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Improving Harm Across the Board

4/17/13 HAB Template Version 12. Improving Harm Across the Board. DODGE COUNTY HOSPITAL. Improving Harm Rates (per discharge). Risk Profile: The Areas of Risk We Are Committed To Controlling. Annual discharges: __2011 -1464___________. HAC risk opportunities/discharge: ____.

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Improving Harm Across the Board

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  1. 4/17/13HAB Template Version 12 Improving Harm Across the Board DODGE COUNTY HOSPITAL

  2. Improving Harm Rates (per discharge)

  3. Risk Profile: The Areas of Risk We Are Committed To Controlling Annual discharges: __2011 -1464___________ HAC risk opportunities/discharge: ____

  4. Improving Harm Rates (per discharge)

  5. Our improvement journey Improvement Scale:The stages we move through Number of risk areas (0-11) at each stage • IDEAL: level represents zero harm • At Target: level represents meeting improvement target • Progress: level shows movement but not yet at target • Opportunity: level is an opportunity to launch aggressive action ____5______ 5 __________ 0 __________ 0 ___________

  6. PEARLS • EARLY ELECTIVE DELIVERY SUCCESS IS ATTRIBUTED TO THE FOLLOWING: • Education of OB staff and physicians • Education of patients at their OB office • The “Heard” effect • Hard stop for EEDs at presentation to the OB unit if they wheel out at <39 weeks

  7. Pearls READMISSION SUCCESS ATTRIBUTED TO: • Bedside pharmacy • Collaborative meetings with all three nursing homes in the area • Education for physicians/staff • Increased patient education at discharge • Call backs within 24 hours • Collaborative meeting with home health agencies

  8. DefiningMoment(s) In Our Journey The realization of how important the Quality Director position is in todays market place. We had three directors in one year.

  9. Breakthrough Strategy • Communication with outside agencies was not a focus, we were all working in silos. We overcame this by inviting various agencies into our facility and establishing a better working relationship. • Face to face contact is very important to foster good working relationships.

  10. Next Big Step to Reduce Harm • Continuing our outreach to the community home health agencies, pharmacies, physicians offices, hospice, and nursing homes to build a collaborative health system to improve the continuum of patient care.

  11. Kevin Bierschenk, CEOJan Hamrick, CFOSandra Campbell, CNO

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