Comparison of Hospital Points to National Benchmark: Florida

Comparison of infirmary Points to subject Benchmark FloridaHOSPITAL DATA POINTS COMPARED WITH STATE AND NATIONAL BENCHMARKSDOUGLAS WINTER dissect and summarize the results. Are there signifi canfult outliers? Try to summarize the results as compar suitable, unfavorable, or favorable to the country and national benchmarks.I comp ard third infirmarys in my commonplace bea to ten different info acmes that were withal compared to the resign and national ordinarys. The areas within the statistics I compared were in timely effective manor, flock of forbearings check, readmissions, complications deaths, and use of medical imaginativeness. Following the selective information comparisons, I taked a brief explanation of the selective information point macrocosm examined, along with probable causes, emendment suggestions, and outliers when found.Timely effective manorFirst data point Outpatients having surgical process who standard an antibiotic at the right time (w ithin mavin mo) before surgery. infirmary rung should doctor sure surgery patients stir antibiotics at the right time. It is important to receive antibiotics pre-operation due to the possibility of displease infections from surgical procedures. Research has shown patients who have received antibiotics prior to surgery were slight likely to get wound infections.Results Florida infirmary recital and Florida Hospital Flagler rated hundred%, above the accede and national averages of 99% and Flagler Hospital rated 98% lone(prenominal) one percent downstairs the state and national average.Potential causes for the conundrum Their talks protocol for patients to receive an antibiotic earlier or after surgery is non being followed. An in-service penurys to be scroll to make sure entirely staff is following protocol guidelines and new employees are being trained correctly as well.Process interruptment suggestions to ameliorate the results Their teams of operating room nurs es, surgeons and anesthesiologists need to analyze and refine the processes with the goal of having snow percent of their surgical patients receive an antibiotic within one hour prior to all schedule surgery.Second data point soreness attack patients given a prescription for a statin drug at discharge. Most patients who have had a flavor failure and who take a statin, Ace inhibitor have fewer symptoms, detect physi surroundy repair, and are less likely to return to the hospital.Results Florida Hospital Flagler and Florida Hospital history bind at light speed% outperforming the state and national averages, and Flagler Hospital rated 97% beneath the states 99% and national average at 98%.Potential causes for the task Statin protocol is neglected, no one held accountable, no regularly schedule encounter or in-service are being conducted.Process good suggestions to improve the results Flagler Hospitals team of operating nurses, mendeleviums need to pay closer attentio n to agree their patients receive a statin at discharge and strive to blow over a goal of 100 percent of their patients receive a statin Ace inhibitor at discharge to maintain a continuity of attending. terce data point Pneumonia patients given the well-nigh separate initial antibiotic(s). Pneumonia is a long infection which is caused by bacteria or a virus. If the pneumonia happens to be caused by bacteria then the infection will be treated by an antibiotic that is specific for bacteria, and if the pneumonia is caused by a virus a specific antibiotic will then be used for viral infections.Results Florida Hospital Flagler fix with the state at 98%, outperforming the national average at 95% and Flagler Hospital scored 94% infra all comparisons. In addition, Florida Hospital Memorial scored 97% above the national average, and 1% under the state averages.Potential causes for the task Each staff member demand to follow a respiratory protocol, and if pneumonia is identified, t hat protocol needs to be followed. line of business cultures are not performed, and the potential for giving the patient the wrong antibiotic is high. Protocols are not followed, no account talent, or in-service are being regularly held.Process improvement suggestions to improve the results All three of the hospitals require improvement and need to make sure patients whose initial emergency room beginning culture was performed prior to the administration of the first antibiotic in high society to provide the most appropriate heraldic bearing.Survey of patients experienceFirst data point Patients who account that their nurses always communicated well. This is important for any patient staying at a health care facility, and is asking if care for explained things clearly, listened, and listened carefully to the patient, and treated the patient with courtesy and respect.Results All comparisons performed poorly, Florida Hospital Flagler and the state tied at 75% While Florida Hosp ital Memorial tied with the national average at 79%, leaving Flagler Hospital down the stairs the other comparisons at 73%. All comparisons are well on a lower traumatize an acceptable benchmark of 100%.Potential causes for the problem Health care staff gets busy, and they tend to have so many things they are intellection near and they neglect to fully communicate with the patients. Also people assign to a bed are not looked at as patients simply a body and communication tends to be non-existent.Process improvement suggestions to improve the results All comparisons failed in this analysis. Patient satisfaction is top priority, and should be for most health care organizations. E rattling member of the team needs to be reminded that every patient regardless of ethnicity, creed, demographics, etc. deserves communication and respect. Regularly scheduled meetings, and in operate regarding patient communication, and care in direct to make the patient feel commodious and looked af ter.Second data point Patients who inform that their disquiet was always well controlled. Again all comparisons failed this part of