1. Safety  Quality  Service  Relationships  Performance SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Patient Perception of Care – PRC Indicators Inpatients How Would you Rate the Courtesy and Friendliness Shown by all Hospital Employees 100 th ?90 9294 929395 HCU Overall Quality of Care 100 th 7377 8887828483818485 Maternity Overall Quality of Care 100 th 62717476787985 849193 MSCU Overall Quality of Care 100 th 8893898681898687766473 OCU Overall Quality of Care 100 th 56535964707879 849189 PCU Overall Quality of Care 100 th 8986 91928986 8993 Rehab Care Unit (Inpatient) Overall Quality of Care 100 th 656774726667747566946974 SVCU Overall Quality of Care 100 th 898784898278768782817982 SBMCU Overall Quality of Care 100 th N/A Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare

2. Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Patient Perception of Care Inpatients HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) How Often did Nurses Communicate Well With Patients VBP 100%HC?8382 818079 7890 How Often did Doctors Communicate Well With Patients VBP 100%HC?83 828182 86 How Often did Patients Receive Help Quickly From Hospital Staff VBP 100%HC?666768676667 6667686777 How Often was Patients Pain Well Controlled VBP 100%HC?72 73 72 7173 78 How Often did Staff Explain About Medicines Before Giving Them to Patient VBP 100%HC?7275747372696766636463 Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare $ SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal

3. Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Patient Perception of Care Inpatients HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) How Often Were the Patients' Rooms and Bathrooms Kept Clean VBP 100%HC?81 82 81 7980 81 How Often was the Area Around Patients Rooms Kept Quiet at Night VBP 100%HC?68676566 65 64656668 Were Patients Given Information About What to do During Their Recovery at Home VBP 100%HC?91 9290 89908994 How do Patients Rate the Hospital Overall VBP 100%HC?76 74 7372 7072 7088 Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare $ SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal

4. Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Patient Perception of Care Inpatients HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) During This Hospital Stay, the Hospital Staff Took my Preferences and Those of my Family or Caregiver into Account in Deciding What my Health Care Needs Would be When I Left the Hospital B.L.HC?N/A When I Left the Hospital, I had a Good Understanding of the Things I was Responsible for in Managing my Health B.L.HC?N/A When I Left the Hospital, I Clearly Understood the Purpose for Taking Each of my Medications B.L.HC?N/A Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare $ SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal

5. Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Patient Perception of Care – PRC Indicators Ambulatory Surgery Overall Quality of Care 100 th ?88849086888682 81889091 Emergency Services Overall Quality of Care 100 th ?6649414038414526293747 Urgent Care Portsmouth Overall Quality of Care 100 th 7879 78777679 80 Urgent Care Wheelersburg Overall Quality of Care 100 th 626471738084908886919291 Waverly Urgent Care & Specialty Center Overall Quality of Care 100 th 100 Hospice Overall Quality of Care100 th ? 8684828381 83 8485959395 HomeCare Overall Quality of Care 100 th ?7052766667 737873747580 Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal

6. Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Patient Perception of Care HOME CARE CAHPS (Home Care Consumer Assessment of Healthcare Providers and Systems) Patient Care – Gentleness, Courtesy and Problems With Care 100%HC9091 909291 92 Communication With Health Care Providers and Agency Staff 100%HC88 8788 878988 90 Specific Care Issues Related to Pain 100%HC83 84 86 85 8684 Overall Rating of Care100%HC8788 90 92 90 Likelihood to Recommend100%HC86 87 898786 87 Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal

7. Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Improve Patient Perception of Care – PRC Indicators Outpatients Cath Lab Overall Quality of Care 100 th 6968697691907366 596168 Cardiovascular Testing Quality of Care 100 th 687368778370898776687576 Laboratory Quality of Care 100 th 66 57 4849625761697380 Oncology Quality of Care 100 th 81839294 7489 95899490 X-Ray Quality of Care 100 th 242619162127242632303932 Cat Scan Quality of Care 100 th 816049 4847433930332924 MRI Quality of Care 100 th 726873726970726171726971 Nuclear Medicine Quality of Care 100 th 6171838284868283 8479 Breast Center Quality of Care 100 th 9398959695971009895949088 Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal

8. Safety  Quality  Service  Relationships  Performance IndicatorGoalHC?JulAugSepOctNovDecJanFebMarAprMayJunYTD Ultrasound Quality of Care 100 th 5854 515961586879 81 Outpatient Therapy PT, OT, ST Quality of Care 100 th 55 59514640393739 History Timeline? YTD Rate of Perfection79.1% Tasklist Tasklist ? = Explanation/Calculation HC = Hospital Compare SOMCService Dashboard – FY 13 SOMCService Dashboard – FY 13 Patient-Centered Perfection is the Goal

9. S a f e t y  Q u a l i t y  S e r v i c e  R e l a t i o n s h i p s  P e r f o r m a n c e What questions do you have? www.somc.org