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  • Why Not The Best
    There could be several reasons why a hospital that you know reports CLABSI data is not appearing on WhyNotTheBest org Per our methodology they must meet the sample size requirements At least 1 000 central line days CLDs OR At least three infections regardless of the number of central line days A hospital that reports three or more infections even in fewer than 1 000 CLDs could not achieve better than a rate of three infections 1 000 CLDs this is 50 percent higher than the national infection rate for medical ICUs To locate hospitals reporting CLABSI data search via hospitals Location Characteristics using the Hospitals Reporting filter choosing the Health Care Associated Infections option Or follow the shortcuts to view performance data for hospitals in a particular state in the methodology section Back to Top How can I change my hospital characteristics Bed count ownership etc This data is derived from CMS s Online Survey Certification and Reporting OSCAR database If the information about your hospital s characteristics is incorrect or has changed please contact your state survey agency OSCAR ASPEN Coordinator to have it updated Back to Top Measures Where does the measure data come from Data come from Clinical Quality Measures Data submitted to the QIO Clinical Warehouse Hospitals submit patient record data for the clinical conditions The information for the survey of patients hospital experiences was collected and reported through MyQualityNet using the HCAHPS Hospital Consumer Assessment of Healthcare Providers and Systems survey This survey asks patients about their experiences with medical surgical or maternity care during a recent overnight stay in the hospital Summary measures based on the clinical data calculated for WhyNotTheBest org see Methodology Readmission and mortality rates as reported on CMS Hospital Compare are calculated using Medicare enrollment and claims records and a complex statistical procedure The rates are risk adjusted meaning that the calculations take into account how sick patients were when they went in for their initial hospitalization Reimbursement data Patients that have similar clinical characteristics and similar costs are assigned to an MS DRG The MS DRG will be associated with a fixed payment amount based on the average cost of patients in the group Patients are assigned to a MS DRG based on diagnosis surgical procedures age and other information Medicare uses this information that is provided by hospitals on their bill to decide how much they should be paid Hospital Compare shows information for each hospital on selected MS DRGs from October 2007 through September 2008 If a MS DRG has Complications or Comorbidities in its title it means the hospital may have treated more complicated patients Central line associated bloodstream infections CLABSIs data data are derived from states where hospitals report data as a result of state laws as well as from other states in which some hospitals voluntarily reported infection data to the Leapfrog Group The data were made available by special arrangement with Consumer Reports Health who integrated data from each of the states

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  • Why Not The Best
    that they are complete up to date or accurate The performance data have not been verified by IPRO and you are solely responsible for any and all decisions or actions with respect to your medical treatment We employed widely used methodology to develop composite measures of providers performance with respect to care for particular conditions as well as composite measures across conditions For further information on the methodology see the Methodology section of this Web site The Web site does not include any paid or unpaid advertising of any kind Although we are selective about the organizations we include as resources and link to from this Web site we do not assume any responsibility for the content or functionality of any other organizations sites or any sites that you browse after following a link from our Web site You acknowledge and agree that IPRO shall not incur any liability based on any problems you encounter with such a linked site or the unavailability of such a site or the loss of any content that you or any other party may have uploaded to such a site or used in connection with it Information That You Put on Our Web site When you place materials or information Postings on our Web site you give us an irrevocable perpetual license to use the Postings in connection with the Web site in our sole discretion For example we have the right to display a comment that you post on one of our discussion boards for as long as we deem useful We will consider requests to remove Postings that you make publicly available on our Web site on an individual basis please contact us at the e mail address we give at the end of this document To the fullest extent permitted by applicable laws IPRO excludes all responsibility and liability for the Postings or for any losses or expenses resulting from their use and or appearance on the Web site IPRO reserves the right to monitor all Postings and to remove any which it considers in its absolute discretion to be offensive or otherwise in breach of this User Agreement or in violation of general community standards and notions of decency You hereby represent and warrant that you have all necessary rights in and to all Postings you provide and all material content and information they contain and that such Postings shall not infringe any proprietary right intellectual property right or other rights of third parties Limitation of Liability You expressly acknowledge and agree that the Web site services and content are provided strictly on an as is and on an as available basis without express or implied statutory or other warranties of any kind IPRO makes no representations or warranties with regard to the accuracy of any content on this Web site IPRO makes no representations or warranties regarding the content of Web sites to which this Web site may be linked or which may link to this Web site To

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  • Why Not The Best
    post any personal information on the Web site that you expect to keep private Our web logs collect standard web log entries for each page served including your IP address page URL and timestamp 3 Data we store All Personal Information entered as part of the registration process is stored in our database Our web logs and other records are stored indefinitely Although we make good faith efforts to store the information in a secure operating environment that is not available to the public we cannot guarantee complete security 4 Circumstances in which IPRO may release information IPRO may disclose information about its users if required to do so by law or in the good faith belief that such disclosure is reasonably necessary to respond to subpoenas court orders or other legal process IPRO may also disclose information about its users to law enforcement officers or others in the good faith belief that such disclosure is reasonably necessary to enforce our Terms of Use respond to claims that any posting or other content violates the rights of third parties or protect the rights property or personal safety of IPRO its users or the general public 5 Accessing and updating personal information When you use the Web site we make good faith efforts to provide you with access to your personal information and either to correct this data if it is inaccurate or to delete such data at your request if it is not otherwise required to be retained by law or for legitimate business purposes We ask individual users to identify themselves and the information requested to be accessed corrected or removed before processing such requests and we may decline to process requests that are unreasonably repetitive or systematic require disproportionate technical effort jeopardize the privacy of others or would

