THE SOUTH CAROLINA HOSPITAL QUALITY GUIDE HAPPY BABIES. HEALTHY STATE.

Transcription

1 THE SOUTH CAROLINA HOSPITAL QUALITY GUIDE 2014 HAPPY BABIES. HEALTHY STATE.

2 EMPLOYERS & PURCHASERS: WHY BE A PART OF THE MOVEMENT? Next to tradition, business is the heart and soul of South Carolina. Commerce helps drive our state, and by embracing changes in health care and adopting new technologies, we can make South Carolina s workforce one of the most attractive and productive in the nation. The purpose of the South Carolina Business Coalition on Health is to serve as a partnership for businesses, organizations and individuals in S.C. and inside the healthcare field to act collaboratively in creating sustainable initiatives, such as the SC Birth Outcomes Initiative and Leap Frog, to improve healthcare quality and efficiency, promoting greater consumer responsibility in healthcare decisions, improving the overall health of South Carolinians and thereby improving our economic competitiveness and quality of life.

3 WHY SCBCH IS A PART OF THE LEAPFROG MOVEMENT You care enough about your employees and their families to invest significantly in health benefits. Are you getting what you pay for? Leapfrog purchasers advocate for giant leaps forward in safety and quality of hospital care, saving lives and dollars. SAVE LIVES IMPROVE QUALITY REDUCE COSTS Employers pay a price for hospital errors and unnecessary procedures. With Leapfrog, members and health care purchasers are steering employees to better care that saves lives and dollars. The Leapfrog Group is a voluntary program aimed at mobilizing employer purchasing power to alert America s health industry that big leaps in health care safety, quality and customer value will be recognized and rewarded. Among other initiatives, Leapfrog works with its employer members to encourage transparency and easy access to health care information as well as rewards for hospitals that have a proven record of high quality care and quality of life. Employers pay a price for hospital errors and unnecessary procedures. With Leapfrog, members and health care purchasers are steering employees to better care that saves lives and dollars.

4 THE LEAPFROG GROUP FOR PATIENT SAFETY The Leapfrog Group is a voluntary program aimed at mobilizing employer purchasing power to alert America s health industry that big leaps in health care safety, quality and customer value will be recognized and rewarded. Among other initiatives, Leapfrog works with its employer members to encourage transparency and easy access to health care information as well as rewards for hospitals that have a proven record of high quality care. The Leapfrog Hospital Quality and Safety Survey asks hospitals to report on the steps they take to improve the quality of patient care. Survey results are available for public viewing on Leapfrog s web site, The Leapfrog Hospital Quality and Safety Survey asks hospitals if they adhere to the quality and safety practices on the following pages. The Leapfrog Group works with over 50 leading medical experts to identify solutions that will improve hospital quality and safety and then gather this information from hospitals around the country.

5 OVERALL PATIENT SAFETY RATINGS Safe Practices Select a hospital that has a full Leapfrog Safe Practices Score. This means it has put in place 17 procedures to reduce preventable medical mistakes. Preventing Medication Errors Patients should choose a hospital that uses computerized prescriber order entry (CPOE) systems to order medications, tests, and procedures. CPOE systems are computer systems designed to alert doctors and other prescribers to potentially serious problems with their instructions. Managing Serious Errors Patients should choose a hospital that has implemented Leapfrog s policy on managing serious events ( or never events ) such as surgery on the wrong body part or death due to contaminated drugs or devices. HIGH-RISK TREATMENT SAFETY RATINGS Select a hospital with a lot of experience and the best results for specific procedures, surgeries, or conditions. This is known as Evidence Based Hospital Referral (high-risk procedures). The scores for the following high-risk treatments are based on a combination of quality and costs: Aortic Valve Replacement Abdominal Aortic Aneurysm Repair Pancreatic Resection Esophageal Resection High-risk Deliveries Appropriate ICU Staffing Patients should choose a hospital with an intensive care unit (ICU) that is staffed by doctors and other caregivers who have special training in critical care medicine. These doctors are called intensivists.

