Better Care for Our Patients

Patient-Centered Care Improves Outcomes

  • Implemented the Perfect Circle of Care model on all nursing units.  Developed by WMHS staff, this model uses a team approach to improve the quality of care and enhance the patient experience.  Quality measures and patient satisfaction scores improved following implementation.
  • Redesigned the Care Coordination Department to enhance discharge planning and facilitate follow-up with patients once they leave the hospital until they see their primary care provider.
  • Launched the MedStart program, which enables patients to leave the hospital with their medications.
Expanded Transition Programs Reduce Readmissions
  • Formed a Partnership to Perfection designed to improve working relationships with skilled nursing facilities (SNF) in the area.  This innovative concept is an expansion of the SNF Transitionist program, which provides better coordination of patients going to an SNF.  Includes regularly scheduled group meetings for hospital staff and SNF staff share ideas and improve transitions.
  • Implemented new online system for patients and their families that gives them additional information to help choose post-hospital care providers.
  • Developed new Skilled Nursing Associates Program (SNAP) that puts physicians and nurse practitioners on-site at partnering skilled nursing facilities to identify and address changes in a resident’s condition and reduce trips to the Emergency Department.  This new program launched in August 2014 and is in place at the WMHS Frostburg Nursing and Rehabilitation Center. 
  • Experienced drop in readmissions with CareLink‘s Care Coordinators calling patients going home from acute care or the Outpatient Observation Unit within 72 hours of leaving the hospital to assess any additional needs.
Quality Initiatives Improve Care
  • Achieved "reward” of $302,000 from Maryland’s Quality Based Reimbursement program, ranking 8th best in the State.
  • Maintained focus on Core Measures and continued to have measures consistently at the 99 percent level. 
  • Received the American Heart Association’s "Get the Guidelines Stroke Silver Plus Achievement Award ” for 12 consecutive months of 85 percent or higher adherence to its stroke guidelines.
  • Named one of the Top 97 Hospitals for Joint Replacement by the Centers for Medicare and Medicaid Services (CMS).
  • Recognized as a top performer in Maryland for hand hygiene, with compliance rate of 90 percent for the entire year.
  • Joined the Maryland Cardiac Surgery Quality Initiative, a collaborative of all cardiac surgery programs in the state that focuses on improving quality and outcomes.
  • Continued to achieve a Door-to-Balloon time within the 90-minute time frame for 94 percent of our patients requiring Primary Coronary Intervention (PCI).
  • Named a recipient of Premier’s Partnership for Patients Award by achieving a 40 percent reduction in hospital-acquired conditions and/or a 20 percent reductions in readmissions in 7 of the 10 measured areas of focus.

Collaborations with Medical Staff Enhance Care

  • 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).
  • Established a Clinically Integrated Network with local physicians - Western Maryland Physicians Network, LLC. 
  • Submitted an application to CMS to become an Accountable Care Organization (ACO)
  • Appointed Gerald Goldstein, M.D., as the Chief Medical Officer.
  • Hosted a quarterly series of "Hot Topics” for the medical staff to keep them abreast of new programs and changes in healthcare.
  • Streamlined the credentialing process with a centralized online file management and verification service provided by Verge Solutions.  The online application offers physicians the ability to centrally manage their file. 
  • Implemented a physician scorecard in Physician Performance Advisor that condenses all physician quality and utilization data into a one-page summary

 Patient Safety Results in Better Care

  • Implemented 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
Certifications Demonstrate Quality
  • Received continued designation as a Trauma Center by the Maryland Institute of Emergency Medical Services System (MIEMSS).
  • Improved significantly the survey results for Frostburg Nursing and Rehabilitation Center over previous year, especially in terms of number, scope, and severity of deficiencies cited.
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