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Special Section on Reducing Readmissions p. 10 INSIDE How Health Systems Can Create a Robust, Enterprise-Wide Patient Safety Program p. 12 Strategies to Prevent Multidrug-Resistant Organism Outbreaks p. 16 Report: Top Academic Medical Centers Have High Variation in Care Practices p. 13 Study: Higher Patient Satisfaction is Linked to Lower Hospital Readmissions p. 14 51 Hospitals With the Lowest 30-Day Mortality Rates For Pneumonia p. 23 Clinical Quality & Infection Control February 2013 • Vol. 2013 No. 1 10 Top Patient Safety Issues for 2013 By Rachel Fields 2013 should be a busy year for patient safety experts at hospitals and surgery centers; as quality reporting requirements continue to go into effect, facilities will be expected to ramp up compliance programs and prove their progress. Here, three patient safety experts discuss the most pressing safety topics for the next year — and what facilities can do to make sure they're up to speed. 1. Utilization of surgical checklists. Atul Gawande, MD, is an American surgeon and journalist whose books include Better, Complications, and — most relevant to this subject — The Checklist Manifesto. He has advocated heavily for surgical checklists, arguing that the fallibility of human memory opens the door for serious, fatal errors continued on page 7 5 Tips on Engaging Physicians in Major Process Changes By Sabrina Rodak The healthcare industry is facing tremendous change, including a movement to value-based care, new reimbursement models and a focus on collaboration. To be successful in the new healthcare environment, hospitals will need to change some of their long-held beliefs and processes. Hospital leaders can facilitate the transition to a new process or culture by engaging physicians and staff members in the change initiative. 10 Guiding Principles for PatientCentered Care By Sabrina Rodak In August, Mountain States Healthcare Alliance, a 13-hospital integrated healthcare delivery system based in Johnson City, Tenn., received the 2012 National Quality Healthcare Award from the National Quality Forum, recognizing the system's achievement of multiple qualityfocused goals. Rather than just representing a culmination of efforts, the award is spurring the system to continue providing quality care, according to Dennis Vonderfecht, president and CEO of MSHA. "No matter how many quality awards we receive, we can never sit back and say we are satisfied with the level of quality we have achieved," he says. "So while we are extremely gratified to be recognized at this level, we will continue to work just as diligently to ensure that we are providing the best care possible to the people of our region." Infection Control p. 16 An example of engaging clinicians in a major change is the development of a Certified Quality Breast Center of Excellence at the Cancer Treatcontinued on page 8 INDEX One of the areas NQF praised MSHA for was its commitment to patient-centered care. MSHA follows 10 patientcentered care guiding principles to ensure the health system puts the patient first in every decision. Tamera Parsons, vice president of quality and patient safety at MSHA, describes the 10 patient-centered care guiding principles. continued on page 9 Managing change at CTCA: Case study SIGN UP TODAY! Clinical Quality & Infection Control Becker's Clinical Quality & Infection Control E-Weekly at www.beckersasc.com/clinicalquality or call 800-417-2035