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JCAHO
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OSF Saint Anthony a Quality Leader
Patient Satisfaction and Service
Quality
Quality
Reports
Saving
Five Million Lives Campaign
OSF
Saint Anthony Leads National Effort To Save 5 Million Lives
OSF Saint Anthony Medical Center has
joined the Institute for Healthcare Improvement’s 5 Million Lives Campaign, the first-ever national campaign to save 5 Million lives by implementing proven healthcare improvement techniques.
The campaign
has been endorsed
by such distinguished
healthcare organizations
as the American Medical Association, the American Nurses
Association, the Centers for Medicare & Medicaid Services
and the Joint Commission on Accreditation of Healthcare Organizations.
A
theme, "Some is not a number and soon is not a time," was
established to give the campaign definite numeric and time
frame goals.
"OSF Saint
Anthony is a full participant in the IHI's Saving 5 Million
Lives
campaign because it is
the right thing
to do," said Eric Benink, MD, assistant administrator
for medical services at OSF Saint Anthony. "It is
the right thing to do for our patients, our staff members
and
the communities we serve. We are dedicated to providing
consistent, high quality care. We have programs in place
that address
the
six recommendations made by the IHI campaign (listed below).
However, we are continually seeking ways to raise the bar
and improve care."
OSF
Saint Anthony is one of the five medical centers in the United
States
that worked with
the IHI to shape the
Campaign’s
six recommendations for improving patient care. Those
six recommendations are:
Deploy
Rapid Response Teams—by
allowing any staff member, regardless of position
in the chain of command, to call upon
a specialty team to examine a patient at the first
sign of decline instead of waiting for a code situation.
For
the past few years, OSF Saint Anthony has had in place its Medical
Emergency Team (MET). The team, which
is available
24 hours
a day, is composed of a registered nurse from each
of the medical center's two critical care units
and a respiratory
therapist.
The MET is currently averaging one call per day.
Deliver
Reliable Evidence-Based Care for Acute Myocardial Infarction
(heart attack)—by consistently delivering key
measures - including early administration of aspirin and
beta-blockers – that
prevent patient deaths from heart attack.
OSF Saint
Anthony is the first medical center in Rockford to earn accreditation
as a Chest Pain Center. As a
result, OSF
Saint Anthony currently meets or exceeds national
averages in delivering these medications to patients. Data is
available on the Quality
Improvements main page
of this website.
Prevent
Adverse Drug Events—by implementing medication
reconciliation, which requires that a list of all
of a patient’s
medications (even for unrelated illnesses) be compiled
and reconciled to ensure that the patient is given (or prescribed)
the right medications at the correct dosages—at
admission, discharge and before transferring to another care
unit.
For the past three years, OSF Saint Anthony has been
reconciling patient medications upon admission
and when transferring
to a new unit and at discharge. Work is continuing
on the implementation
of a direct order system that will further increase
the reliability of medication systems at the medical
center.
Prevent Central Line Infections—by
consistently delivering five interdependent, scientifically
grounded steps collectively
called the “Central Line Bundle.”
OSF Saint Anthony is in the development phase of enhancing
our program to prevent these infections. The medical
center's central line infection rate has been low
and some measures
are in place but work to standardize these efforts
is continuing.
Prevent Surgical Site Infections—by
reliably delivering the correct antibiotics before,
during and after surgery, as
well as maintaining glucose levels and avoiding
shaving hair at the surgical site.
At OSF Saint Anthony, improvement in this area is well
documented. The delivery of an appropriate antibiotic
within one hour
prior to hip and knee replacement surgeries improved
from 22 percent
to 90 percent. For heart surgery patients, the
rate has been 100 percent. In addition, hair at the surgical
site
is clipped,
not shaved, and recent work has developed a method
to closely monitor glucose levels around the time
of surgery.
Prevent Ventilator-Associated Pneumonia—by
implementing five interdependent, scientifically grounded steps
collectively
called the “Ventilator Bundle” – such
as elevating the head of the hospital bed by 30
degrees – thereby
dramatically reducing mortality and length of stay
in the Intensive Care Unit.
A multi-disciplinary
team is in place at OSF Saint Anthony to monitor
delivery of these interventions.
OSF Saint
Anthony Medical Center ventilator associated pneumonia
rate has
consistently been very low.
"We are
organizing a world-class campaign to elect quality,” said
Dr. Donald Berwick, President and CEO of the
Institute for Healthcare Improvement (IHI). “The health
care organizations that join this campaign are not only demonstrating
their commitment to improvement but their determination to
put
proven, life-saving
improvement techniques into action.”
To
learn more about the 5 Million Lives Campaign,
go to www.ihi.org/ihi/programs/campaign.
The Institute
for Healthcare Improvement (IHI) is a not-for-profit organization
leading
the
improvement
of health care throughout
the world. Founded in 1991 and based in
Cambridge, MA, IHI is a catalyst for change, cultivating
innovative concepts for improving patient
care and implementing
programs for
putting
those ideas into action. Thousands of health
care providers, including many of the finest
hospitals in the world,
participate in IHI’s groundbreaking
work.
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