Page 23 - Hoag Orthopedic Institute 2017 Outcomes Report
P. 23

PERFORMANCE IMPROVEMENT
BLOOD CLOT (DVT) PREVENTION
HOI formalized Pulmonary Embolism/Deep Vein Thrombosis (PE/DVT) prevention into a team- driven performance improvement initiative. The HOI multidisciplinary team used evidence-based guidelines, based on the American Association of Orthopedic Surgeons (AAOS), American College
of Chest Physicians (ACCP) guidelines and HOI clinical case review, to formalize DVT prevention pathways and protocols. This strategic initiative incorporates administration and duration of speci c prophylactic agents, as well as early mobilization – all shown in large clinical trials to help prevent DVT.
Decrease in PE/DVT occurrences at HOI after process improvement efforts
PSI 12 – Perioperative Pulmonary Embolism/ Deep Vein Thrombosis Rate (Lower is Better)
FALL PREVENTION
HOI Fall Rate per 1,000 Patient Days
(Percent – Lower is Better)
8 7 6 5 4 3 2 1 0
7.3
2.6
FY 2012
2.1
0.9
1.6
FY 2015
1.5 FY 2016
FY 2013
FY 2014
6 4 2 0
2.9
FY 2017 HAC
HOI Risk Adjusted Rate
5.3
FY 2017 HAC National Risk Adjusted Rate
Source: Research in Nursing & Health, 2010; HOI administrative data, FY 2012 - 2016
National fall rate for orthopedic patients requiring physical therapy in a hospital setting
HOI fall rate
A multidisciplinary Fall Prevention team comprised of nurses, physical therapists as well as Quality and management professionals meet regularly. By analyzing trends, the team reduced the fall rate in FY 2016 in comparison to FY 2015 as indicated in the chart above. HOI continues to decrease the risk of falls with all patients and is well below the national average.
Source: Hospital Acquired (HAC) Reduction Program Hospital-Speci c Report FY 2017. The FY 2017 report is based on the July 1, 2013 - June 30, 2015 discharge period.
Decrease in PE/DVT occurrences at HOI after process improvement efforts
PE/DVT Occurrence per 1,000 Surgeries
(Lower is Better)
6 4 2 0
2013 PE/DVT Protocol Initiated
4.2
2.9
2.2
Q3 2011 to Q2 2013
After Protocol Initiated
Q3 2012 to Q3 2013 to Q2 2014 Q2 2015
Source: HAC Reduction Program Hospital-Speci c Report FY 2015, FY 2016, FY 2017
HOI CMS Data National Benchmark
2017 OUTCOMES REPORT | 18


































































































   21   22   23   24   25