II. SFETY MESURES are That Protects You from Harm
PTIENT SFETY MESURES The Leapfrog Group survey results Leapfrog metric National Top 10% aptist Health Overall aptist aptist Patient Safety Ratings Overall hospital safety score Prevent medication errors + D D D ppropriate IU staffing Steps to avoid harm Managing serious errors Safety focused scheduling D Response not required -acquired onditions Reduce central-line infections in IUs Reduce urinary cather infections in IUs Reduce hospital-acquired pressure ulcers + D D Reduce hospital-acquired injuries + D grade fully meets standards, top performer grade some progress, below the median D grade willing to respond, bo=om performer F grade declined to respond grade substan0al progress, above the median ap0st 6/28/13 6/25/13 6/26/13 Source: The LeapfrogGroup.org, survey results submitted: 8/30/12 6/28/13 ap0st 6/28/13
PTIENT SFETY MESURES The Leapfrog Group survey results Leapfrog metric National Top 10% aptist Health Overall aptist aptist Maternity are Rate of early elective deliveries Rate of episiotomy D+ D D Maternity care strandard precautions High-risk deliveries + High-risk Surgeries ortic valve replacement bdominal aortic aneurism repair Pancreatic resection Esophageal resection Resource Use Length of stay for common acute conditions (heart attack, heart failure and pneumonia) + D Readmissions for common acute conditions (heart attack, failure and pneumonia) heart D grade fully meets standards, top performer grade some progress, below the median D grade willing to respond, bo=om performer F grade declined to respond grade substan0al progress, above the median ap0st 6/28/13 6/25/13 6/26/13 Source: The LeapfrogGroup.org, survey results submitted: 8/30/12 6/28/13 ap0st 6/28/13
SFEST HOSPITLS IN TOWN s graded by The Leapfrog Group, an independent patient safety watchdog Less Risk of eing Harmed D Source: SafetyScore.org, posted pril 2014 from data collected during various time frames Not reported: Metropolitan, Lower Keys Medical enter & Westchester General s a critical access hospital, is not eligible for a grade
SURGIL SFETY REORD merican ollege of Surgeons National Surgical Quality Improvement Program (NSQIP) results (Lower Ratio Is etter) merican ollege of Surgeons metric National Registry enchmark aptist aptist What is our death rate for patients within 30 days? < 1.00 0.80 0.77 0.73 0.64 What is our morbidity rate for patients within 30 days? < 1.00 0.73 0.78 0.67 0.40 Did patients develop cardiac complications? < 1.00 0.87 0.85 1.06 0.93 Did patients develop pneumonia? < 1.00 0.48 0.96 0.84 0.57 Did patients need to be reintubated to help them breathe? < 1.00 0.75 0.82 1.16 0.65 Did patients need a ventilator for longer than usual (48 + hrs)? < 1.00 0.92 1.07 1.18 0.52 Did patients develop deep vein thrombosis or pulmonary embolisms? < 1.00 1.22 1.12 1.19 0.62 Did patients develop kidney/renal failure? < 1.00 1.31 0.93 0.89 0.81 Did patients develop urinary tract infections? < 1.00 0.76 0.53 0.51 0.48 Did patients develop surgical site infections? < 1.00 0.81 1.07 0.60 0.50 Did patients have unplanned additional surgery during their stay? hospital < 1.00 0.82 1.17 1.03 0.93 Exemplary Needs Improvement s Expected Source: merican ollege of Surgeons, published pril 2014 from patients discharged October 2012-September 2013 aptist is too new to have any reporting data has too few surgical cases
SURGIL SFETY REORD Florida Surgical are Initiative (FSI) results (Lower Ratio Is etter) merican ollege of Surgeons metric National Registry enchmark aptist aptist What is our death rate or serious morbidity rate for all patients? surgical < 1.00 0.88 0.79 0.82 0.68 What is our death rate or serious morbidity rate for patients than 65? older < 1.00 0.85 0.90 0.88 0.83 What is our death rate or serious morbidity rate for patients who have colorectal surgery? < 1.00 0.84 1.01 0.95 0.81 What is our surgical site infection rate for patients who have colorectal surgery? < 1.00 0.59 1.07 0.83 0.73 What is our rate of deep incisional/organ space surgical infections? site < 1.00 1.05 1.39 0.57 0.83 What is our urinary tract infection rate? < 1.00 0.82 0.52 0.56 0.52 Exemplary Needs Improvement s Expected Source: merican ollege of Surgeons, published pril 2014 from patients discharged October 2012-September 2013 aptist is too new to have any reporting data has too few surgical cases
HOSPITL-QUIRED ONDITIONS & HELTHRE-SSOITED INFETIONS MS omplication Ratios (Lower Ratio Is etter, a Score of 0 Is est) enters for Medicare & Medicaid metric National Rate aptist Health Overall aptist aptist Objects accidentally left in the body after surgery 0.028 0.025 0.00 0.00 0.00 Not available 0.124 0.00 ir bubble in blood stream 0.003 0.00 0.00 0.00 0.00 Not available 0.00 0.00 Mismatched blood types 0.001 0.00 0.00 0.00 0.00 Not available 0.00 0.00 Severe pressure sores (bed sores) Not available 0.088 0.13 0.50 0.00 Not available 0.00 Not available Falls & injuries 0.527 0.416 0.443 0.395 0.499 Not available 0.745 0.00 lood infection from a catheter in a large vein 0.372 0.167 0.316 0.395 0.00 Not available 0.124 0.00 Infection from a urinary catheter 0.358 0.088 0.19 0.00 0.25 Not available 0.00 0.00 Signs of uncontrolled blood sugar 0.058 0.052 0.063 0.198 0.00 Not available 0.00 0.00 Source: medicare.gov, published pril 2014 from patients discharged between July 2012-June 2013 entral line-associated bloodstream infections * 1.00 0.79 0.33 0.92 0.00 Not available 0.46 0.00 atheter-associated urinary tract infection 1.00 1.35 2.19 0.00 0.00 Not available 1.21 0.35 Surgical site infections from colon surgery 1.00 0.43 0.47 0.40 1.10 Not available 0.25 1.62 Surgical site infections from abdominal hysterectomy 1.00 0.34 1.59 Not available Not available Not available 0.58 Not available No dverse Incidents Reported elow Na.onal enchmark No Different from Na.onal enchmark Source: medicare.gov, published pril 2014 from patients discharged between July 2012-June 2013