SPOTLIGHT ON THE BIG AIMS
Aim: Reduce harm
Goal: Reduce mortality
Reduce observed to expected mortality index
Strategies:
- Optimize use of Pediatric and Adult Early Warning Systems
- Improve sepsis care
- Increase use of palliative care and hospice
- Use lessons learned to improve performance
- Support appropriate documentation/coding
Goal: Reduce preventable complications
Reduce the number of UHC Quality and Accountability Scorecard
Patient Safety Indicators (PSIs)
Strategies:
- Ongoing review of patient safety indicators (PSIs)
- Interdisciplinary teams (include residents and frontline staff )to address top opportunity PSIs
- Restructure the clinical risk management program
- Be proactive
Goal: Improve medication safety
Reduce the use of reversal agents as rescue medication
Strategies:
- Reduce harm events related to narcotics and sedatives
- Identify factors contributing to medication errors and implement improvement programs
- Complete the ISMP Medication Safety Self-Assessment Program and develop an action plan based on the results
- Develop a tool for tracking medication errors through triggers
Aim: Improve the patient experience
Goal: Improve HCAHPS overall hospital rating of care
Strategies:
Include patient-centered behaviors in staff and physician evaluations
- Educate hospital staff and physicians regarding patient centeredness
- Improve performance on the HCAHPS dimensions of:
- Pain control
- Explanation of medication side effects
- Quietness around patient rooms
Aim: Reduce variation in care
Goal: Reduce readmissions
Reduce 30-Day, All-Cause Readmission Rate
Strategies:
- Focus on conditions with high readmission rates:
- AMI
- Heart failure
- Pneumonia
Goal: Improve core measure performance
Improve core measure performance for the 12 Value-Based Purchasing measures
Strategies:
- Identify core measure patients on admission
- Adapt EPIC to support improvements in core measures performance
- Implement consistent evidence-based care for core measure patients
- Assign accountability for core measure performance