Performance Improvement Goals for 2008
As BWH looks ahead to the new year, hospital leadership and staff throughout the distributed campus remain committed as ever to improving performance in all aspects of patient care. The BWH Board of Trustees quality committee recently approved 12 goals for 2008, which were formulated over the fall by the BW/F Quality Outcomes Group.
In addition to BWH’s pervasive culture driven by a commitment to performance improvement on behalf of all staff throughout the hospital and the PHS-wide commitment to High Performance Medicine, there were several outside factors taken into account in formulating these priority goals. For example, there is an increased demand for transparency and public reporting of quality measures by the general public, government and private payors, and many public and private agencies, including CMS, Massachusetts Health Care Reform, the Joint Commission and the National Quality Forum.
In addition to these 12 performance improvement goals, there are many more efforts across the hospital and within specific departments and units. The 2008 goals are:
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Reduce aggregate risk-adjusted mortality rates via such initiatives as enhanced code team processes and rapid response efforts.
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Reduce health care associated infection rates and increase hand hygiene compliance.
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Achieve 95 percent or better compliance rates with National Quality Forum measures for AMI, heart failure, pneumonia and the surgical care improvement bundle.
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Continue ongoing efforts to improve inpatient satisfaction scores on Press Ganey surveys to achieve 90th percentile for all sections and services.
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Strengthen and enhance BWH’s culture of patient safety among all care providers and staff.
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Continue efforts to reduce medication errors associated with high-risk medications through Computerized Physician Order Entry and eMAR and achieve medication reconciliation goals in inpatient, ED and ambulatory areas.
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Meet and exceed public reporting requirements for “Never Events,” and develop effective billing guidelines related to such events.
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Achieve all pay-for-reporting and pay-for-performance targets for CMS, Medicaid and payor contracts.
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Along with PHS, continue to be a state and national leader in performance and public transparency.
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Develop a robust set of ambulatory BWH and BWPO performance metrics for quality and service.
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Continue to improve length-of-stay performance, to maximize bed capacity and patient throughput.
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Develop strategies to identify and analyze health care disparities in a few targeted areas, and design improvements to mitigate such inequities.