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  • Why Not The Best
    organizational and tactical strategies Particular strategies include commitment to improving customer service and work culture and to leadership training use of a Balanced Scorecard management tool use of Six Sigma improvement methodology to address underperformance and recognition of staff members and units demonstrating outstanding customer service View Case Study Hutcheson Medical Center Focusing on Personal Interactions Hutcheson Medical Center is a 179 bed community hospital located in Fort Oglethorpe Georgia eight miles southeast of Chattanooga Tennessee By focusing intently on patient staff interactions and patients needs Hutcheson Medical Center has turned around its quality and financial indicators in the last two and a half years Scores on the Hospital Consumer Assessment of Healthcare Providers and Systems HCAHPS survey show that Hutcheson is now a leading hospital nationally on measures of patient satisfaction Five components of the hospital s strategy may be behind their success fostering a culture of customer service empowering nurses through shared governance collecting and tracking data to chart progress visibility of leaders and implementing evidence based practice View Case Study Munson Medical Center Constant Focus on Patient Satisfaction Munson Medical Center is a 391 bed nonprofit hospital located in Traverse City Michigan By focusing on patient satisfaction and engaging frontline staff in improving care it has become one of 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 bedside reports View Case Study Oklahoma Heart Hospital Clinician Leaders Establish Culture of Quality Since 2002 Oklahoma Heart

    Original URL path: http://www.whynotthebest.org/contents/index/1/5 (2016-04-30)
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  • Why Not The Best
    improvement at the clinic level aligning incentives with goals and making results transparent internally and externally HealthPartners experience suggests that a nonprofit health plan market oriented to physician group practice supported by collaborative measurement improvement and reporting structures creates a community environment that helps each participant achieve objectives more effectively View Case Study Henry Ford Health System A Framework for System Integration Coordination Collaboration and Innovation Henry Ford Health System is a vertically integrated health care system in southeastern Michigan whose leadership is committed to systemic integration clinical excellence and customer value through the core competencies of collaboration care coordination and innovation and learning Henry Ford s care innovation initiatives are multidisciplinary team led projects that target improvements in quality measures and evidence based standards through problem solving and the identification of common metrics to build consensus The collaborative approach fostered by shared vision and values facilitates transformation throughout the system Moreover Henry Ford s integration of care delivery and coverage facilitates quality monitoring measurement and improvement activities View Case Study Kaiser Permanente Bridging the Quality Divide with Integrated Practice Group Accountability and Health Information Technology Kaiser Permanente comprising the Kaiser Foundation Health Plan Kaiser Foundation Hospitals and Permanente Medical Groups in eight regions is the largest nonprofit integrated health care delivery system in the United States The successful evolution of this organizational structure in a competitive marketplace has required a close partnership between managers and physicians supported by a culture of physician group accountability for quality and efficiency An overarching agenda for achieving excellence focuses on high impact health conditions provides goal oriented tools to analyze population data proactively identifies patients in need of intervention supports systematic process improvements and promotes collaboration between patients and professionals to improve health Central to this effort is KP HealthConnect a comprehensive health information system that integrates an electronic health record with the tools to support physicians in delivering evidence based medicine coupled with a robust online patient portal that enhances members access to and involvement in their care View Case Study Luther Midelfort Laying Tracks for Success Exemplary quality scores at Luther Midelfort Mayo Health System in Eau Claire Wis are the result of a long term commitment to building quality and safety into systems of care Since joining the Mayo Health System in 1992 Luther Midelfort has advanced a culture that supports staff in their efforts to test new ideas and improve care Although work focused on Centers for Medicare and Medicaid Services CMS core measures began recently the newer efforts follow the philosophy and strategy established years earlier In a recent analysis by The Commonwealth Fund Luther Midelfort achieved the third highest score in the country on a composite of 22 process of care measures that all hospitals report to CMS View Case Study Marshfield Clinic Health Information Technology Paves the Way for Population Health Management Marshfield Clinic is a not for profit physician governed multispecialty group practice serving residents of rural Wisconsin through a regional ambulatory care system an