the analysis. paroxysm management should be top priority with those patients that are not scheduled for immediate surgery. Patient satisfaction, and recovery will be all the better if they are well controlled.Results Again, all comparisons failed in this part of the analysis. Florida Hospital Memorial and the national average tied at 71%, small-arm Florida Hospital Flagler was 69% and Flagler Hospital at 67% and the state average at 68%. All comparisons in this data point fell mindless of the acceptable level of 100%.Potential causes for the problem Health care staffs are not fully aware of the pain each manner can cause and influence the outcome of patient care. They tend to be removed, for example a patient has an abscess to his degrade leg, yet he says he is in pain but I am removed from his botheration because all I see is an abscess. Althou gh he is in pain and the health care worker needs to be reminded that it may only be an abscess to them, but to the patient it constitutes the end of the world.Process improvement suggestions to improve the results The three hospitals compared need to setup a mandatory in service by floor with a committee and their manager to remind everyone the importance of pain management. Remind everyone that they are patients and not textiles, and yes your shifts are busy, but never inhume that it is our office to care for them and caring for them includes pain management, and if the patient says to you that this pain is a 10 out of a 10, talk with their physician to see if anything can be done.Third data point Patients who reported that staff always explained about medicines before giving them to them. Patients essential to dwell, they want to be informed and feel about the practice of medicines they are taking date in the hospital. It is further important to know what patients are feel ing about their hospital experience and by asking patients if their nurse communicated with them about their medication before dispensing it will effectively let the hospital staff know where they need improvement in order to enrich the patients overall hospital experienceResults Florida Hospital Flagler and the state average tied at 60%, Florida Hospital Memorial rated 65% and Flagler Hospital rated 57% and the state at 64%. All comparisons data points fell short of an acceptable 100%.Potential causes for the problem Protocols not being followed, no in work to remind nurses to communicate with their patients more effectively. non acknowledging patient satisfaction surveys to dress areas that need attention.Process improvement suggestions to improve the results It is important for the patients to feel comfortable and have a feeling of well-being so when they have a concern or have a question they will feel free to ask. Monthly in service meeting reminding to encourage staff to ha ve a positive attitude, to be more approachable, about hospital image, go over patient satisfaction survey results.Readmissions, complications deathsFirst data point Rate of unplanned re-admission for heart attack patients. The percutaneous coronary thrombosis intervention (PCI) re-admission data point evaluates and compares unplanned re-admissions which may take broadcast within 30 days after discharge and after a PCI procedure. In addition, this data point takes into account the level of a patients illness before being admitted into the hospital, and the differences along with re-admission dowers that may be coincidental. For example, patients who have underlying medical diagnoses that are not seen with younger better patients were not included in this data point.Results Florida hospital Flagler scored 19.4%, just below Florida Hospital Memorial at 19.9%, and Flagler Hospital was at 17.9 and below the state and national averages of 18.3%.Potential causes for the problem Pati ents are not clinically able to be discharged, are not properly instructed on the methods to reduce the pretend of infections, their medications need to be reconciles, and they need to be encouraged to call for aid to their primary care provider, or given a number to call at the participating hospital (Meyer, Rybowski, 2004, p.viii).Process improvement suggestions to improve the results picture the patients are stable and clinically able to be discharged, this will avail reduce the risk of infections, assist them with reconciling their medications, encourage and improve communications with their providers in transitioning of care, encourage, train patients on strategies promote disease management principles and rise patients on what symptoms to monitor, who to contact with questions and where and when to seek follow-up care (Meyer, Rybowski, 2004, p.10).Second data point Death rate for Heart attack patients Percutaneous coronary intervention (PCI) is what health care provider s call. door-to-balloon time, and this time frame is 90 proceeding from the time the patient arrives at the hospital suffering from a heart attack and also (PCI), such as angioplasty when a catheter with a very small balloon is inserted into the blocked artery and inflated in order to open up the vessel.Results Florida Hospital Flagler rated 16.7% and firearm Florida Hospital Memorial rated 15.5%, while Flagler Hospital is 14.4% below the state and national average of 15.2%.Positive outlier Flagler Hospitals results is 2.3% lower than Florida Hospital Flagler, 1.1% lower than Flagler Hospital and .8% lower than the state and national averages. Flagler Hospitals lower results may be attributed to having regular monthly meeting that involve key hospital staff and emergency medical responders intentional to review heart attack cases, and having a cardiologist nearly on site most of the time, and part of the care team to encourage problem solving by immediate hospital staff and not th e responsibility of only nurses but the entire team (DEugenio, 2012, p.1).Potential causes for the problem This data point has many variables and is dependent upon the level of patients general health in the hospitals geographical area. That is why this data point has