1. CHS’ Performance Improvement Priorities for 2009
PI Council, MEC & CHS Executive Staff

2. INFECTION PREVENTION 95% compliance with CDC hand hygiene guidelines
Reduce healthcare acquired infections (HCAIs) by 50% by December 31, 2009 through consistent organization-wide application of evidence-based :
95% compliance with CDC hand hygiene guidelines
95% compliance PPE use and disposal guidelines
75% of eligible CHS employees vaccinated for flu

3. PATIENT IDENTIFICATION
Eliminate incorrect patient identification by December 31, 2009 through the following strategies:
Consistent verification of patients using two-organizationally approved identifiers
Consistent patient/family involvement in patient identification processes

4. Proposed Dissemination Strategies:
Leadership meeting, Medical Staff mtgs
CHS Intranet, with data on how we are doing
Departmental specific data J-Co webpage
Tracers
Various internal Newsletters   
Executive Rounds: to ensure employees can articulate priorities and demonstrate knowledge of goals and how they affect their role at CHS

5. Nosocomial Infection Markers

6. Patient ID

7. Summary
Situation: Significant improvement is needed in these two areas for patient safety
Background: Both are NPSGs and recently recognized by outside surveyors that consistent practice was not evident
Assessment: Involvement by all levels of staff is needed to sustain improvement
Recommendation: Discuss these PI priorities with your staff and their role in the efforts