Hospital Peer Review
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Emergency Preparedness CoP Calls for Review, Upgrading Plans
Hospitals are still moving to comply with the CMS Conditions of Participation on emergency preparedness, which became effective in late 2016, and some are finding that the plans they had in place previously are not quite enough to meet the CMS expectations.
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Major Culture Shift Improves Quality and Safety
Quality improvement leaders at Madison Memorial Hospital in Rexburg, ID, faced a problem familiar to their counterparts at hospitals across the country: They would identify opportunities for improvement and find evidence-based solutions, but the effort would fall flat because there was no buy-in from others.
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Hopkins Command Center Improves Quality with Coordination
The Johns Hopkins Hospital in Baltimore is improving quality and patient safety with a state-of-the-art, advanced control center that coordinates care throughout the facility, bringing together many department representatives who can work efficiently with real-time data.
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Hospitals Can Now Factor Socioeconomic Status into Readmissions
Hospitals have long complained that assessments of their readmission rates do not take into account the socioeconomic factors that can influence them, resulting in facilities serving the neediest patients taking a financial hit when they don’t meet national standards. That is about to change with the introduction of a law that allows hospitals to factor in that information when determining readmission rates.
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Time to Use Big Data for Quality Improvement
Quality professionals have been told for years, regularly and with great enthusiasm, that they should use “big data” to radically improve quality and outcomes, but many found that doing so was a challenge and didn’t live up to expectations. -
CORRECTION
From last month's issue. -
Readmission Rates for Bariatric Surgery Drop with QI
Thirty-day readmission rates for bariatric surgery patients can be reduced by implementing a series of quality improvement efforts, according to recent research. Some of the top performers in the study more than doubled the average readmission reduction.
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Physicians Unlikely to Reveal Errors to Patients, Study Says
Primary care physicians are willing to report medical errors within the healthcare organization, but are not as likely to tell the patients, according to a recent study from the School of Public Health at Georgia State University in Atlanta.
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C. Difficile Reduced 75% with Targeted Interventions
A hospital in Medford, OR, reduced its rates of C. difficile infections by three-fourths with a targeted approach intended to identify exactly what strategy is the most effective after previous attempts left hospital leaders wondering which of several interventions had worked.
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Look for Variations in Data, Seek Out Causes
Studying a range of data sets at your hospital may reveal opportunities to improve outcomes and cut costs, says Nancy Lakier, RN, BSN, MBA, CEO and managing principal of Novia Strategies, a consulting company based in Poway, CA. The outliers and unusual numbers will point you toward issues that need more investigation, she says.