patient safety and quality in washington hospitals
Post on 22-Dec-2015
220 Views
Preview:
TRANSCRIPT
Patient Safety and Quality in Washington Hospitals
Patient Safety and Quality in Washington Hospitals
Washington Hospitals:Washington Hospitals:Basic FactsBasic Facts
Washington Hospitals:Washington Hospitals:Basic FactsBasic Facts
Washington HospitalsWashington Hospitals
• 98 hospitals in Washington State
Hospitals: The Ultimate Safety Net
Hospitals: The Ultimate Safety Net
• Hospitals are there when you need them, providing excellent care every day and at any hour
• Hospitals don’t turn emergencies away – everyone gets treated regardless of ability to pay
• In 2004, Washington hospitals provided over $180 million in charity care
Your Hospitals at WorkYour Hospitals at Work
• 580,000 admissions in 2003
• 9 million outpatient visits in 2003
• One-fourth of all inpatients are maternity and newborns
• Cardiac care• Orthopedics• General surgery
Hospitals Provide JobsHospitals Provide Jobs
• Hospitals are one of the largest employers in the state
• Washington hospitals employ 74,000 people
• 65,000 full-time equivalent positions
• Average compensation is $64,000 (salary + benefits)
Hospitals’ Economic ImpactHospitals’ Economic Impact
• Hospitals are major contributors to Washington’s economy– Purchasing goods and services locally
– Paying taxes (state, local, sales, B&O)
– For every dollar spent by hospitals about $2.40 in business activity is created – totaling $17.5 billion
Hospitals Provide Excellent CareHospitals Provide Excellent Care
41% 43%
83%
8%3%
0%
20%
40%
60%
80%
100%
Verysatisfied
Fairlysatisfied
TOTALvery/fairlysatisfied
Not toosatisfied
Not at allsatisfied
“Based on what you know or have heard, how satisfied are you with the quality of health care available at most hospitals in
Washington State, very satisfied, fairly satisfied, not too satisfied, or not at all satisfied?”
Poll of 600 Washington residents/May ’05(due to rounding, numbers may not add to 100%)
Making Great Care BetterMaking Great Care Better
• Washington hospitals are working to make great care even better through:– New science and technology
– Numerous patient safety and quality initiatives
– Empowering and educating patients
Washington Hospitals Work on Quality Collaboratively
Washington Hospitals Work on Quality Collaboratively
• Washington hospitals are sharing
information and resources to improve care
• High quality care across the state is our shared goal
Quality and Safety:Quality and Safety:Washington Hospitals’ StrategiesWashington Hospitals’ Strategies
Quality and Safety:Quality and Safety:Washington Hospitals’ StrategiesWashington Hospitals’ Strategies
• A national, voluntary campaign aimed at saving lives through improving patient safety
• All Washington hospitals are participating – a tremendous commitment
• Helps hospitals adopt new medical practices/procedures proven to save lives and improve care
• Already showing measurable results
100K Lives Campaign100K Lives Campaign
Washington 100K Lives Campaign Has Many Partners
Washington 100K Lives Campaign Has Many Partners
• Partnership of hospitals, doctors, nurses, pharmacists, and others
• Endorsed by professional groups and professional unions
• All working together to improve safety
Campaign Recommends Six New Interventions
Campaign Recommends Six New Interventions
1. Improve care for acute myocardial infarction (heart attack)
2. Reduce adverse drug events3. Prevent surgical site infections4. Prevent infections from lines inserted
into patient bloodstreams5. Prevent pneumonia for patients on
ventilators6. Implement teams to provide rapid
response to patients who appear to be deteriorating
Example: Prevention of Adverse Drug Events
Example: Prevention of Adverse Drug Events
• Hospitals are working to reconcile medications at:– Admission
– Transfers
– Discharge
• Ensures patients are given the right medication at the right time
• List of patient medications is important
Example: PreventingSurgical Site Infections
Example: PreventingSurgical Site Infections
• Giving patients the right antibiotics at the right time
• Appropriate hair removal (avoiding shaving)
• Glucose control
Example: Preventing Ventilator Associated Pneumonia
Example: Preventing Ventilator Associated Pneumonia
• Elevate head of the bed to 30 degrees
• Treat conditions that could lead to pneumonia
• Provide suction of secretions
• Provide routine breaks from sedation
