Video with Erik Steele, DO discussing inpatient care
EMR (electronic medical records) –
EMHS hard wired best practices within EMR, and placed EMHS in the top two to three percent of health systems in the nation.
Zero Defects –
Between 2008 and 2011 there was a 35 percent decrease in our original zero defect measures.
Decreasing medication errors –
Some kinds of overdoes have been avoided with the use of smart pumps. However, bar coding is expected to make strides in reducing medication errors (success measures to be reported late 2012). Bar Codes remove human memory as the sole barrier from medication administration, generating dramatic improvements in medical safety.
Formulary Committee –
The creation of the formulary committee has led to many other medication process improvements by standardizing the drug formulary list across EMHS.
Decrease in VTE (Venous Thromboembolism) screening –
A goal was established and hard wired into the EMR to screen every patient for VTE risk. Today, error rate is very low.
Best Practice Bundles
– EMHS is now at almost 100 percent compliance with best practice bundles to avoid central line and ventilator associated pneumonia.
Hand Hygiene –
Compliance has improved from 70 percent range to the 90 percent range, with at least one hospital averaging above 95 percent.
Culture of Safety – AHRQ (Agency for Healthcare Research and Quality)
survey results indicate that EMHS organizations have been successful in establishing a culture of safety.
Outpatient physician offices
Video of Mike Donahue discussing outpatient physician practices
Quality improvement success largely mirrors inpatient care. In addition, the following was noted.
100% wired! -
EMHS practices have become 100% percent wired
with EMR, placing them in the top 20 percent of all systems nationwide.
A Beacon Among Beacons
– The Physician Practice Affinity Group is establishing specific quality indicators, which should be in place spring of 2012. The Bangor Beacon Community
pilot, when compared recently to the nationally recognized Geisinger system, was significantly better. New quality indicators for around the system will likely emulate Bangor Beacon’s successful design.
– All EMHS primary care practices will be certified as Patient Centered Medical Homes
by late spring 2012 and will be stretching that certification to level three by the fall of 2012.
Video of Lisa Harvey-McPherson, RN discussing post-acute care
EMHS long term care, including all system nursing homes and assisted living settings, met for a system-wide quality summit in 2011 to evaluate quality outcomes and strategies to eliminate preventable harm for system goal alignment of zero defects and quality service delivery. We found:
Reduction in Pressure Ulcers –
A 50 percent reduction in CMS Never Events Stage 3 and Stage 4 Facility Acquired Pressure Ulcers in 2011.
Deficiency free at Stillwater
– Stillwater Health Care achieved a deficiency free Federal Quality Improvement Survey. Less than ten percent of the nation’s nursing homes have achieved this quality standard.
Improved patient safety and clinical care
– Stillwater Health Care, Dexter Health Care, and Colonial Health Care fully implemented the patient electronic charting system and medication bar coding.
Reduction of medication incidents –
Dirigo Pines Inn reduces medication incidents by 29 percent by conducting a gap analysis, developing staff education and engagement strategies, and enhancing medication administration delivery systems to reduce error.
The Northeast Integrated Geriatrics Care (NIGC) project
– A Rosscare Nursing Homes Inc, EMMC, and The Acadia Hospital collaboration. Outcomes for nursing home participants includes no emergency department visits for behavioral reasons, as well as improvements in mood and behaviors scores.
Video of Lisa Harvey-McPherson discussing home health
– In 2011, Bangor Area Visiting Nurses and Visiting Nurses of Aroostook received national recognition by HomeCare Elite
, which identifies agencies that score in the top 25 percent in the nation in quality care, process measure implementation, and financial performance.
– Over the past year, Eastern Maine HomeCare (EMHC) has expanded Telehealth services to patients with chronic diseases who do not meet “homebound” criteria, resulting in decreased room visits and unnecessary re-hospitalizations within 30 days of discharge.
Improvement through Bangor Beacon Community
– Through Beacon participation, EMHC has improved care coordination and communication in both primary care and homecare settings.
Influenza Vaccine Compliance
– EMHS has aggressive policies regarding influenza vaccine screening of employees, which means employees either get a flu shot or sign a declination form formally refusing the vaccine.
Top in Patient Safety
– EMHS is the sole recipient of the VHA/Washington Business Group on Health Patient Safety Award in 2009
– SVH (in both 2010 and 2011) and Inland Hospital (in 2010) were recognized by Leapfrog for being high quality rural hospital, two of only a few in the nation.
EMMC and IT Excellence
– EMMC won the Davies Award
in 2008 for its use of information technology in driving quality and patient safety.
Top in the Nation
– EMMC was recognized by JCAHO
as being in the top ten percent of all hospitals surveyed.
– Acadia remains the only psychiatric hospital in the world recognized as a magnet hospital.
One of Only 17 Beacons
– EMHS is one of only 17 organizations in the nation awarded a Beacon grant in 2010 to improve chronic disease management through information.
EMMC Centers of Excellence
– EMMC has nationally recognized Centers of Excellence for stroke, bariatrics and hip/knee surgery, as well as being an ACS level II Trauma center.
Air Medical Program of the Year
– Lifeflight of Maine was awarded Air Medical Program of the Year in 2010, the first such program to receive this distinction in its first ten years of existence.