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Patient Safety and Quality in Washington Hospitals

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New science and technology. Numerous patient safety and quality initiatives ... Prevent surgical site infections ... Surgical Site Infections. Giving patients ... – PowerPoint PPT presentation

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Title: Patient Safety and Quality in Washington Hospitals


1
Patient Safety and Quality in Washington Hospitals
2
Washington HospitalsBasic Facts
3
Washington Hospitals
  • 98 hospitals in Washington State

4
Hospitals The Ultimate Safety Net
  • Hospitals are there when you need them, providing
    excellent care every day and at any hour
  • Hospitals dont turn emergencies away everyone
    gets treated regardless of ability to pay
  • In 2004, Washington hospitals provided over
    180 million in charity care

5
Your 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

6
Hospitals 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)

7
Hospitals Economic Impact
  • Hospitals are major contributors to Washingtons
    economy
  • Purchasing goods and services locally
  • Paying taxes (state, local, sales, BO)
  • For every dollar spent by hospitals about 2.40
    in business activity is created totaling
    17.5 billion

8
Hospitals Provide Excellent Care
  • 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)

9
Making 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

10
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

11
Quality and SafetyWashington Hospitals
Strategies
12
100K Lives Campaign
  • 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

13
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

14
Campaign Recommends Six New Interventions
  • Improve care for acute myocardial infarction
    (heart attack)
  • Reduce adverse drug events
  • Prevent surgical site infections
  • Prevent infections from lines inserted into
    patient bloodstreams
  • Prevent pneumonia for patients on ventilators
  • Implement teams to provide rapid response to
    patients who appear to be deteriorating

15
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

16
Example PreventingSurgical Site
Infections
  • Giving patients the right antibiotics at the
    right time
  • Appropriate hair removal (avoiding shaving)
  • Glucose control

17
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 patients ability to
    come off the ventilator

18
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

19
Example 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

20
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

21
Hospital 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

22
Rural Healthcare Quality Network
  • Statewide project to improve quality at critical
    access hospitals (hospitals with fewer than 25
    acute care beds)
  • The Networks 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

23
Safe Table Learning Collaboratives
  • Led by the states hospital association
  • Hospital staff come together to
  • Share best practices
  • Learn from each others medical errors
  • Learn from each others near misses
  • Sharing of information improves care for all

24
First 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

25
New Technology Can Improve Care
  • Computerized physician orders
  • Barcoding prescriptions
  • Tele-medicine and tele-pharmacy
  • Electronic medical records

26
Patient Safety and Quality Initiatives Work
  • Hospitals are reporting progress on the 100K
    Lives Campaign
  • New interventions and medical findings make
    better care possible

27
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

28
Partners 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 . . .

29
The 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

30
Patient Safety Brochures(English and Spanish)
31
Overview Poster
32
Hand Washing Poster
33
Medication Poster
34
Walking / Fall Prevention Poster
35
The 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
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