• Give daily assessment of patient’s ability to come off the ventilator
Example: Preventing Central-Line Bloodstream Infections
Example: Preventing Central-Line Bloodstream Infections
• Half of ICU patients have central lines• Hospitals are preventing central-line
infection by:– Increasing hand hygiene– Using gown, mask, gloves when inserting the
central-line – Using appropriate antisepsis
solution – Using appropriate types of
tubing – Using only when necessary
and removing as soon as possible
Example: Rapid Response TeamsExample: Rapid Response Teams
• Multi-disciplinary, expert “swat” team• Summoned when patient is failing
before cardiac arrest– Change in heart rate
or blood pressure– Change in respiration– Change in conscious
state– When staff are worried
• More effective to help a patient before a crisis
• Potential to save the most lives
Example: Improving Care for Heart Attack Patients
Example: Improving Care for Heart Attack Patients
• Aspirin at admission and discharge
• Beta-blocker at admission and discharge
• ACE-inhibitor or ARB at discharge
• Timely removal of heart blockage
• Smoking cessation counseling
Hospital Quality InitiativeHospital Quality Initiative
• Spearheaded by the Centers for Medicare and Medicaid Services (CMS)
• Launched April 1, 2005
• Hospitals submit data to CMS
• Provides data on quality of care for all acute-care hospitals in Washington - www.hospitalcompare.hhs.gov
Rural Healthcare Quality NetworkRural Healthcare Quality Network
• Statewide project to improve quality at “critical access hospitals” (hospitals with fewer than 25 acute care beds)
• The Network’s doctors promote nationally recognized treatment guidelines
• The Network also builds local skills to lead quality improvement initiatives in local facilities
• Currently, the network is working to improve treatment for heart failure
• Also working to bring new technologies to rural hospitals, such as tele-medicine and tele-pharmacy
Safe Table Learning Collaboratives
Safe Table Learning Collaboratives
• Led by the state’s hospital association
• Hospital staff come together to:– Share best practices
– Learn from each other’s medical errors
– Learn from each other’s near misses
• Sharing of information improves care for all
First Safe Table: Infection ControlFirst Safe Table: Infection Control
• Hospital staff across the state are coming together to implement the best ways to reduce infections in hospitals
• National experts and best practices are being used
• Hospitals in Washington will become national leaders in preventing infections
New Technology Can Improve CareNew Technology Can Improve Care
• Computerized physician orders
• Barcoding prescriptions
• Tele-medicine and tele-pharmacy
• Electronic medical records
Patient Safety and Quality Initiatives Work
Patient Safety and Quality Initiatives Work
• Hospitals are reporting progress on the “100K Lives Campaign”
• New interventions and medical findings make better care possible
The Right Thing to Do . . . And It Saves Money
The Right Thing to Do . . . And It Saves Money
• The right care at the right time means patients:– Stay healthier
– Need less care
– Are discharged earlier
– Are re-admitted less frequently
• This impacts health care costs and reduces health care spending
Partners in QualityPartners in Quality
• Washington State Department of Health
• Washington State Medical Association
• Professional Nursing Organizations
• Qualis Health
• Joint Commission for the Accreditation of Health Care Organizations (JCAHO)
• And many other partners . . .
The Role of the PatientThe Role of the Patient
• Patients play a critical role
• Hospitals are committed to empowering and educating patients
• Hospitals and doctors in Washington have produced a patient safety brochure so patients can play an active role in safe care
• The brochure is available at hospitals and physician offices
Patient Safety Brochures(English and Spanish)
Patient Safety Brochures(English and Spanish)
Overview PosterOverview Poster
Hand Washing PosterHand Washing Poster
Medication PosterMedication Poster
Walking / Fall Prevention PosterWalking / Fall Prevention Poster
The Commitment of HospitalsThe Commitment of Hospitals
• Patient safety is a top priority for Washington hospitals
• We are committed to continuously improving the quality of care in our hospitals
• We want patients to be our partners in safety and quality
top related