Better Care for Our Patients
Patient-Centered Care Improves Outcomes
- Expanded the Care Management concept system wide, with Care Managers assigned to the Emergency Department
- Strengthened the discharge planning process which begins early in the patient's admission. New software identifies patients at-risk for readmission so they can be assigned to a complex case manager.
- Implemented daily census rounds on patients with a length of stay of more than 3 days to assess their needs and facilitate discharge.
- Enhanced patient and family engagement by implementing hourly rounding and bedside shift reports to communicate better about patient's care and discharge planning.
- Strengthened the education process for inpatients. The re-energized Patient Education Committee developed individualized education binders that patients can take home after their hospital stay.
- Emphasized new Palliative Care program that supports the care of patients with serious and life-threatening illnesses. The team offers care coordination and patient/family communication and support.
New Transition Programs Reduce Readmissions
- Began new Nursing Home Transitionist program at WMHS Frostburg Nursing and Rehab Center that will expand to other nursing homes in FY2013. A registered nurse meets with inpatients being discharged to the nursing home during their hospital stay, reconcilestheir medications and visits them weekly for a month to facilitate care and reduce risk of readmission.
- Expanded CareLink program so that Care Coordinators follow patients transitioning home from acute care or the Outpatient Observation Unit until they see their primary care provider.
Quality Initiatives Improve Care
- Increased focus on Core Measures and experienced great improvement.
- Implemented measures to reduce hospital-acquired conditions. Received recognition from statewide collaboratives for greatly reducing Central Line Associated Blood Stream Infections (CLABSI), and urinary tract infections.
- Trained ambulatory assistants to help with early mobilization of inpatients to reduce the complications associated with bed rest and inactivity.
- Invigorated "Clean Hands” campaign for staff, patients, and visitors.
Collaborations with Medical Staff Enhance Care
- Established the President's Clinic Quality Council.
- Hired and on-boarded a new Chief Medical Officer.
- Launched a quarterly series of "Hot Topics” for the medical staff to keep them abreast of new programs and changes in healthcare.
- Expanded use of electronic medical records in the community, with 65 providers now using eClinical Works solutions supported by WMHS.
- Increased the number of providers receiving results directly to their practice's electronic medical records to 82.
- Strengthened communication between Hospital Medicine services and primary care providers. Hospitalists now use voice recognition software to enter their notes in real-time so PCP's have quicker access to their patients' information.
- Increased education efforts to facilitate better documentation.
Patient Safety Results in Better Care
- Replaced all existing IV pumps with "smart” IV pumps to improve medication safety.
- Placed computerized positive ID system at patients' bedside that uses barcode readers to reduce errors associated with blood draws.
- Implemented automated blood bank analyzer that improves quality and safety through bar-code scanning capabilities.
- Added electronic medication reconciliation system into Meditech to reduce medication errors.
Certifications Demonstrate Quality
- Re-Certified as an ASAM Level I Substance Abuse Clinic by the Office of Healthcare Quality
- Achieved a 3-year CARF accreditation for the Comprehensive Inpatient Rehabilitation Unit (CIRU) for its inpatient rehab and stroke specialty programs.
New Processes in ED Facilitate Care
- Installed new field-to-hospital ECG transmission system that allows ED to receive ECG's from EMS units in the field. Cardiac Intervention Team can be mobilized before patients reach the hospital to improve "door to balloon” time for patients with STEMI.
- Developed early identification for stroke patients in the field so Stroke Team can be ready when patient arrives at WMRMC.
- Enabled providers in the Emergency Department to place orders directly into Meditech.
- Reduced turnaround time in the ED for diagnostic tests by using patient transporters.
- Expanded bedside Lab testing in the ED to speed diagnosis.
- Developed new team in Environmental Services that focuses on cleaning discharged beds so expedite admissions from the ED.