Page 23 - Hoag Orthopedic Institute 2014 Outcomes Report

“I’VE FOUND THAT HOI HAS CULTIVATED A UNIQUE CULTURE WITH EVERYONE GENUINELY FOCUSED ON QUALITY. WE WORK COLLABORATIVELY, WITH EXCELLENCE AS OUR SHARED GOAL.”
KLANE HALES, MD, ANESTHESIOLOGIST
PERFORMANCE IMPROVEMENT FOCUS AREA
DEPARTMENTS INVOLVED
HOI HOSPITAL PI INITIATIVE
HCAHPS - Noise Reduction
OR Surgical Tray
Outpatient Discharge for Spine Patient
PEC HOI - Coding
Readmission Reduction
SCIP Beta-Blocker
Skin Integrity
HOI Medical Surgical Units
Sterile Processing/OR
PACU
Multi-Disciplinary Team - Orthopedic Surgeons, Hospitalists, Anesthesiologists, Coders and Revenue Cycle Staff
Multidisciplinary
Interdisciplinary Team - Perioperative Team, Anesthesia, Nursing
Nursing
Some patients have indicated the hospital could be quieter. Educate staff and increase awareness of healing environment in the hospital.
Due to HOI increase in volume and complexity of cases, area for staging of equipment is limited. Multiple trays are brought from the vendors to assure that the surgeon has all needs met for our procedures. Sometimes, as many as 30 trays are prepared for one case. We must maximize our space, and employee efficiency to complete our tray preparation each day.
Remove steps of inconsistency/availability to streamline timely discharge. Decrease the numerous calls to MD/PA.
Review of coding process to capture accurate patient conditions during hospitalization.
Hospital readmissions within 30 days will not be covered by CMS if related to original surgery. Identifies issues were gastrointestinal and genitourinary. Implement screening tool for BPH and standard bowel program.
Beta-blocker administration and documentation to meet SCIP guidelines with 100% compliance.
To properly identify and document the skin integrity of each patient throughout the perioperative phase of patient care.
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