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  • Why Not The Best
    by Caring for Patients the Right Way McKay Dee Hospital Center in Ogden Utah part of the Intermountain Healthcare System had readmission rates in the lowest 3 percent of hospitals across the nation for all three clinical areas reported to the Centers for Medicare and Medicaid Services CMS for the selection period and its heart failure and pneumonia readmission rates were within the best 1 percent of hospitals reporting View Case Study Memorial Hermann Memorial City Medical Center Excellence in Heart Attack Care Reduces Readmissions Memorial Hermann Memorial City Medical Center in Houston Texas achieved superior readmission rates in two of the three clinical areas reported to the Centers for Medicare and Medicaid Services Its readmission rate for patients with acute myocardial infarction and pneumonia surpassed the best 10 percent of hospitals in the country for the selection period Its readmission rate for heart failure was not as strong outperforming the national average only by a narrow margin View Case Study Mercy Medical Center Reducing Readmissions Through Clinical Excellence Palliative Care and Collaboration Mercy Medical Center in Cedar Rapids Iowa had readmission rates in the lowest 3 percent among U S hospitals in all three clinical areas heart attack heart failure and pneumonia reported to the Centers for Medicare and Medicaid Services for the selection period View Case Study Reducing Hospital Readmissions Lessons from Top Performing Hospitals Significant variability in 30 day readmission rates across U S hospitals suggests that some are more successful than others at providing safe high quality inpatient care and promoting smooth transitions to follow up care This report offers a synthesis of findings from four case studies of hospitals with exceptionally low readmission rates McKay Dee Hospital in Ogden Utah Memorial Hermann Memorial City Medical Center in Houston Texas Mercy Medical Center in Cedar Rapids

    Original URL path: http://www.whynotthebest.org/contents/index/1/7 (2016-04-30)
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  • Why Not The Best
    It offers leadership training programs that encourage cross training and partnership within the institution and uses external collaborations to improve community health and extend its models of care and service to outlying communities Gundersen Lutheran s physician compact outlines the organization s expectations of physicians and ensures that its medical staff remains committed to the organization s mission to distinguish itself in patient care education research and community health View Case Study HealthPartners Consumer Focused Mission and Collaborative Approach Support Ambitious Performance Improvement Agenda HealthPartners is the nation s largest nonprofit consumer governed health care organization providing health and dental care and coverage to more than 1 million individuals in Minnesota and surrounding states Key factors driving HealthPartners performance are a consumer focused mission a regional focus scale and scope integrating a broad range of services strategic use of electronic health records to support care redesign and a culture of continuous improvement A comprehensive model for improvement includes setting ambitious targets for health system transformation measuring what is important in order to optimize care agreeing on best care practices and supporting improvement at the clinic level aligning incentives with goals and making results transparent internally and externally HealthPartners experience suggests that a nonprofit health plan market oriented to physician group practice supported by collaborative measurement improvement and reporting structures creates a community environment that helps each participant achieve objectives more effectively View Case Study Henry Ford Health System A Framework for System Integration Coordination Collaboration and Innovation Henry Ford Health System is a vertically integrated health care system in southeastern Michigan whose leadership is committed to systemic integration clinical excellence and customer value through the core competencies of collaboration care coordination and innovation and learning Henry Ford s care innovation initiatives are multidisciplinary team led projects that target improvements in quality measures and evidence based standards through problem solving and the identification of common metrics to build consensus The collaborative approach fostered by shared vision and values facilitates transformation throughout the system Moreover Henry Ford s integration of care delivery and coverage facilitates quality monitoring measurement and improvement activities View Case Study Kaiser Permanente Bridging the Quality Divide with Integrated Practice Group Accountability and Health Information Technology Kaiser Permanente comprising the Kaiser Foundation Health Plan Kaiser Foundation Hospitals and Permanente Medical Groups in eight regions is the largest nonprofit integrated health care delivery system in the United States The successful evolution of this organizational structure in a competitive marketplace has required a close partnership between managers and physicians supported by a culture of physician group accountability for quality and efficiency An overarching agenda for achieving excellence focuses on high impact health conditions provides goal oriented tools to analyze population data proactively identifies patients in need of intervention supports systematic process improvements and promotes collaboration between patients and professionals to improve health Central to this effort is KP HealthConnect a comprehensive health information system that integrates an electronic health record with the tools to support physicians in delivering evidence based medicine

