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SOMCQuality Dashboard - FY 12 Patient-Centered Perfection is the Goal Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD.

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Presentation on theme: "SOMCQuality Dashboard - FY 12 Patient-Centered Perfection is the Goal Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD."— Presentation transcript:

1 SOMCQuality Dashboard - FY 12 Patient-Centered Perfection is the Goal Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Quality of Care – AMI Inpatient Aspirin at Arrival for AMI Aspirin at Arrival for AMI $100%HC ? Aspirin at Discharge for AMI Aspirin at Discharge for AMI $100%HC? Beta Blocker at Discharge for AMI Beta Blocker at Discharge for AMI $100%HC? ACE Inhibitor/ARB at Discharge for AMI for LVSD less then 40 ACE Inhibitor/ARB at Discharge for AMI for LVSD less then 40 $ 100%HC?100 Smoking Cessation Advice for AMI Smoking Cessation Advice for AMI $100%HC?100 Door to P.C.I. ≤ 90 Minutes for AMI Door to P.C.I. ≤ 90 Minutes for AMI $100%HC?100 N/A100 Statin at Discharge for AMI $100%? Improve Quality of Care – CHF Inpatient ACE Inhibitor/ARB at Discharge for CHF for LVSD less than 40 ACE Inhibitor/ARB at Discharge for CHF for LVSD less than 40 $ 100%HC?100 LV Function Assessment for CHF LV Function Assessment for CHF $100%HC? Smoking Cessation Advice for CHF Smoking Cessation Advice for CHF $100%HC?100 Discharge Instructions for CHF Discharge Instructions for CHF $100%HC? Improve Quality of Care – C.A.P. Inpatient Blood Culture Before Antibiotic for C.A.PBlood Culture Before Antibiotic for C.A.P. $100%HC? Antibiotic Timing <6hrs for C.A.P. Antibiotic Timing <6hrs for C.A.P. $100%HC? Appropriate Initial Antibiotic Selection for C.A.P. Appropriate Initial Antibiotic Selection for C.A.P. $ 100%HC? Pneumococcal Vaccine for Eligible Patients Pneumococcal Vaccine for Eligible Patients $100%HC?100 Influenza Vaccine for Eligible Patients (Oct 1st – Mar 31st ) Influenza Vaccine for Eligible Patients (Oct 1st – Mar 31st ) $ 100%HC?N/A 100 Smoking Cessation Advice for C.A.P. Smoking Cessation Advice for C.A.P. $100%HC?100 ? = Explanation/Calculation HC = Hospital Compare Task List Data Sheet $

2 Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Immunization Measures Pneumococcal Immunization – Overall Rate $100%? Influenza Immunization – Overall Rate $100%?939293N/A 93 Improve Quality of Care – Surgical Inpatient Foley Catheter Removed on POD 1 or POD 2 $100%HC? Normothermia on all Surgical Patients $100%HC?100 Antibiotic Within 1 Hour Before Surgical Incision Antibiotic Within 1 Hour Before Surgical Incision $100%HC? Prophylactic Antibiotic Discontinued Within 24 Hours for Surgery Patients Prophylactic Antibiotic Discontinued Within 24 Hours for Surgery Patients $ 100%HC? Appropriate Prophylactic Antibiotic Selection for Surgery Patients Appropriate Prophylactic Antibiotic Selection for Surgery Patients $ 100%HC? Surgery Patients With Appropriate Hair Removal Surgery Patients With Appropriate Hair Removal $100%HC?100 Major Cardiac Patients with Controlled (<200 mg/dl) 6am Post-op Serum Glucose on POD 1 and POD 2 $ 100%HC? Surgery Patients on Beta Blockers Prior to Admission Who Receive Beta Blocker During Perioperative Period Surgery Patients on Beta Blockers Prior to Admission Who Receive Beta Blocker During Perioperative Period $ 100%HC? V.T.E. Prophylaxis Ordered for Surgery Patients V.T.E. Prophylaxis Ordered for Surgery Patients $100%HC? V.T.E. Prophylaxis Received Within 24 Hours Prior to or After Surgery V.T.E. Prophylaxis Received Within 24 Hours Prior to or After Surgery $ 100%HC? Improve Quality of Care – Emergency Department Median Time From ED Arrival to ED Departure for Admitted ED Patients ≤283 Minutes (SOMC Report) $ 100%HC ? Admit Decision Time to ED Departure Time for Admitted Patients ≤51 Minutes (SOMC Report) $ 100%HC ? = Explanation/Calculation HC = Hospital Compare VBP = Value-Based Purchasing $ Task List Data Sheet SOMCQuality Dashboard - FY 12 Patient-Centered Perfection is the Goal

3 Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Median Time From ED Arrival to ED Departure for Admitted ED Patients $ B.LHC ? Admit Decision Time to ED Departure Time for Admitted Patients $ B.LHC Stroke Measures - Inpatient Venous Thromboembolism (VTE) Prophylaxis100%? Discharged on Antithrombotic Therapy100%? Anticoagulation Therapy for Atrial Fibrillation/Flutter100%?N/A N/A Thrombolytic Therapy100%?00N/A Antithrombotic Therapy by end of Hospital Day 2100%? Discharged on Statin Medication100%? Stroke Education100%? Assessed for Rehabilitation100%? Improve Quality of Care – Surgical Outpatient Appropriate Prophylactic Antibiotic Initiated Within One Hour Prior to Surgical Incision Appropriate Prophylactic Antibiotic Initiated Within One Hour Prior to Surgical Incision $ 100%HC?100 Appropriate Prophylactic Antibiotic Selection for Surgical Patients Appropriate Prophylactic Antibiotic Selection for Surgical Patients $ 100%HC? Improve Quality of Care – Chest Pain/AMI Outpatient Aspirin at Arrival For Chest Pain/AMI Aspirin at Arrival For Chest Pain/AMI $100%HC?100 N/A Percent of ECGs for Chest Pain/AMI Meeting the National Median Time of 4 Minutes or Less Prior to Transfer Percent of ECGs for Chest Pain/AMI Meeting the National Median Time of 4 Minutes or Less Prior to Transfer $ 100%HC? N/A Troponin Results for ED Acute Myocardial Infarction (AMI) Patients or Chest Pain Patients (With Probable Cardiac Chest Pain) Received Within 60 Minutes of Arrival $ B.L.? ? = Explanation/Calculation HC = Hospital Compare $ Task List Data Sheet SOMCQuality Dashboard - FY 12 Patient-Centered Perfection is the Goal

4 Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Median Time From ED Arrival to ED Departure for ED Patients – Overall Rate $ B.L.? Door to Diagnostic Evaluation by a Qualified Medical Personnel $ B.L.? Median Time to Pain Management for Long Bone Fracture $ B.L.? Left Without Being Seen $B.L.? Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretations Within 45 Minutes of ED Arrival $ B.L.?0N/A100N/A Structural Measures Structural Measures $100%?Yes100 YTD Rate of Perfection96.1% ? = Explanation/Calculation HC = Hospital Compare $ Task List Data Sheet SOMCQuality Dashboard - FY 12 Patient-Centered Perfection is the Goal

5 S a f e t y  Q u a l i t y  S e r v i c e  R e l a t i o n s h i p s  P e r f o r m a n c e What questions do you have?


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