already been adjusted for patient characteristics that may make death or unplanned readmission more likely, regardless if any of the compared hospitals are providing higher quality of care. somewhat of the characteristics included are age of the patient, past medical history, and co-morbidities that the patient had when they were admitted to the hospital and a known health risk that can to increase the patients risk of dying or of having an unplanned readmission.Process improvement suggestions to improve the results As performance improvements are identified then appropriate problem-solving techniques can be employed. Beginning with putting together an action plan, that can change certain patterns set by physicians th at have been identified as possible contributors with the death rate for heart attack patients. Also, accountability measures should be enforced to hold appropriate department staff accountable for protocol adherence, critical paths to follow through, and enforcing the plan towards improving outcomes, policies that enhance efficiency, and fluid communication across departments.Medical ImagingFirst data point Outpatient computed topography (CT) scans of the white meat that were combination (double) scans. This data point only applies to Medicare patients that were treated in the hospital and does not include ambulatory or inpatient settings of the hospital. The lower the percentage the better and points to the efficient use of medical imaging for that hospital being compared. In addition, it is important not to expose the patient to contrast hooey and or unnecessary radiation exposure.Results Florida Hospital Flagler scored the highest at 2.9% and Flagler Hospital binder with the n ational average at 2.7% and Florida Hospital Memorial rated well below the other comparisons at 1.4% and the state scored better than the other comparisons except Florida Hospital Memorial with 2.4%.Positive outlier Florida Hospital Memorial scored 1.4% which is 1.5% better than the highest scoring hospital at 2.9% and 1.3% better than the national average at 2.7%.Potential causes for the problem The primary cause for double C.T. scan results, its over use in general is caused by emergency room physicians since they are more apt to order expensive tests that can have high levels of radiation, and which are also not postulate It is easier to order a test than to take extra time to explain to a patient why it is not needed (Parr, 2014, ND, p.1). Florida Hospital Memorial contributing cause may include victimisation C.T. scans only as a diagnostic tool and not as a screening modality, while the other comparisons seem to follow justificatory medicine techniques, and or illustrating a wide spread disengagement amid the physicians and their patients.Process improvement suggestions to improve the results It is important to encourage patients to question their physicians motives, consult with their physicians. Patients need to know why tests are being ordered and what impact will the test have on their preaching Parr, 2014, p.1). Physicians need more frequent in services regarding hospital expenditures, assign quality control measures to each physician in order to track unnecessary procedures and to follow-up with the physicians to encourage other promoter to same problem. Florida Hospital Memorial contributing cause may include using C.T. scans only as a diagnostic tool and not as a screening modality,Second data point Outpatients who received cardiac imaging stress tests before low-risk outpatient surgery. The hearts ability to respond to stress is necessary to understand if the patient is scheduled for surgery. The physicians need to know what levels of str ess the patients heart is capable of handling. For instance, a cardiac stress test is not required for a colonoscopy, cataract surgery, biopsies, because this lovable of procedure will not over task the heart, and poses very critical risk to the patient unlike, bypass surgery for example.Results Florida Hospital Flagler scored 6.6% and Florida Hospital Memorial at 5.5% only 2% higher than the national average of 5.3%, while the state scored 6.4% and the outlier in this data point is Flagler Hospital at 9.3%. ban outlier Flagler Hospital is performing far more cardiac imaging scans at 9.3% than necessary and is higher than the lowest reporting percentage by 4%. This procedure places the patient(s) at greater risk, introducing contrast and intentionally stressing the heart vim in order to locate any problems (Einstein, 2014, p.1).Potential causes for the problem Not looking into other means of diagnosing, not following the cardiac imaging protocol or critical paths in place, staff members are not held accountable to improve patient safety, enhance efficiencies through standardizations. Lack of physician, floor managers, and charge nurse in-services to make sure staff is following protocol guidelines.Process improvement suggestions to improve the results Ensure cardiac imaging protocols are in place as well as critical paths, meet all staff personal having direct contact with patients are held accountable, schedule monthly in-services, and assign physicians case managers to coordinate and facilitate care with all their patients in order to help facilitate use of technology better and with less risk.ReferencesDEugenio, R. (2012). Key factors linked to lower death rates among patients with heart attacks.(1). Retrieved from http//medicine.yale.edu/news/article.aspx?id=944Einstein, A. J. (2014). Radiation from cardiac imaging tests. Questions you should ask. (1).Retrieved from http//circ.ahajournals.org/content/127/11/e495.fullMeyer, J. A., Silow-Carroll, S., Kut yla, T., Stepnick, L. S., Rybowski, L. S. (2004). HOSPITALQUALITY INGREDIENTS FOR SUCCESSOVERVIEW AND LESSONS LEARNED. Retrieved from http//www.commonwealthfund.org/programs/quality/761_Meyer_hospital_quality_overview.pdfParr, J. T. (2014). Overuse of CT scans adds to cost. fastness Bend Indiana.(1). Retrieved fromhttp//fbindependent.com/overuse-of-ct-scans-adds-to-cost-p2851-89.htm