IHA 2018 Quality Advocacy Showcase Compendium

93 Pages·2017·7.74 MB·English

Quality
Advocacy
Showcase
illinois Hospitals:
Saving Lives, Saving Dollars
meet hospital leaders from
your district to learn about
quality improvement initiatives
that impact your constituents
April 12, 2018 | 11 Am – 2 pm | illinois State Capitol | 1St-Floor rotunda
Anderson Hospital,
Maryville
SENATE DISTRICT 56 HOUSE DISTRICT 112
PATIENT SAFETY
Improving the quality of care of
patients with acute chest pain
We used lean strategies to improve the
Saving Lives, Saving Dollars
quality of care of emergency department
(ED) patients with acute chest pain.
Strategies include:
 Rapid Improvement Events

INVESTMENT
 Workfl ow mapping

$478k
 Multidisciplinary collaboration

Patient, Family
PERSONNEL & EQUIPMENT
& Community Impact
SAVINGS
Decreases morbidity
$645k
and mortality
Decreases emotional
stress with early diagnosis
ED THROUGHPUT
Promotes effi cient
and qualitative
emergency care
Launch date: April 21, 2016
Fairfi eld Memorial Hospital,
Fairfi eld
SENATE DISTRICT 55 HOUSE DISTRICT 109
PATIENT SAFETY
Tailoring antimicrobial drug
therapy to each patient
Clinicians perform daily assessments of
Saving Lives, Saving Dollars
each patient’s condition to identify:
 “Bug-to-drug” mismatches

between antimicrobial therapy and
microorganisms in the body
INVESTMENT
 Therapies not indicated by the

$750
patient’s condition
 Therapies the patient completed

 Opportunities to change a medication

ANTIMICROBIAL TRAINING
from intravenous to oral
SAVINGS
Patient, Family
$36k
& Community Impact
Improves
patient safety COST OF MEDICATIONS
Decreases patient
length of stay
Launch date: July 2016
Prevents antimicrobial
resistance in the
community
OSF HealthCare St. Joseph Medical Center,
Bloomington
SENATE DISTRICT 44 HOUSE DISTRICT 88
PATIENT SAFETY
Reducing and preventing
hypoglycemic events in patients
A multidisciplinary team implemented
Saving Lives, Saving Dollars
several interventions including:
 Checking the blood sugar of every

admitted patient
 Providing dextrose via IV for patients

INVESTMENT
who are unable to eat
$4.2k
 Discontinuing oral diabetes medications

while patients are admitted
 Consulting pharmacy staff , a diabetes

STAFF TRAINING
educator and dietitian when low blood
sugar occurs
SAVINGS
$808k
Patient, Family
& Community Impact
EVENTS PREVENTED
Decreases patient
length of stay
Decreases risk
of mortality
Launch date: October 2015
Improves patient
comfort and outcomes
AMITA Health,
Arlington Heights
SENATE DISTRICT 27 HOUSE DISTRICT 54
PATIENT SAFETY
Decreasing opioid use in the
emergency department
AMITA Health emergency departments
Saving Lives, Saving Dollars
partnered to remove hydromorphone
(Dilaudid) as a fi rst-line pain medication. We:
 Reduced amounts of stocked

hydromorphone by 50%
INVESTMENT
 Educated teams and patients with

$1k
treatment algorithms, educational
notices and posters
 Moved to alternative methods of

CAMPAIGN MATERIALS
administering hydromorphone to
patients who need it
SAVINGS
$8.2k
Patient, Family
& Community Impact
Improves DECREASED DOSES
patient safety
Reduces risk
for addiction
Launch date: August 2017
Improves patient
outcomes
Paris Community Hospital,
Paris
SENATE DISTRICT 51 HOUSE DISTRICT 102
PATIENT SAFETY
Improving staff response time
to patient alarms
We implemented a new program and
Saving Lives, Saving Dollars
system upgrade that allow for:
 Notifi cations to staff assigned to

patient rooms
 A locator to identify staff -patient

INVESTMENT
assignments
$12k
 Staff to set reminders to follow

up or check on patients at certain
time intervals
SOFTWARE UPGRADE
Patient, Family
SAVINGS
& Community Impact
$7.2k
Improves
patient safety
PER POST-FALL INJURY
Improves
quality of care
Increases patient
satisfaction Launch date: October 2017
HSHS Holy Family Hospital,
Greenville
SENATE DISTRICT 54 HOUSE DISTRICT 107
PATIENT SAFETY
Improving medication
administration safety
A multidisciplinary team implemented
Saving Lives, Saving Dollars
several interventions:
 Medication administration checklist

 Education to all staff administering

medications
INVESTMENT
 Structured follow-up for medication

$105
variances
 Review of event within 24 hours

 “Do Not Disturb” mats and signs

“DO NOT DISTURB” TOOLS
for Pyxis machines and computers
on wheels
SAVINGS
$5k
Patient, Family
& Community Impact
PER AVOIDED EVENT
Ensures safe and
accurate medication
administration
Reduces monitoring,
Launch date: August 2017
testing and length of stay
Reduces harm associated
with adverse drug events
Saint Anthony Hospital,
Chicago
SENATE DISTRICT 11 HOUSE DISTRICT 21
PATIENT SAFETY
Reducing patient falls
with injury
A multidisciplinary team reviews all falls
Saving Lives, Saving Dollars
monthly. The team also implemented:
 Falls bundle recommended by The

Joint Commission
 Nurse-driven protocol

INVESTMENT
 Bed alarms

$3k
 Post-fall huddle and reporting at

daily safety huddles
 Semi-annual hospital-wide falls

TRAINING & SUPPLIES
reduction education day
SAVINGS
Patient, Family
$22k
& Community Impact
Reduces avoidable
REDUCTION IN LOS
injuries related to falls
Reduces patient length
of stay (LOS)
Launch date: January 2016
Increases patient
satisfaction
McDonough District Hospital,
Macomb
SENATE DISTRICT 47 HOUSE DISTRICT 93
PATIENT SAFETY
Eliminating mislabeled specimens
using The Final Check
After training through IHA’s Hospital
Saving Lives, Saving Dollars
Improvement Innovation Network, we
implemented The Final Check toolkit:
 Adding a fi nal check between lab

and nursing by comparing the last
INVESTMENT
3 digits of the patient’s medical
$1.5k
record aloud with the specimen
 Utilizing just culture principles

 Creating a culture of safety,

EDUCATION & TRAINING
reporting, learning and transparency
SAVINGS
Patient, Family
$1.5m
& Community Impact
Improves
patient safety
MALPRACTICE CLAIMS
Improves
quality of care
Launch date: October 2017
Increases patient
satisfaction
OSF HealthCare Saint Paul Medical Center,
Mendota
SENATE DISTRICT 38 HOUSE DISTRICT 76
PATIENT SAFETY
Preventing falls and fall-related
injuries in the inpatient setting
We implemented the fall intervention
Saving Lives, Saving Dollars
playbook to reduce total falls through:
 Fall risk assessments every shift

 Hourly rounding

 Bed/chair alarms

INVESTMENT
 Non-skid slippers

$800
 Fall prevention posters

 Fall score on care boards

 Patient education

FALL BUNDLE MATERIALS
 Visual cues, such as bell signs

 Real-time feedback

SAVINGS
 Fall audits

$21k
Patient, Family
& Community Impact
INJURIES PREVENTED
Improves
patient safety
Improves
Launch date: December 2017
quality of care
Reduces patient
length of stay