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Quality Management System

Published byJonas Gregory Modified over 5 years ago

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Presentation on theme: "Quality Management System"— Presentation transcript:

1 Peace Island Medical Center Semiannual Report Quality July 2017 – December 2017

2 Quality Management System
The Quality Management Plan describes the quality management system established by Peace Island Medical Center (PIMC) to achieve its quality and safety objectives and goals. The Plan describes the methodologies and practices by which quality and performance are measured, monitored, analyzed and continually improved to advance health outcomes and reduce risks for patients. The multidisciplinary Quality Management Committee provides the oversight and mechanisms to achieve objectives established in the Plan and reports to the community Governing Board to drive accountability. A small number of events can keep us from our goals. Intense review of each event is occurring to understand what happened and then implement changes to improve patient care.

3 Quality Measures and Performance
The Quality Management Committee monitors process and outcome measures to maintain safe, high quality care and drive necessary improvement. Peace Island Medical Center has successfully met targets for key quality indicators, including but not limited to: Patient Influenza Vaccination Patient Safety Events Healthcare-associated Infections Outpatient Endoscopy Measures Falls with Injury Hospital Acquired Pressure Injuries Patient flow (Door to diagnostic evaluation) Patient Experience (Inpatient Overall, Medical Practice Overall, Emergency Department)

4 Quality Measures and Performance (continued)
Falls with Injury

5 Quality Measures and Performance (continued)
Hospital Acquired Pressure Injuries

6 Quality Measures and Performance (continued)
Patient Flow (door to practitioner time)

7 Quality Measures and Performance (continued)
Patient Experience

8 Recognition PATIENT EXPERIENCE
2017 Press Ganey Guardian of Excellence AwardSM winner. PeaceHealth Peace Island Medical Center achieved this distinction by reaching the 95th percentile for each reporting period for the award year for Patient Experience in the Emergency Department.

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