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  • Why Not The Best

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  • Why Not The Best
    Series Health Information Technology Efficiency Pneumonia Care Surgical Care Improvement Patient Experiences Overall Health Care Quality Readmission Rates Health Systems Patient Safety Reducing Infections Public Hospital Improvement Tools Related Publications Commentaries How to Use This Site Case Studies Learn from other hospitals about successful strategies to create safe reliable health care processes and deliver high quality care to patients You can browse the case studies by topic using the menu below Using Electronic Health Records to Improve Quality and Efficiency The Experiences of Leading Hospitals An examination of nine hospitals that recently implemented a comprehensive electronic health record EHR system finds that clinical and administrative leaders built EHR adoption into their strategic plans to integrate inpatient and outpatient care and provide a continuum of coordinated services Successful implementation depended on strong leadership full involvement of clinical staff in design and implementation mandatory staff training and strict adherence to timeline and budget The EHR systems facilitate patient safety and quality improvement through use of checklists alerts and predictive tools embedded clinical guidelines that promote standardized evidence based practices electronic prescribing and test ordering that reduces errors and redundancy and discrete data fields that foster use of performance dashboards and compliance reports

    Original URL path: http://www.whynotthebest.org/contents/index/1/14 (2016-04-30)
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  • Why Not The Best
    in quality and value can be achieved In 2008 the Leapfrog Group s Hospital Recognition Program began identifying hospitals that have made big leaps in health care safety quality and customer value Thirteen hospitals out of nearly 1 300 who voluntarily submitted data in 2008 achieved top scores in quality of care while keeping resource use low To learn what opportunities exist for all hospitals to achieve greater efficiency we conducted case studies of four of the 13 Leapfrog Group designated Highest Value Hospitals These included Fairview Southdale Hospital in Edina Minn North Mississippi Medical Center in Tupelo Miss Park Nicollet Methodist Hospital in St Louis Park Minn and Providence St Vincent Medical Center in Portland Ore This paper offers a synthesis of lessons from their experiences View Case Study Fairview Southdale Hospital Efficiency Through Quality and Innovation Fairview Southdale Hospital was recognized as one of 13 Highest Value Hospitals by the Leapfrog Group in 2008 based on efficiency scores that took into account quality of care as well as resource utilization The hospital which was selected from nearly 1 300 hospitals that had voluntarily submitted data received a top efficiency score for all four conditions procedures examined coronary artery bypass graft percutaneous coronary interventions treatment of acute myocardial infarction and pneumonia care View Case Study North Mississippi Medical Center Improving Efficiency Through Hospital System and Community Wide Practices North Mississippi Medical Center NMMC in Tupelo Mississippi was designated a Highest Value Hospital in 2008 for achieving a top efficiency score reflecting both the quality of care and resource use from the Leapfrog Group for coronary artery bypass graft percutaneous coronary interventions and pneumonia care Leaders at NMMC believe that by focusing on serving patients empowering staff and improving health care quality lower costs and growth will naturally follow View

    Original URL path: http://www.whynotthebest.org/contents/index/1/13 (2016-04-30)
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  • Why Not The Best
    and surgical care View Case Study Parkview Medical Center Underscoring the Importance of Communication in Pneumonia Care Parkview Medical Center is one of the top performing hospitals in the country in the pneumonia process of care measures or core measures Hospital leaders credit the organization s strong performance in pneumonia care to the regular communication and reinforcement provided by quality improvement staff Concurrent review in particular is relied on as an opportunity to provide real time education and reminders to providers at the point of care Those interviewed also emphasize that the hospital leaders are willing to try anything in the name of improving patient care View Case Study St Luke s Medical Center Bottom Up Approach to Quality Improvement in Pneumonia Care St Luke s Medical Center has made significant improvements in its performance on the pneumonia care core measures over the last five years The hospital which was once achieving as low as 30 percent to 50 percent compliance with the pneumonia care core measures now performs well above state and national averages Those interviewed credit the organization s improvement in pneumonia care to the energy and attention to quality improvement provided by the frontline staff who have embraced the core measures as an opportunity to improve patient care Concurrent review ongoing nursing staff education and streamlined standing order sets also have helped the hospital improve its performance View Case Study Walla Walla General Hospital Setting Staff Up for Success in Pneumonia Care Walla Walla General Hospital is one of the top performing hospitals in the country on the pneumonia process of care measures or core measures The core measures developed by the Hospital Quality Alliance and reported to the Centers for Medicare and Medicaid Services CMS relate to the provision of recommended treatment in four clinical areas

    Original URL path: http://www.whynotthebest.org/contents/index/1/3 (2016-04-30)
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  • Why Not The Best
    Hospital and Health Care Services Dedicated Surgical Care Improvement Team Guides Changes at Reid Hospital and Health Care Services Reid Hospital and Health Care Services is 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 View Case Study Ridgeview Medical Center Service Line Structure Lays Groundwork for Surgical Care Improvement Leaders at Ridgeview attribute achievements in surgical care to the hospital s organizational culture and service line structure Referred to as The Ridgeview Way the hospital s 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 View Case Study St Charles Hospital Improving Surgical Care Through Best Practice Literature and Order Sets From 2004 to 2008 St Charles Hospital achieved dramatic improvement on process of care or core measures particularly on those intended to reduce surgical complications Conversations 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 and other staff View Case

    Original URL path: http://www.whynotthebest.org/contents/index/1/4 (2016-04-30)
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