FAMILY MEDICINE HEALTHNET INPATIENT SERVICE QUALITY REPORT AND UNIT DASHBOARD: BMC E6W QUEST: (QUALITY, EFFICIENCY, SATISFACTION AND TOTAL REVENUE) August.

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FAMILY MEDICINE HEALTHNET INPATIENT SERVICE QUALITY REPORT AND UNIT DASHBOARD: BMC E6W QUEST: (QUALITY, EFFICIENCY, SATISFACTION AND TOTAL REVENUE) August 2015

INPATIENT MORTALITY INDEX Source: UHC, Patient Outcomes Report BMC wants to achieve a score of.77 or lower. FM has always been lower than that.

DAILY WORKLOAD BY CARE TEAM (CENSUS COUNTED AT 8AM) The average number of patients for all three teams was about the same in July. Source (both graphs): SDK Combined Census Report and confirmed with EPIC census on weekdays

WEEKLY AVERAGE DISCHARGE TIME Source: Weekly hospital reports (From Jonathan Bunker) The gap in average discharge time between FM, BMC, and comparable floors is starting to open again.

MONTHLY TOTAL NUMBER OF PATIENTS DISCHARGED BY CARE TEAM Note: Total Number of Patients Discharged = Inpatient + Obs Source: EPIC, DOM Discharges by Month report FM-HN continues to maintain a constant volume about 8-9 discharges per day.

MONTHLY PERCENTAGES OF DISCHARGES IN OBS STATUS BY CARE TEAM Source: EPIC, Department of Medicine Admissions and DOM Discharges by Month Report The % of patients discharged in OBS status increased for all three teams.

ALOS OF INPATIENT DISCHARGES BY CARE TEAM (IN DAYS) Source: EPIC (From DOM Discharges by Month report) Note: The ALOS goal came from BMC Inpatient Data Dashboard (Medicare ALOS) Based on Mean- Since June, the ALOS for FM 1 and CCA decreased and slightly increased for FM 2. Based on Median- Since June the ALOS for FM1 and CCA slightly decreased and slightly increased for FM 2.

ALOS OF OBSERVATION DISCHARGES BY CARE TEAM (IN HOURS) Source: EPIC, DOM Discharges by Month report Note: The ALOS goal came from BMC Inpatient Data Dashboard (Internal) Based on both the mean- the ALOS for all three teams increased since June. Based on the median- the ALOS for all three teams stayed about the same since June.

PERCENTAGE OF PATIENTS ADMITTED/DISCHARGED FROM E6W Percentage of Patients Admitted to E6W Percentage of Patients Discharged from E6W

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E6W Note: The percentage presented in these graphs are the top box score percentages Source: BMC Administration (From Inpatient Dashboard) In the last quarter, E6W had a higher score than BMC

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E6W In the last quarter, E6W had a higher score than BMC

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E6W Note: The percentage presented in these graphs are the top box score percentages Source: BMC Administration (From Inpatient Dashboard) In the last quarter, both scores were about the same.

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E6W Note: The percentage presented in these graphs are the top box score percentages Source: BMC Administration (From Inpatient Dashboard) In the last quarter, E6W had a higher score than BMC

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E6W In the last quarter, E6W had a lower score than BMC

HEALTHNET PATIENTS’ ADMISSIONS FOR ALL SERVICES IN APRIL The % of HealthNet patients admitted to the FM-HN service decreased since June Source: Individual SDK Inpatient and Observation admissions by Health Center report Note: This graph includes patients with a PCP in Family Medicine Yawkey; *As of 5/1 this graph excludes Harvard and Upham’s ESP patients