Becker's Clinical Quality & Infection Control

Infection Control & Clinical Quality July 2014 • Vol. 2014 No. 3 INDEX Table of Contents p. 4 Executive Briefing: Surgical Homes p. 9 Safety Culture p. 13 CEO Strategy Roundtable Brochure p. 16 4 Characteristics of a Strong Safety Culture How to actively promote the widely used, but rarely under- stood concept of 'safety culture.' p. 13 Improving Health Outcomes at Cedars-Sinai How the system used depression screening to integrate mental health and acute care. p. 12 11 Tips for Reducing SSIs How to cut the occurrence of surgical site infections in your facility. p. 15 50 Statistics on State CAUTI Rates How does your state perform against the national average for incidence of catheter-associated urinary tract infections? p. 14 CHE Trinity Health's 4 Steps to Implementing Evidence-Based Guidelines By Heather Punke With 86 hospitals and numerous other care sites, it can a daunting task for Livonia, Mich.-based CHE Trinity Health to fulfill its goal of delivering the highest quality care to ev- ery patient, every time at every clinical location. The system's clinical arm, the Unified Clinical Organization, is tasked with making this happen. According to Senior Vice President and CMO, Donald Bignotti, MD, the system devel- ops and then implements evidence-based guidelines at all of its care sites through the UCO. "We've had a number of areas where I think we have done things that have led the country," in terms of implement- ing guidelines and improving quality, Dr. Bignotti says. One prime example is Trinity's Perinatal Patient Safety Initiative, which started about four years ago. Advocate Health Care's 5 Keys to Patient Safety By Akanksha Jayanthi The Leapfrog Group recently released its spring 2014 Hospital Safety Scores in May. The report showed an overall 6.3 percent average improvement in hospital performance since 2012. Advocate Health Care, based in Downers Grove, Ill., is one system receiving high marks, with nine of the health system's hospitals receiving an A grade. Kate Kovich, Advocate Health Care's vice president of patient safety, shared five of the health system's key strategies to champion patient safety. 1. Advocate places an emphasis on account- ability surrounding health outcomes. Ms. Kovich says the health system's overarching goal is to For hospitals, benchmarking data can be incredibly valuable. It allows individual institutions to identify areas of excellence and assess oppor- tunities for improvement, ultimately resulting in more efficient operations and better care. Becker's Hospital Re- view has compiled a list of 100 pa- tient safety benchmarks from vari- ous sources for hospital comparison. Readmissions, Mortality and Complications Entries 1 through 11 are based on data from Medicare.gov's Hospital Com- pare, last updated April 16, 2014. Data presented reflect the national average. 30-Day average readmission rates 1. Heart attack: 18.3 percent 2. Heart failure: 23.0 percent 3. Pneumonia: 17.6 percent 30-Day average death rates 4. Heart attack: 15.2 percent 5. Heart failure 11.7 percent 6. Pneumonia: 11.9 percent Rates of serious complications Figures reflect the national average rates per 1,000 patient discharges. 7. Collapsed lung due to medical treatment: 0.32 8. Serious blood clots after surgery: 4.14 9. A wound that splits open after sur- gery, abdomen or pelvis: 0.92 10. Accidental cuts and tears from medical treatment: 1.83 11. Deaths among patients with se- rious treatable complications after surgery: 110.25 Respondents reporting events in the past 12 months Entries 12 through 17 are based on data from AHRQ's Hospital Survey on Patient Safety Culture 2014 User Comparative Database Report, using data from 405,281 surveyed hospital staff respondents from 653 hospitals. 12. No reported events: 56 percent 13: One to two reported events: 26 percent 14. Three to five reported events: 11 percent 15. Six to 10 reported events: 4 per- cent continued on page 7 continued on page 5 continued on page 7 100 Patient Safety Benchmarks — 2014 By Akanksha Jayanthi

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