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A message from Nancy Nowak, chief nursing officer
Intermountain's physicians, clinical staff, and administrative teams have begun implementing the 2011 Clinical Board Goals, which were approved by Intermountain's Board and are detailed below. As with last year, each goal has an "entry-level" goal, a "target" goal, and a "stretch" goal.
Many of the goals this year provide new collaborative opportunities among clinical programs and clinical services such as pharmacy, respiratory, and imaging. Identifying and emphasizing these opportunities allows Intermountain to spread clinical best practices system-wide-which ultimately results in higher quality patient care.
As trustees, please continue to talk with us about these goals and be our partner on all our patient safety and quality initiatives. We appreciate your support!
CLINICAL BOARD GOALS — 2011
Description by Clinical Area
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Goal
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Behavioral Health
Reduce obesity. Measure weight change and provide education for overweight behavioral patients in all settings. The current baseline for recorded weights is 87% and documented education is 3%. |
Entry: 90% recorded weights; 20% documented education
Target: 90% recorded weights; 30% documented education
Stretch: 90% recorded weights; 40% documented education
|
Cardiovascular
Track cumulative radiation exposures and minimize total radiation dosage.
In collaboration with the Intermountain Radiology Program, we will address the ionizing radiation delivered at Intermountain Healthcare facilities. |
Entry: 40% composite completion
Target: 50% composite completion
Stretch: 60% composite completion
|
Intensive Medicine
Improve outcomes for stroke patients. Attain an improved composite rate of compliance for stroke care by implementing five nationally recognized measures for appropriate care. Current compliance rate is 70%. |
Entry: 73% compliance rate
Target: 76% compliance rate
Stretch: 79% compliance rate
|
Intermountain Homecare
Reduce re-hospitalization rates. Improve Intermountain Homecare/Home Health's acute care re-hospitalization rates. The current baseline is 13.12% re-hospitalization. |
Entry: 2.68%
Target: 12.60%
Stretch: 12.43%
|
Oncology
Improve pre-operative staging for lung cancer patients.
Increase the percent of non-small cell lung cancer patients who have pre-operative PET/CT scans prior to surgery. The current baseline is 69%. |
Entry: 75%
Target: 80%
Stretch: 85%
|
Quality & Patient Safety
Reduce patient falls. Attain a statistically significant reduction in the inpatient fall rate for the system. The system baseline is 4.41 falls per 1000 patient days. |
Entry: 4.26 rate/1000 patient days
Target: 4.21 rate/1000 patient days
Stretch: 4.17 rate/1000 patient days
|
Pediatric Specialties
Improve asthma care. Improve asthma care for children between the ages of 2 and 17 admitted to pediatric units by having a written Asthma Action Plan at the time of discharge. The current baseline is 50.4%. |
Entry: 55%
Target: 70%
Stretch: 80%
|
Primary Care Clinical Program
Improve blood glucose levels in patients diagnosed with diabetes.
Improve the average HbA1c test result for SelectHealth patients age 18 and over with diabetes from the October 2010 baseline of 9.76%. |
Entry: 9.41%
Target: 9.32%
Stretch: 9.23%
|
Primary Children's Medical Center
Reduce blood stream infections. Reduce the nosocomial catheter-associated blood stream infection rate for Hematology / Oncology / Transplant service line patients. The current baseline is 5.40 infections per thousand line days. |
Entry: 5% improvement (5.13/1000 line days)
Target: 10% improvement (4.86/1000 line days)
Stretch: 25% improvement (4.05/1000 line days)
|
Rural Facilities
Reduce medication errors. Attain a statistically and clinically significant reduction in the bar-coding medication administration override rate for the rural facilities. The baseline rate is 4.5%. |
Entry: 3.8%
Target: 3.4%
Stretch: 3.0%
|
Surgical Services
Reduce blood transfusions. Implement an automated system that documents the reason a blood transfusion is being ordered for a patient-this is in preparation for a planned reduction in red blood cell usage in 2012. |
Entry: 75%
Target: 85%
Stretch: 95%
|
Women & Newborns
Reduce incidence and complication of blood clots. Improve compliance with mechanical venous thromboembolism prophylaxis in antepartum and cesarean section patients. |
Entry: 90% compliances
Target: 92% compliance
Stretch: 94% compliance
|
SelectHealth
Increase Medical Homes in primary care practices. Increase the number of Medical Home sites, SelectHealth and physician collaboration, and improve patient satisfaction, quality, and efficiency. |
Entry: 10 Medical Home pilots
Target: Complete 1 collaboration project at each new Medical Home
Stretch: Meet 90% satisfaction, quality, and efficiency goals for Medical Home clinics
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