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CHS’ Performance Improvement Priorities for 2009

CHS’ Performance Improvement Priorities for 2009. PI Council, MEC & CHS Executive Staff. INFECTION PREVENTION. Reduce healthcare acquired infections (HCAIs) by 50% by December 31, 2009 through consistent organization-wide application of evidence-based :

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CHS’ Performance Improvement Priorities for 2009

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  1. CHS’ Performance Improvement Priorities for 2009 PI Council, MEC & CHS Executive Staff

  2. INFECTION PREVENTION Reduce healthcare acquired infections (HCAIs) by 50% by December 31, 2009 through consistent organization-wide application of evidence-based : • 95% compliance with CDC hand hygiene guidelines • 95% compliance PPE use and disposal guidelines • 75% of eligible CHS employees vaccinated for flu

  3. PATIENT IDENTIFICATION • Eliminate incorrect patient identification by December 31, 2009 through the following strategies: • Consistent verification of patients using two-organizationally approved identifiers • Consistent patient/family involvement in patient identification processes

  4. Proposed Dissemination Strategies: Leadership meeting, Medical Staff mtgs CHS Intranet, with data on how we are doing Departmental specific data J-Co webpage Tracers Various internal Newsletters    Executive Rounds: to ensure employees can articulate priorities and demonstrate knowledge of goals and how they affect their role at CHS

  5. Nosocomial Infection Markers

  6. Patient ID

  7. Summary • Situation: Significant improvement is needed in these two areas for patient safety • Background: Both are NPSGs and recently recognized by outside surveyors that consistent practice was not evident • Assessment: Involvement by all levels of staff is needed to sustain improvement • Recommendation: Discuss these PI priorities with your staff and their role in the efforts

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