6 REGION UPSTATE Preventing Medication Errors GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Errors Safety - Focused Scheduling Rate of Early Elective Deliveries MATERNITY CARE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Deliveries AnMed Health Medical Center Anderson Anderson AnMed Health Women s and Children s Hospital Anderson GHS Laurens County Memorial Hospital Clinton Greenville Memorial Hospital Greenville Greer Memorial Hospital Greer Hillcrest Hospital Simpsonville Piedmont Medical Center Rock Hill Self Reginal Healthcare Greenwood St. Francis Eastide Greenville St. Francis Hospital - Downtown Greenville WHAT THE SCORES MEAN Some progress in implementing Leapfrog s recommended quality and safety practices Fully meets the standards of Leapfrog s recommended quality and and safety practices Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Substantial progress in implementing Leapfrog s recommended quality and safety practices Unable to calculate score Hospital declined to respond

7 Aortic Valve Replacement HIGH-RISK SURGERIES Adominal Aortic Aneurysm Repair Pancreatic Resection Esophageal Resection HOSPITAL-ACQUIRED CONDITIONS Reduce Central-Line Infections in ICUs Reduce Urinary Catheter Infections in ICUs Reduce Hospital Acquired Pressure Ulcers Reduce Hospital Acquired Injuries RESOURCE USE Length of Stay for Common Accute Conditions Readmission for Common Conditions PATIENT CARE (HCAHPS Survey*) Dr. to Patient Communication High Patient Ranked Hospital High 82% 72% 81% 61% 78% 71% 86% 85% 86% 77% 81% 65% 85% 74% 82% 77% HOSPITALS THAT DECLINED EVALUATION Abbeville Area Medical Center**, Abbeville - Baptist Easley Hospital**, Easley Cannon Memorial Hospital**, Pickens - Chester Regional Medical Center**, Chester - Mary Black Memorial Hospital**, Spartanburg Novant Health Gaffney Medical Center,** Gaffney - Oconee Medical Center**, Seneca - Spartanburg Regional Medical Center**, Spartanburg Springs Memorial Hospital**, Lancaster - Village Hospital**, Greer - Wallace Thomson Hospital**, Union *Percentages taken from the Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS), and is not related to Leapfrog statistics. HCAHPS is a national survey that asks patients about their experiences during a recent hospital stay. A higher percentage is better. HCAHPS survey was taken from 10 / 01 / / 30 / **Hospitals that have HCHAPS scores but did not complete the Leapfrog Survey. Not Applicable HCAHPS is designed for acute-care hospitals only. The majority of specialty hospitals (e.g., pediatric, psychiatric) are excluded from using HCAHPS.)

8 REGION MIDLANDS Preventing Medication Errors GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Errors Safety - Focused Scheduling Rate of Early Elective Deliveries MATERNITY CARE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Deliveries KershawHealth Medical Center Camden Lexington Medical Center West Columbia Palmetto Baptist Medical Center Columbia Columbia Palmetto Richland Memorial Hospital Columbia Providence Hospital Columbia Providence Orthopedic Hospital Columbia Regional Medical Center of Orangeburg and Calhoun Counties Orangeburg Tuomey Healthcare System Sumter WHAT THE SCORES MEAN Some progress in implementing Leapfrog s recommended quality and safety practices Fully meets the standards of Leapfrog s recommended quality and and safety practices Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Substantial progress in implementing Leapfrog s recommended quality and safety practices Unable to calculate score Hospital declined to respond

