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Patient Safety Alliance Reports Significant Improvement By Hospitals

Posted on: Friday, 22 June 2007, 15:11 CDT

The Patient Safety Alliance today reported significant gains by the 18 Oregon hospitals participating in the first year of its collaborative, Achieving Patient Safety in the Inpatient Setting. The hospitals, in partnership with 10 professional societies, work closely with the Alliance to improve care for key medical and surgical conditions. The Alliance measured the hospitals' performance in two areas:

1. Medicare Care Safety and Quality: Proportion of patients who received all appropriate care for heart attack, heart failure and pneumonia, based on a set of 10 clinical measures (five heart attack measures, two heart failure measures and three pneumonia measures), as presented in a single Appropriate Care Measure (ACM) score

2. Surgical Care Improvement Project (SCIP): Proportion of surgical patients who received a timely initial dose of antibiotics for infection prevention and timely discontinuation of preventative antibiotics

The impact of the hospitals' efforts was assessed using quality measure data from the Centers for Medicare & Medicaid Services (CMS)/Joint Commission for the 1st and 4th quarters in 2006. Their combined work resulted in the following gains:

Medical Care Safety and Quality

13 of 18 hospitals (72 percent) improved their delivery of all appropriate care

The all-hospital ACM score increased from 80 percent to 84 percent, with heart failure and pneumonia measures accounting for the increase

SCIP

14 of 16 hospitals improved their combined score for timely preventive antibiotic administration

The all-hospital aggregate SCIP score increased from 63 percent to 68 percent

"Each of the hospitals involved demonstrated a real commitment to improving," commented Ruth Medak, MD, associate medical director for Acumentra Health. "We are impressed with the collaborative hospitals' progress in the first year and in the first three months of the second year, we're already seeing additional improvement as the hospitals build on their earlier accomplishments."

In recognition of their outstanding achievements, the Alliance is proud to honor the following hospitals with Hospital Quality Awards:

Excellence in Improving Patient Safety in the Inpatient Setting

Medical: (greater than or equal to) 90 percent of heart attack, heart failure and pneumonia patients receiving all appropriate care

Kaiser Sunnyside Medical Center

Legacy Emanuel Hospital & Health Center

McKenzie-Willamette Medical Center

Mid-Columbia Medical Center

Oregon Health & Science University

Rogue Valley Medical Center

Surgical: (greater than or equal to) 90 percent of patients eligible for preventive antibiotics receiving a timely initial dose and discontinuation

Mid-Columbia Medical Center

Outstanding Improvement

Medical: (greater than or equal to) 50 percent reduction in the performance gap for all appropriate heart attack, heart failure and pneumonia care since first quarter 2006

Legacy Emanuel Hospital & Health Center

Legacy Meridian Park Hospital

Mid-Columbia Medical Center

Rogue Valley Medical Center

Surgical: (greater than or equal to) 50 percent reduction in the performance gap for providing timely antibiotics since first quarter 2006

Bay Area Hospital

Legacy Good Samaritan Hospital & Medical Center

McKenzie-Willamette Medical Center

Mid-Columbia Medical Center

The Patient Safety Alliance is a movement established by Acumentra Health and Northwest Physicians Insurance Company to help hospitals achieve evidence-based care improvement by strengthening care delivery processes, implementing real-time process monitoring, sharing tools and strategies, working collaboratively to remove barriers, involving physician leaders more productively, and increasing input from frontline staff.

Acumentra Health is a nonprofit organization dedicated to improving the quality and effectiveness of health care. Established in 1984, Acumentra Health's work spans the continuum of care, reaching all ages and economic levels, and all delivery settings. Acumentra Health contracts with Medicare to support effective, evidence-based health care for Medicare beneficiaries in Oregon and oversees the state's Medicare Beneficiary Protection Program. In addition, Acumentra Health contracts with state agencies, public health organizations and coalitions, health plans, hospitals, physicians and others to conduct healthcare quality assurance and quality improvement projects. As a leader in healthcare quality, Acumentra Health provides expertise in areas such as performance measurement and improvement, surveys, utilization management, healthcare data analysis, chronic disease management and electronic health records. For more information, visit http://www.acumentra.org.

This material was prepared by Acumentra Health, Oregon's Medicare Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

8SOW-OR-INP-07-14 6/22/07


Source: Business Wire

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