by Nancy Nowak, RN
Intermountain Healthcare has had a successful year in meeting our Clinical Board Goals. Fully 14 goals have been met, with 11 of them meeting the stretch goal (indicated with an asterisk). Our final results on the Value-Based Purchasing goal will be available mid-February, but we expect to be at target. Our administrative and clinical leadership, as well as all our bedside staff, remain committed to improving care through these best-practice efforts. Our leaders have changed work processes, monitored and evaluated their efforts, and kept their focus throughout the year. These accomplishments show the commitment of our staff to delivering consistent care across our system and across the continuum.
As I retire, I offer my sincere thanks to all of you, as trustees across our system. It has been an honor to work with you and feel your support as we aspire to provide extraordinary care in all its dimensions.
Clinical Program Goals Summary for 2011
Asterisk (*) indicates stretch goal was achieved
| Clinical Area |
Measurement |
Goal/ |
Result |
Behavioral Health
Measure weight and provide education for overweight patients. |
% of patients receiving appropriate care |
Entry: 90/20
Target: 90/30
Stretch: 90/40
(% of patients weighed/
% of patient educated) |
98/56* |
Cardiovascular
Monitor, measure, and report radiation by dose for procedures involving most significant radiation exposure. |
% completion with clinical quality areas |
Entry: 40
Target: 50
Stretch: 60 |
62* |
Intensive Medicine
Attain improved composite rate of compliance in Stroke Care (5 areas of care). |
% compliance with clinical quality areas |
Entry: 73
Target: 76
Stretch: 79 |
87* |
Intermountain Homecare
Improve acute care re-hospitalization rates (lower is better). |
Re-hospitalization rates (lower is better) |
Entry: 12.68
Target: 12.60
Stretch: 12.43 |
11.63* |
Oncology
Adequate pre-operative staging for non-small-cell lung cancer patients treated with thoracotomy. |
% of patients receiving appropriate care |
Entry: 75
Target: 80
Stretch: 85 |
81 |
Patient Safety
Achieve a statistically significant improvement in inpatient falls (lower is better). |
# of falls per 1,000 patient days (lower is better) |
Entry: 4.26
Target: 4.21
Stretch: 4.17 |
3.08* |
Pediatric Specialties
Pediatric asthma inpatients receive written discharge Asthma Action Plan and Teaching. |
% of patients receiving appropriate care |
Entry: 55
Target: 70
Stretch: 80 |
81* |
Primary Care Clinical Program/Select Health
Improve the average HbA1c of adult Select Health patients with diabetes (lower is better). |
% of patients receiving appropriate care |
Entry: 9.41
Target: 9.32
Stretch: 9.23 |
9.21* |
Primary Children's
Reduce central line-associated blood stream infections for Hematology, Oncology and Transplant service (lower is better). |
# of Infections per 1,000 line days (lower is better) |
Entry: 5.13
Target: 4.86
Stretch: 4.05 |
4.02* |
Rural Facilities
Attain statistically and clinically significant reduction in bar-coding medication override rate (lower is better). |
% of patients receiving appropriate care (lower is better) |
Entry: 3.8
Target: 3.4
Stretch: 3.0 |
0.9* |
Select Health
Increase number of medical home sites and SelectHealth physician collaboration. |
Prepare for implementation of Accountable Care Organizations |
Entry: 10 pilot homes
Target: one project
Stretch: 90% satisfaction on goals |
Met target |
Surgical Services
Implement automated system that captures indicators for blood transfusion. |
% of patients receiving appropriate care |
Entry: 75
Target: 85
Stretch: 95 |
96* |
Women & Newborns
Improve compliance with mechanical VTE prophylaxis in antepartum and C-section patients. |
% compliance with clinical quality areas |
Entry: 90
Target: 92
Stretch: 94 |
95* |
Value-Based Purchasing
Achieve statistically significant improvement in Value-Based Purchasing measures. |
% of achievement of CMS goals for VBP |
Weighted Entry: 96.3
Target: 96.7
Stretch: 97.1 |
96.5 (not yet final – results available 2/15/12) |
Published in Intermountain Issues during January 2012. For electronic email subscription, please contact Intermountain's Communications Department at 801-442-2836, or email to trusteefeedback@imail.org.