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Improving Harm Across the Board Preston Memorial Hospital Linda Flemmer, RN Director of Quality Improvement Kingwood, WV Our vision is to offer access.

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Presentation on theme: "Improving Harm Across the Board Preston Memorial Hospital Linda Flemmer, RN Director of Quality Improvement Kingwood, WV Our vision is to offer access."— Presentation transcript:

1 Improving Harm Across the Board Preston Memorial Hospital Linda Flemmer, RN Director of Quality Improvement Kingwood, WV Our vision is to offer access to high quality, patient-centered, and affordable healthcare to all of our patients.

2 2012/2013 Breakthrough in Readmission: From 10% of discharges to 6% of discharges 2

3 2012/2013 Breakthrough in SSIs: From 3.3% of surgeries to 1.1% of surgeries 3

4 Improving HAC Rates (per discharge) HACs Baseline [time period] Target Current [time period] Improvement Status (scale) ADE 0.00610.00370.0039Progress CAUTI 000.0012Progress CLABSI 0.00650.00390.0028At target Falls 0.00620.00370.0057Progress Ob AE NA Pr Ulcer 000IDEAL SSI 0.0330.020.008At Target VAP 000IDEAL VTE 000IDEAL EED NA Total 0.04560.0313.0253At Target Readmit 0.1020.082 0.047 At Target

5 Preston Memorial Hospitals Team

6 Pearls Changed prep routine in the OR to prevent periumbilical infections. Changed cleaning routine in the OR. Initiated Hourly Rounding, No Pass Zone to reduce falls. Initiated Project RED. Early discharge planning, improved education with Teach Back, Post Discharge phone calls. Developed and initiated Sunday Shoes Program for Heart Failure

7 Our Hospital Risk Profile & Result Our Safety Mandate Annual Volume (Discharges)723 Total risk: annual harm opportunities6250 Risks per patients (Total Opportunities)/Discharges)8.64 Number of Risk Areas Number of PfP Harm Areas Applicable (0 – 11)9 Number of PfP Harm Areas Applicable & Adopted9 Our Progress Number of PfP Areas at Improvement Target4 Number of PfP Areas at IDEAL3

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