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Improving Harm Across the Board

Improving Harm Across the Board. Not-for-Profit 84 bed acute care Hospital Emergency Dept. Med/ Surg ICU Inpatient & Outpatient Surgery OB/Newborn Nursery Home Health Service Outpatient Services with Specialists in Cardiology, Pulmonology , Urology, Oncology, & Wound Care

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Improving Harm Across the Board

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  1. Improving Harm Across the Board • Not-for-Profit 84 bed acute care Hospital • Emergency Dept. • Med/Surg ICU • Inpatient & Outpatient Surgery • OB/Newborn Nursery • Home Health Service • Outpatient Services with Specialists in Cardiology, Pulmonology, Urology, Oncology, & Wound Care • Outpatient Cardiac Rehab & PT/OT • Three Physician Clinics Golden Valley Memorial Healthcare Clinton, Missouri Stephanie Ashworth RN, CIC Infection Preventionist

  2. GVMH Total Harm: From 20 to 8 per month

  3. GVMH Breakthrough in Readmissions Within 30 Days: From 8% of discharges to 7%

  4. Improving HAC Rates (per discharge) =IDEAL = AT TARGET =PROGRESS = IMPROVEMENT OPPORTUNITY

  5. Pearls • ORGANIZATIONAL CULTURE OF SAFETY PROMOTED FROM SENIOR LEADERS • Staff Safety Survey results have vastly improved showing Patient Safety Initiatives have been effective at addressing potential harm/safety issues. • Environmental Patient Safety Rounds are conducted monthly • Increased reporting of “Near Misses” by front-line staff reveals an increased awareness of Safety and the Prevention of Patient Harm • QUALITY IS A STRATEGIC PRIORITY • Golden Path to Success includes: 1) Strategic Objectives under Quality Pillar 2) department goals that align with strategic objectives; 3) All Staff set annual “My Quality Commitment” goals • TRANSPARENCY THROUGHOUT THE ORGANIZATION • Progress reports to Board of Trustees, Senior Leaders, Quality Council, & various committee meetings • Scorecards, White Boards, Progress Posters, “Days since last…” posted in each unit for certain healthcare associated conditions • Weekly “GVMH in Action” from CEO, “Capsulized News” • Town Hall & Staff Meetings • GVMH Intranet

  6. Randy Wertz CEO & GVMH Team

  7. Our Hospital Risk Profile & Result

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