Page 2 - Hoag Orthopedic Institute 2015 Outcomes Report

TABLE OF CONTENTS
INTRODUCTION 4 SURGICAL VOLUME 6 PATIENT EXPERIENCE 8
HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS 9 AND SYSTEMS (HCAHPS)
CLINICAL OUTCOMES AND INFECTION PREVENTION 14 READMISSION RATES 14 SURGICAL CARE IMPROVEMENT PROJECT (SCIP) 16 INFLUENZA IMMUNIZATIONS 18 PNEUMONIA VACCINATIONS 18 STANDARDIZED INFECTION RATIO (SIR) 19 XENEX UV DISINFECTION 20 SAFELY PROCESSING REUSABLE SURGICAL INSTRUMENTS 20 HAND HYGIENE PROGRAM 21
PERFORMANCE IMPROVEMENT 22
FALL PREVENTION 22
IMMUNIZATION IMPROVEMENT 22
PATIENTTOUCH®: A SAFER MEDICATION STRATEGY 23
NOISE REDUCTION 24
JOINT REPLACEMENT LEARNING COMMUNITY 24
HARVARD BUSINESS SCHOOL CASE STUDY 25
INTERNATIONAL CONSORTIUM OF HEALTH OUTCOMES 25 MEASUREMENT (ICHOM) PARTNERSHIPS
VALUE 26 BUNDLED PAYMENTS 26 MEDICAL TRAVEL PROGRAM 27 VALUE BASED PURCHASING (VBP) PROGRAM 28
AMBULATORY SURGERY CENTERS (ASC) 29
PAIN MANAGEMENT EXPERTISE 31
PREVENTING INFECTIONS 31
PROPHYLACTIC IV ANTIBIOTIC ADMINISTRATION ON-TIME – PER ASC 32 SCIP PROTOCOL
VALUE-BASED CARE 32 SPORTS MEDICINE 33 2014 CMS QUALITY REPORTING DATA 33
DISTINCTIONS & INNOVATIONS 34 RESEARCH AND EDUCATION 36 ORTHOPEDIC EDUCATION AND RESEARCH INSTITUTE (OERI) 36 LEADERSHIP Q & A 36 FELLOWSHIP PROGRAM 38 STUDENT ROTATIONS 38 STATE, NATIONAL AND INTERNATIONAL COLLABORATIVES 38 SITE VISITS 39 PODIUM PRESENTATIONS BY HOI MEDICAL STAFF 39 PUBLICATIONS 40 POSTERS PRESENTED BY HOI STAFF 42 ORTHOPEDIC NURSING SYMPOSIUM 42 COMMUNITY SERVICE & WELLNESS OUTREACH 43 PATIENT EXPERIENCES 46 LEADERSHIP & MEDICAL STAFF 50 DISCLOSURE OF OWNERSHIP 51 CONTACT INFORMATION & RESOURCES 52