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  • Why Not The Best
    Methodology About Case Studies Improvement Tools Related Publications Commentaries How to Use This Site Case Studies Kettering and Sycamore MedicalCenters Committing Resources to Surgical Quality Two hospitals in the Kettering Health Network Kettering Medical Center and Sycamore Medical Center scored among the top 3 percent of U S hospitals on five surgical measures collected and reported by Centers for Medicare and Medicaid Services The hospitals have made nurses key to their improvement strategy In addition they have focused on national quality initiatives such as achieving Nursing Magnet status and the Malcolm Baldrige National Quality Award The biggest change at the two hospitals in recent years was the introduction of concurrent quality monitoring and feedback to providers and managers The use of real time data has inspired competition and greater accountability among physicians and nurses resulting in near perfect compliance with recommended surgical processes Download Case Study PDF Download Summary Table Exhibit 2 Kettering SCIP Improvement 3Q06 1Q09 Performance Improvement Strategies Having adequate staff members devoted to measuring improving and monitoring care processes and who work well as a team is essential Medical directors can engage surgeons in the improvement process by educating them about the CMS requirements and the medical

    Original URL path: http://www.whynotthebest.org/contents/view/119 (2016-04-30)
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  • Why Not The Best
    a high performer on process of care or core measures The measures developed by the Hospital Quality Alliance HQA relate to achievement of recommended care in four clinical areas heart attack heart failure pneumonia and surgical care This case study focuses on Reid s achievement in providing recommended care to surgical patients in order to reduce the risk of a hospital acquired infection Download Case Study PDF Download Summary Table

    Original URL path: http://www.whynotthebest.org/contents/view/62 (2016-04-30)
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  • Why Not The Best
    systems structures and processes are designed to provide evidence based care and enhancep atients experiences The hospital also collaborates with quality improvement organizations at the state and national levels For a small independent organization such as Ridgeview these partnerships provide valuable access to quality improvement resources and opportunities to work with peers Download Case Study PDF Download Summary Table Exhibit 1 Ridgeview Service Line Model Structure Performance Improvement Strategies Begin

    Original URL path: http://www.whynotthebest.org/contents/view/60 (2016-04-30)
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  • Why Not The Best
    with administrative and clinical staff indicate that St Charles achievements in surgical care can be attributed to a hospital wide focus on quality improvement spurred by involvement in the national Surgical Care Improvement Project as well as to reliance on best practice literature to get surgeons on board use of preprinted order sets to standardize care processes and a steady focus on tracking performance data and communicating results to physicians

    Original URL path: http://www.whynotthebest.org/contents/view/59 (2016-04-30)
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  • Why Not The Best
    achievement in providing recommended treatment related to surgical care The hospital has relied on concurrent review changes to care processes and preprinted order sets to improve It also has benefited from being a part of a larger health system In 2004 when CMS introduced the surgical measures the hospital formed an interdisciplinary workgroup to identify opportunities for improving its performance Download Case Study PDF Download Summary Table Performance Improvement Strategies

    Original URL path: http://www.whynotthebest.org/contents/view/120 (2016-04-30)
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  • Why Not The Best
    Improvement Tools Related Publications Commentaries How to Use This Site Case Studies United Hospital Center Improving Surgical Care Through Evidence Based Education and Standardization This case study focuses on United Hospital Center s UHC achievement in providing recommended treatment related to surgical care UHC s rapid and significant improvement in this area can be attributed to hospital wide strategies as well as policies and practices focused on the surgery department Hospital wide strategies include the creation of a subcommittee that reviews performance data and works across departments and disciplines to address performance gaps careful data recording assessment and validation to gain the trust of physi cians engagement of the CEO medical staff chairman and medical staff and communication of progress as well as challenges Strategies specific to surgical care include emphasizing best practice literature to bring surgeons on board providing consistent data feedback including to individual surgeons using peer pressure when needed and standardizing operating room procedures through standing orders practice sets and checklists Download Case Study PDF Download Summary Table Exhibit 3 Antibiotics Discontinued Within 24 Hours 2006 2008 Performance Improvement Strategies Performance Analysis subcommittee reviews performance data from across the hospital identifies problem areas and potential solutions and

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  • Why Not The Best
    the better large hospitals in the United States in terms of overall patient satisfaction as measured by Hospital Consumer Assessment of Healthcare Providers and Systems HCAHPS survey The following strategies appear to contribute to the hospital s success ongoing measurement and feedback high nurse to patient ratios greater nurse authority under the shared governance model acuity adaptable patient rooms mandated quiet time and staff relaxation rooms and shift to shift

    Original URL path: http://www.whynotthebest.org/contents/view/44 (2016-04-30)
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  • Why Not The Best
    adherence to process of care or core measures and high patient satisfaction Key strategies behind their excellent scores include physician leaders commitment to quality physician offices housed within the hospital providing greater access to nurses and patients flat organizational structure that allows quick implementation of operational changes highly experienced nurses and high nurse to patient ratios and more Download Case Study PDF Download Summary Table Figure 1 Heart Failure Care

    Original URL path: http://www.whynotthebest.org/contents/view/47 (2016-04-30)
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