Page 28 - Hoag Orthopedic Institute 2017 Outcomes Report

“HOI’S OUTPATIENT SURGERIES FOR APPROPRIATE ORTHOPEDIC PATIENTS ARE A CONVENIENT, HIGH-QUALITY EXPERIENCE WITH A LOW RISK OF INFECTION AND READMISSION.”
JEFF BERNHARDT, RN, BSN, PHN, CNOR; CLINICAL DIRECTOR, MSSSC
OUTPATIENT SURGERY CONTINUED
PREVENTING INFECTIONS
HOI ASCs have sustained patient safety with
a major focus on preventing infections. The entire team is responsible and empowered to prevent infections. Through monthly monitoring, employee education and best practices, year after year MSSSC and OSCOC uphold very low infection rates.
Post Surgical Wound Infections
PROPHYLACTIC IV ANTIBIOTIC ADMINISTRATION ON-TIME
On time, pre-operative administration of antibiotics is considered a best practice to prevent surgical site infection after arthroplasty surgery. Because antibiotics’ effect is related to the timing of administration, it is helpful to follow how the routines with preoperative antibiotics are working.
Prophylactic IV Antibiotic Administration On-Time – per ASC SCIP Protocol (Percent – Higher is Better)
(Percent – Lower is Better)
1.0
0.5
0
0.15%
0.16%
0.11% FY 2016
100
90
80
70
99%
National Rate
99.2%
FY 2014
99.5%
FY 2015
99.5%
FY 2016
FY 2014
Source: HOI ASC Quality dashboard
FY 2015
Source: ASC Quality Collaboration ascquality.org/qualityreport.com, HOI ASC Quality dashboard, Oct. 2015 - Sept. 2016
National HOI
HOI Ambulatory Surgery Centers Patient Safety Rates (Percent - Lower is Better) HOI ASC (MSSSC & OSCOC)
INTERNAL PATIENT SAFETY MEASURES
FY 2014
FY 2015
FY 2016
Cardiac and/or respiratory arrest Hemorrhage/excessive bleeding Medication error
Other complications
Hospital transfer
Return to surgery within 48 hours
Source: MSSSC and OSCOC Quality dashboard
0.00% 0.00%
0.00% 0.00%
0.00% 0.00%
0.15% 0.20%
0.10% 0.14%
0.00% 0.01%
0.00%
0.00%
0.00%
0.16%
0.04%
0.03%
23 | HOAG ORTHOPEDIC INSTITUTE