    Original URL path: http://www.whynotthebest.org/contents/index/1/10 (2016-04-30)
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  • Why Not The Best

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  • Why Not The Best
    with all hospitals MHS leaders have developed a multifaceted quality and safety strategy that relies on storytelling to convey to staff and patients the type of care they wish to provide Monitoring and reporting of performance data combined with careful design of care processes help the hospital achieve its goals Staff also receive training and coaching on ways to enhance the quality of care In addition hospital leaders desire to appeal to privately insured patients and to keep people healthy before and after hospitalizations appears to drive improvement For further information about the public hospital selection process and cross cutting lessons about their improvement efforts please see our introduction to the public hospital case study series View Case Study Norman Regional Health System A City Owned Public Trust Dedicated to Improving Performance This case study focuses on Norman Regional Health System s achievement in providing recommended treatment on process of care or core measures Nearly a decade ago Norman s Board chair and a top physician administrator became champions for quality improvement motivated by the fact that Norman had achieved just average scores on quality measures Organizational cultural and system changes at Norman Regional including the development of order sets and care plans performance data transparency concurrent review for certain patient groups as well as a pharmacist driven intervention have led to sustained progress For further information about the public hospital selection process and cross cutting lessons about their improvement efforts please see our introduction to the public hospital case study series View Case Study Public Hospital Case Study Series Introduction Compared with other hospitals public hospitals are generally assumed to face multiple barriers to providing high quality care lower revenues sicker patients who may have infrequent contact with the health care system and an older infrastructure particularly related to

    Original URL path: http://www.whynotthebest.org/contents/index/1/12 (2016-04-30)
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  • Why Not The Best

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  • Why Not The Best
    1235 41 View Publication A Review of Patient Safety Measures Based on Routinely Collected Hospital Data American Journal of Medical Quality March 2012 View Publication A Survey of Hospital Quality Improvement Activities A B Cohen J D Restuccia M Shwartz et al Medical Care Research and Review October 2008 65 5 571 95 View Publication Accountability Measures Using Measurement to Promote Quality Improvement M R Chassin J M Loeb S P Schmaltz et al N Engl J Med Aug 2010 363 7 683 8 View Publication Adequacy of Hospital Discharge Summaries in Documenting Tests with Pending Results and Outpatient Follow up Providers M C Were X Li J Kesterson et al Journal of General Internal Medicine September 2009 24 9 1002 06 View Publication Adherence to Surgical Care Improvement Project Measures and the Association With Postoperative Infections J J Stulberg C P Delaney D V Neuhauser et al JAMA 2010 303 24 2479 2485 View Publication Adopting A Surgical Safety Checklist Could Save Money And Improve The Quality Of Care In U S Hospitals M E Semel S Resch A B Haynes et al Health Affairs Sept 2010 29 9 1593 99 View Publication All Cause Hospital Readmissions Among Non Elderly Medicaid Patients 2007 H J Jiang and L M Wier Healthcare Cost and Utilization Project Statistical Brief 89 April 2010 Agency for Healthcare Research and Quality View Publication Are Verbal Orders a Threat to Patient Safety D S Wakefield and B J Wakefield Quality and Safety in Health Care June 2009 18 3 165 View Publication Association Between Hospital Cardiac Management and Outcomes for Acute Myocardial Infarction Patients T A Stukel D A Alter M J Schull et al Medical Care February 2010 48 2 157 65 View Publication Association Between Implementation of a Medical Team Training Program and

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