9 Aortic Valve Replacement HIGH-RISK SURGERIES Adominal Aortic Aneurysm Repair Pancreatic Resection Esophageal Resection HOSPITAL-ACQUIRED CONDITIONS Reduce Central-Line Infections in ICUs Reduce Urinary Catheter Infections in ICUs Reduce Hospital Acquired Pressure Ulcers Reduce Hospital Acquired Injuries RESOURCE USE Length of Stay for Common Accute Conditions Readmission for Common Conditions PATIENT CARE (HCAHPS Survey*) Dr. to Patient Communication High Patient Ranked Hospital High 82% 66% 84% 76% 83% 72% 87% 76% 83% 78% 84% 64% 84% 59% HOSPITALS THAT DECLINED EVALUATION Aiken Regional Medical Centers**, Aiken - Barnwell County Hospital**, Barnwell - Edgefield County Hospital, Edgefield Newberry County Memorial Hospital**, Newberry *Percentages taken from the Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS), and is not related to Leapfrog statistics. HCAHPS is a national survey that asks patients about their experiences during a recent hospital stay. A higher percentage is better. HCAHPS survey was taken from 10 / 01 / / 30 / **Hospitals that have HCHAPS scores but did not complete the Leapfrog Survey. Not Applicable HCAHPS is designed for acute-care hospitals only. The majority of specialty hospitals (e.g., pediatric, psychiatric) are excluded from using HCAHPS.)

10 REGION PEE DEE Preventing Medication Errors GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Errors Safety - Focused Scheduling Rate of Early Elective Deliveries MATERNITY CARE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Deliveries Clarendon Memorial Hospital Manning Conway Medical Center Conway Grand Strand Medical Center Myrtle Beach McLeod Loris Loris McLeod Regional Medical Center and Health System Florence McLeod Seacoast Little River WHAT THE SCORES MEAN Some progress in implementing Leapfrog s recommended quality and safety practices Fully meets the standards of Leapfrog s recommended quality and and safety practices Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Substantial progress in implementing Leapfrog s recommended quality and safety practices Unable to calculate score Hospital declined to respond

11 Aortic Valve Replacement HIGH-RISK SURGERIES Adominal Aortic Aneurysm Repair Pancreatic Resection Esophageal Resection HOSPITAL-ACQUIRED CONDITIONS Reduce Central-Line Infections in ICUs Reduce Urinary Catheter Infections in ICUs Reduce Hospital Acquired Pressure Ulcers Reduce Hospital Acquired Injuries RESOURCE USE Length of Stay for Common Accute Conditions Readmission for Common Conditions PATIENT CARE (HCAHPS Survey*) Dr. to Patient Communication High Patient Ranked Hospital High 85% 72% 81% 71% 79% 66% 83% 73% 84% 81% 83% 73% HOSPITALS THAT DECLINED EVALUATION Carolina Pines Regional Medical Center**, Hartsville - Carolinas Hospital System**, Florence Chesterfield General Hospital**, Cheraw - Fairfield Memorial Hospital, Winnsboro - Georgetown Memorial Hospital,** Georgetown - Lake City Community Hospital**, Lake City Marion County Medical Center**, Mullins - Marlboro Park Hospital**, Bennettsvile - McLeod Medical Center Darlington**, Darlington McLeod Medical Center Dillon**, Dillon Waccamaw Community Hospital**, Murrells Inlet - Williamsburg Regional Hospital**, Kingstree *Percentages taken from the Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS), and is not related to Leapfrog statistics. HCAHPS is a national survey that asks patients about their experiences during a recent hospital stay. A higher percentage is better. HCAHPS survey was taken from 10 / 01 / / 30 / **Hospitals that have HCHAPS scores but did not complete the Leapfrog Survey. Not Applicable HCAHPS is designed for acute-care hospitals only. The majority of specialty hospitals (e.g., pediatric, psychiatric) are excluded from using HCAHPS.)

12 REGION Medication LOW COUNTRY Preventing Errors GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Errors Safety - Focused Scheduling Rate of Early Elective Deliveries MATERNITY CARE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Deliveries Beaufort Memorial Hospital Beaufort Bon Secours St. Francis Hospital Charleston Coastal Carolina Hospital Hardeeville Colleton Medical Center Walterboro East Cooper Medical Center Mount Pleasant Hilton Head Hospital Hilton Head Island Medical University of South Carolina University Medical Center Charleston Mount Pleasant Hospital Mount Pleasant Roper Hospital Charleston Summerville Medical Center Summerville Trident Medical Center Charleston WHAT THE SCORES MEAN Some progress in implementing Leapfrog s recommended quality and safety practices Fully meets the standards of Leapfrog s recommended quality and and safety practices Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Substantial progress in implementing Leapfrog s recommended quality and safety practices Unable to calculate score Hospital declined to respond

