Page 27 - Hoag Orthopedic Institute 2018 Outcomes Report

“IN THE COMING YEARS, AMBULATORY SURGERY CENTER PROVIDERS ARE EXPECTING EXPONENTIAL GROWTH BECAUSE ASCs ARE A SAFE, HIGH VALUE ALTERNATIVE FOR SURGERY. THEY PROVIDE GREATER PRICING PREDICTABILITY, COST CONTAINMENT AND PROCEDURAL EFFICIENCY; AND ULTIMATELY PROVIDE
THE MAXIMUM VALUE TO THE PATIENT.”
GABRIELLE WHITE, RN, CASC; EXECUTIVE DIRECTOR, AMBULATORY SERVICES & NETWORK DEVELOPMENT
ASC SAFETY
HOI Ambulatory Surgery Center Patient Safety Rates (Percent - Lower is Better)
INTERNAL PATIENT SAFETY MEASURES
FY 2016
FY 2017
Cardiac and/or respiratory arrest Hemorrhage/excessive bleeding Medication error
Other complications
Hospital transfer
Return to surgery within 48 hours Source: HOISC Quality dashboard
CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS OUTPATIENT AND AMBULATORY SURGERY SURVEY (OAS CAHPS®)
The OAS CAHPS national survey program began in January 2016 and participation is voluntary. Patients’ perspectives gathered in OAS CAHPS surveys will help undergird quality improvement for HOI’s ASCs. When the first publicly reported OAS CAHPS data is posted in 2018, this survey will also provide consumers with comparative information about outpatient facilities.
Survey questions about patients’ experiences range from preparation for the surgery or procedure, check-in processes, facility cleanliness, communications with facility staff and discharge process, to preparation for recovering at home.
From Jul. 2017 to Dec. 2017, 759 HOI ASC patient surveys were returned. Both ASCs were consistently rated in the 90th percentile in
all categories.
0.00% 0.00%
0.00% 0.00%
0.00% 0.00%
0.16% 0.00%
0.04% 0.1%
0.03% 0.00%
HOI Ambulatory Surgery Centers FY 2017 Procedure Volume
31.96%
32.58%
Hand Upper Extremity
Knee
0.67%
Shoulder 9.47% 15.71% Ankle/Foot
9.62% Hip Pain
Source: HOI Financial Report
ASC PATIENT EXPERIENCE
Between 2015 and 2017, both HOI ASCs were recognized as national APEX Quality Award winners by SPH Analytics for their commitment to excellence in patient satisfaction and quality of care.
2018 OUTCOMES REPORT | 24
Management