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"Intermountain Healthcare has had a successful year in meeting our Clinical Board Goals," said Nancy Nowak, RN, Intermountain's vice president of Clinical Operations and chief nursing officer.
"Our goals have been met, with seven of them meeting the stretch goal," Nowak said. "This is due to the commitment of our administrative and clinical leadership as well as all of our bedside staff. They have changed work processes, monitored and evaluated their efforts, and kept their focus on improving care to our patients. These accomplishments show the commitment of our staff to providing best clinical practice delivered in a consistent and integrated way."
Clinical Program Goals Summary for 2010
Asterisk (*) indicates stretch goal was achieved
| Clinical Area |
Measurement |
Goal/ |
Result |
Behavioral Health
Provide health screenings for patients in inpatient, outpatient, residential, and day treatment behavioral health settings. |
% of patients receiving appropriate care as per goal |
Entry: 10
Target: 20
Stretch: 30 |
85.2* |
Cardiovascular
Improve compliance in Cardiovascular Catheterization Laboratories in six clinical quality areas. |
% compliance with clinical quality areas |
Entry: 80
Target: 90
Stretch: 95 |
96.9* |
Intensive Medicine
Improve patient care and outcomes by increasing staff compliance in the delivery of all 11 clinical components of care (the sepsis bundle) to each patient identified with sepsis. |
% of patients receiving appropriate care as per goal |
Entry: 74
Target: 77
Stretch: 80 |
82* |
Intermountain Homecare
Improve in Medicare's reported quality indicators for rehospitalization rates and emergent care visits. |
Rehospitalization and emergent care visit rates (lower is better) |
Entry: 14.2/14.5
Target: 13.7/14
Stretch: 13.2/13.5 |
13.3/13.0 |
Oncology
Increase the number of cancer patients enrolled in multidisciplinary tumor conferences. |
% improvement compared to current conference enrollment |
Entry: 23
Target: 30
Stretch: 33 |
37.6* |
Patient Safety
Improve hand-hygiene compliance. |
% of staff observed practicing appropriate hand hygiene as per goal |
Entry: 91
Target: 93
Stretch: 94 |
96.4* |
Pediatric Specialties
Increase viral testing for influenza of hospitalized patients with known chronic conditions to determine appropriate placement and treatment. |
% of patients receiving appropriate care as per goal |
Entry: 80
Target: 90
Stretch: 93 |
97* |
Primary Care Clinical Program
Improve management of adult SelectHealth patients with diabetes. |
% of patients receiving appropriate care as per goal |
Entry: 82.1
Target: 83.0
Stretch: 85.0 |
82.3 |
Primary Children's
Improve the rate of central-line-associated blood stream infections in the Pediatric and Cardiac Intensive Care Units. |
# of Infections per 1,000 line days (lower is better) |
Entry: 3.30
Target: 3.12
Stretch: 2.94 |
2.5* |
Rural Facilities
Improve performance on the CMS Surgical Care Improvement Process measure. |
% of patients receiving appropriate care as per goal |
Entry: 79.9
Target: 82.4
Stretch: 83.7 |
79.9 |
Surgical Services
Increase enrollment in the system-wide care process model for patients with colon surgery to improve quality and decrease hospital length of stay. |
% of patients receiving appropriate care (Enrollment and Activity) as per goal |
Entry: 37/15
Target: 47/25
Stretch: 57/35 |
49/58 |
Women & Newborns
Improve the system rate of Ventilator- Associated Pneumonia infections in Level III Newborn Intensive Care Units. |
# of Infections per 1,000 ventilator days (lower is better) |
Entry: <2
Target: <=1.2
Stretch: <1 |
1.3 |
Published in Intermountain Issues during December 2010. For electronic email subscription, please contact Intermountain's Communications Department at 801-442-2836, or email to trusteefeedback@imail.org.