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Quality Update - Health care quality issues for Minnesota's health care leaders

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Looking at the numbers

Hospitals work to improve patient safety

Stratis Health has been working with nine Minnesota hospitals to improve surgical care by reducing surgical complications. The Surgical Care Improvement Project focuses on preventing complications in four areas that comprise 40 percent of the most common complications after major inpatient surgery: infection, blood clots, and adverse cardiac and respiratory events.

Results: Collectively the nine hospitals showed improvement, from baseline to remeasurement, on 7 of 8 measures shown. They exceeded five of the goals—benchmarks based on care levels being achieved by the Minnesota hospitals performing best on these measures.

Hospital Patient Safety Measure Rates - Baseline and Q1 2010

Abbreviation Key

HF-3

Heart failure patients with left ventricular systolic dysfunction without ACEI and ARB contraindications
who are prescribed ACEI/ARB at discharge

SCIP-Inf-1

Prophylactic antibiotic received within 1 hour prior to surgical incision

SCIP-Inf-2

Prophylactic antibiotic selection for surgical patients

SCIP-Inf-3

Prophylactic antibiotics discontinued within 24 hours after surgery end time

SCIP-Inf-6

Surgery patients with appropriate hair removal

SCIP-Card-2

Surgery patients on beta blocker therapy prior to arrival who received a beta blocker during perioperative period

SCIP-VTE-1

Surgery patients with recommended venous thromboembolism prophylaxis ordered

SCIP-VTE-2

Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery

 

Trend graphs

The eight following trend graphs show quarterly rates for each measure against the CMS target, from the baseline in Quarter 1 2007 through Quarter 1 2010.

HF-3: Eligible Patients Receive ACEI or ARB

SCIP-INF-1: Antibiotic Timing

SCIP-INF-2: Antibiotic Selection

SCIP-INF-3: Antibiotic Discontinuation

SCIP-INF-6: Appropriate Hair Removal

SCIP-Card-2: Received Beta Blocker

SCIP-VTE-1: VTE Prophylaxis Ordered

SCIP-VTE-2: Received VTE Prophylaxis

Stratis Health conducted this work as the Medicare Quality Improvement Organization for Minnesota, under contract with the Centers for Medicare & Medicaid Services. CMS goals were set using the ABC Method. Stratis Health conducts analytical work in support of assessing and improving health care quality and patient safety.