community Benefi

downloading a pdf of the Beacon. - Beebe Medical Center

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?