13 Aortic Valve Replacement HIGH-RISK SURGERIES Adominal Aortic Aneurysm Repair Pancreatic Resection Esophageal Resection HOSPITAL-ACQUIRED CONDITIONS Reduce Central-Line Infections in ICUs Reduce Urinary Catheter Infections in ICUs Reduce Hospital Acquired Pressure Ulcers Reduce Hospital Acquired Injuries RESOURCE USE Length of Stay for Common Accute Conditions Readmission for Common Conditions PATIENT CARE (HCAHPS Survey*) Dr. to Patient Communication High Patient Ranked Hospital High 84% 72% 85% 80% 80% 69% 80% 65% 86% 80% 81% 67% 82% 80% 89% 81% 84% 78% 79% 63% HOSPITALS THAT DECLINED EVALUATION Allendale County Hospital, Fairfax - Hampton Regional Medical Center**, Varnville *Percentages taken from the Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS), and is not related to Leapfrog statistics. HCAHPS is a national survey that asks patients about their experiences during a recent hospital stay. A higher percentage is better. HCAHPS survey was taken from 10 / 01 / / 30 / **Hospitals that have HCHAPS scores but did not complete the Leapfrog Survey. Not Applicable HCAHPS is designed for acute-care hospitals only. The majority of specialty hospitals (e.g., pediatric, psychiatric) are excluded from using HCAHPS.)

14 IN SOUTH CAROLINA HEALTHY BABIES ARE OUR BUSINESS Over the course of the last 3 years, South Carolina s Birth Outcomes Initiative has substantially improved infant health. This collaborative effort allowed the state to be recognized as a national leader in birth outcomes and reducing the number of low birth weight infants. The SC Birth Outcomes Initiative is dedicated to making a significant impact for all moms and babies: All birthing hospitals state-wide have committed to end non-medically necessary deliveries before 39 weeks gestation. There has been a 51% decrease of early elective births across the state. In South Carolina, babies are 3 times more likely than the national average to be born in a Baby-Friendly hospital. 3) Greenville Memorial Hospital 4) Medical University of SC 5) Roper St. Francis Mount Pleasant Hospital 6) Waccamaw Community Hospital Birthing hospitals state-wide have pledged to reduce the number of cesarean sections that are performed for first time low-risk moms. South Carolina is dedicated to making a difference in the health of women and babies in our state. Babies with a low birth weight (less than 5 and a half pounds) are more likely to need special care in a newborn intensive care unit, have developmental and educational delays, and have chronic diseases such as high blood pressure and diabetes later in life. SC Baby Friendly Designated Hospitals 1) AnMed Health 2) Georgetown Memorial Hospital

15 RATE OF BIRTHS RESULTING IN LOW BIRTH WEIGHT South Carolina, RACIAL DISPARITY RATIO OF BIRTHS RESULTING IN LOW BIRTH WEIGHT South Carolina, High Medium Low DISPARITY RATIO > LBW: All births less than 2500 grams. Map: SCDHEC Disparity ratio is defined as the percent of LBW births among black mothers divided by the percent of LBW births among white mothers. LBW: All births less than 2500 grams. Map: SCDHEC The map above highlights areas of our state where there is a higher proportion of babies being born at a low birth weight. The darker color, the higher the proportion (i.e. Chester and Hampton). Low birth weight can be prevented by women and men, years before the baby is even conceived by not smoking and controlling chronic conditions like hypertension and diabetes. Let s work together to make sure the babies in our state have a healthy start! The darker spots on the map above are the places in our state where African American babies are much more likely to be born at a low birth weight (less than 5.5 pounds) than Caucasian babies. In some areas of the state, African American babies are more than 10 times likely than Caucasian babies to be born at a low birth weight, which means, for example, that if 2 out of 100 Caucasian babies are born at a low birth weight, 20 or more out of 100 African American babies are born at a low birth weight in the same area.

16 800 E WASHINGTON ST GREENVILLE, SC PHONE FAX SCBCH.ORG