Better Care for Our Patients

Patient-Centered Care Improves Outcomes

  • Combined the Perfect Circle of Care and Service Excellence initiatives into the new Department of Patient Experience and Culture, which promotes patient-centered care and monitors patient experience (HCAHPS).
  • Improved the process for discharging patients, with new resources for patient education and realistic expectations for patients.
  • Selected as one of 35 hospitals in the country to participate in the American College of Cardiology Patient Navigator Program, the first its kind in cardiology to provide personal services to heart disease patients and help them avoid readmissions.

    Expanded Transition Programs Reduce Readmissions
  • Implemented the SNFist program in three long-term care facilities in the area, which has resulted in improved care and fewer avoidable readmissions.
  • Provided educational programs for local long-term facilities to provide their staff the necessary tools to aid in the reduction of avoidable readmissions to WMHS.
  • Formed the Readmission Summit to provide oversight to readmission initiatives.

    Quality Initiatives Improve Care
  • Achieved "reward” of $314,000 from Maryland’s Quality Based Reimbursement program, ranking the best in the State.
  • Recognized as the top performer in Maryland for hand hygiene, with average compliance rate of over 95 percent for the entire year.
  • Received the GWTG Platinum Performance Achievement Award that recognizes Premier participating hospitals that have sustained a performance measure scores of 90 percent or better in the treatment of acute myocardial patients for eight consecutive quarters.
  • Honored by the Maryland Department of Health and Mental Hygiene, Maryland Patient Safety Center and the March of Dimes for improving the quality of care mothers and babies. WMHS exceeded the goal of 5 percent or lower of non-medically necessary births earlier than 39 weeks—WMHS had none.
  • Improved patient flow through a new process that tracks patients through their ED stay via electronic computer indicators to ensure timely admissions or transfers to the Outpatient Observation Unit after the order to admit/transfer was entered.
  • Expanded initiatives to prevent pressure ulcers, including education, equipment, supplies, documentation and data management, to areas beyond the traditional nursing units. Areas include Dialysis, Perioperative Services, ED, Respiratory, and Radiology, along with Frostburg Nursing and Rehab Center.
  • Joined the Maryland Hospital Association’s Sepsis Cohort 2 Program and have begun making significant changes to responding and treating patients with symptoms of sepsis.
  • Reduced the number of catheter-associated urinary tract infections by 36 percent - from 11 cases to 7.

    Collaborations with Medical Staff Enhance Care
  • Established a Clinically Integrated Network (CIN) to incentive providers on value-based care. Twenty independent providers were recruited to join the Western Maryland Physician Network, LLC, along with WMHS-employed providers.
  • Approved by the Center for Medicare and Medicaid Services (CMS) into the Medicare Shared Savings Program (MSSP) to participate as an Accountable Care Organization (ACO).
  • Launched the ACO in January 2015, which includes 6,100 Medicare beneficiaries.
  • Created a Pay-For-Performance program for WMHS that will serve as a model across Maryland. Engaged the President’s Clinical Quality Council in developing a Pay for Performance program that helps to align their incentives in conjunction with Total Patient Revenue (TPR).

    Resources Results in Better Care
  • Recruited a Palliative Care Nurse Practitioner and developed a comprehensive palliative care program.
  • Added two lactation consultants to help promote breastfeeding and provide on-going support to new mothers.
  • Acquired new Varian TrueBeam technology in Radiation Oncology that enhances patient care and enables expanded treatment of more complex cases in places like the head, neck, lungs, and abdomen
  • Installed new mattresses on all of the inpatient beds to help reduce the risk of pressure ulcers.
  • Enhanced security measures in the Emergency Department, which also includes law enforcement coverage in the evenings and nights seven days a weekImplemented computer assisted-coding that provides a near real-time look into hospital data to help manage potentially preventable conditions and readmissions.
  • Developed Stop the Line, an initiative that empowers all employees to step in and stop the process whenever they see a problem that could affect quality or safety.
  • Purchased vein illuminators for use in the Emergency Department thanks to a donation from the WMHS Auxiliary. These devises assist the nursing staff with finding sites for intravenous (IV) access on patients who have limited or hard-to-find veins.
  • Enhanced security measures in the Emergency Department, which includes law enforcement coverage in the evenings and nights seven days a week
    Recognitions Demonstrate Quality
  • Recognized by Healthgrades in Five Categories in 2105. 
  • Achieved a three-year re-accreditation from CARF for our Comprehensive Integrated Inpatient Rehabilitation and Stroke Specialty programs.
  • Received three-year accreditation by the Undersea and Hyperbaric Medical Society for the WMHS Wound and Hyperbaric Center. This is the first year that the wound program was eligible for accreditation.
  • Named 11th out of all Maryland Hospitals and best in western Maryland by U.S. News and World Report.
  • Ranked as a high-performing hospital in Maryland for hip surgery by U.S. News and World Report.
  • Received designation as a Lung Cancer Screening program by the American College of Radiology.
  • Received continued designation as a Trauma Center by the Maryland Institute of Emergency Medical Services System (MIEMSS).
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