MOST WIRED King’s Daughters recognized for information technology. Page 4
100 PERCENT GOAL REACHED All King’s Daughters bedside nurses now ACLS certified. Page 4 KING’S DAUGHTERS MEDICAL CENTER
KDMC Times W W W. K D M C . C O M
IT’S ALL ABOUT QUALITY
King’s Daughters earns Healthgrades’ top awards Cardiac • One of America’s 100 Best Hospitals for Cardiac Surgery™ for 2013 • Cardiac Surgery Excellence Award™ for 2013 • Ranked Among the Top 10 percent in the Nation for Cardiac Surgery for 2013 • Five-Star Recipient for Coronary Bypass Surgery in 2013 NeuroMedicine • Five-Star Recipient for Treatment of Stroke - Two Years in a Row (2012-2013) Emergency Medicine • Emergency Medicine Excellence Award™ Three Years in a Row (2010-2012) • Ranked Among the Top 5 percent in the Nation for Emergency Medicine - Three Years in a Row (2010-2012)
Achieving quality outcomes requires teamwork from multiple departments. KDMC’s Critical Care team includes Intensive Care Unit nurses and physicians, pharmacists, pathologists and social workers all working toward a common goal.
ing’s Daughters Medical Center has received numerous quality awards from Healthgrades, the nation’s leader in helping consumers make informed choices about America’s healthcare providers. KDMC achieved recognitions in cardiac care, cardiac surgery, neuromedicine, critical care and pulmonary services and emergency medicine.
Cardiac Care KDMC received Healthgrades’ Cardiac Surgery Excellence AwardTM for 2013 and was named one of America’s Best 100 Hospitals for cardiac surgery. Healthgrades ranked KDMC among the Top 10 percent in the Nation for Cardiac Surgery and recognized the facility for achievements in overall cardiac services, cardiology services and coronary interventional procedures. KDMC also achieved a fivestar rating for coronary bypass surgery. The Healthgrades achievements were announced in late October. Stroke Care/Neuromedicine King’s Daughters also received a five-star rating for the treatment of stroke for the second year in a row. In addition to the Healthgrades honor, KDMC’s stroke program has achieved accreditation from Joint Commission as a primary stroke center and has earned Get With the Guidelines Gold Plus Awards and Target: Stroke Honor Roll designations from the American Heart/Stroke Association. Critical Care and Pulmonary Services The Medical Center received numerous awards relating to its critical care and pulmonary medicine programs, including the Pulmonary Care Excellence AwardTM. It’s the fourth year in a row KDMC has received this distinction. Additionally, KDMC was ranked among the Top 10 percent in the Nation for Overall Pulmonary Services and received a fivestar rating for overall pulmonary services. Individual five-star
awards for treatment of chronic obstructive pulmonary disease (three years), treatment of pneumonia (five years), treatment of sepsis (three years), and treatment of respiratory failure (nine years) were also awarded. Emergency Medicine King’s Daughters received Healthgrades’ Emergency Medicine Excellence AwardTM for the third year running and was ranked among the Top 5 Percent in the Nation for Emergency Medicine for the third consecutive year. Additionally, KDMC’s emergency medicine program received Healthgrades’ five-star rating, also for the third consecutive year. Healthgrades quality ratings are designed to help patients understand hospital quality and the impact of quality on outcomes, mortality rates and preventable complications. Healthgrades ratings are based on objective measures of quality, including the number of patients who experienced complications or died as a result of their procedure or treatment. Hospitals that achieve five-star ratings produced better than expected outcomes; three stars indicate outcomes as expected; one-star ratings represent worse than expected outcomes. The risk of complications and death can be significantly lower at hospitals recognized with five stars. Healthgrades reviewed King’s Daughters performance in 27 specialties, including cardiac care, critical care, neurosciences, orthopedics, pulmonary care and vascular care. For more information on Healthgrades and its hospital assessment program, visit healthgrades.com.
• Five-Star Recipient for Emergency Medicine Three Years in a Row (2010-2012) Critical Care & Pulmonary Services • Pulmonary Care Excellence Award™ Four Years in a Row (2010-2013) • Ranked Among the Top 10 percent in the Nation for Overall Pulmonary Services - Four Years in a Row (2010-2013) • Five-Star Recipient for Overall Pulmonary Services - Four Years in a Row (2010-2013) • Five-Star Recipient for Treatment of Chronic Obstructive Pulmonary Disease - Three Years in a Row (2011-2013) • Five-Star Recipient for Treatment of Pneumonia - Five Years in a Row (2009-2013) • Five-Star Recipient for Treatment of Sepsis Three Years in a Row (2011-2013) • Five-Star Recipient for Treatment of Respiratory Failure Nine Years in a Row (2005-2013)
Recognitions by Cardiac • One of America’s 100 Best Hospitals for Cardiac Surgery™ for 2013 • Cardiac Surgery Excellence Award™ for 2013 • Ranked Among the Top 10% in the Nation for Cardiac Surgery for 2013 • Five-Star Recipient for Coronary Bypass Surgery in 2013 NeuroMedicine • Five-Star Recipient for Treatment of Stroke Two Years in a Row (20122013)
Emergency Medicine • Emergency Medicine Excellence Award™ Three Years in a Row (20102012)
• Five-Sta Pulmon Row (20
• Ranked Among the Top 5 percent in the Nation for Emergency Medicine Three Years in a Row (2010-2012)
• Five-Sta of Chro Disease 2013)
• Five-Star Recipient for Emergency Medicine Three Years in a Row (20102012)
• Five-Sta Pneumo 2013)
Critical Care & Pulmonary Services • Pulmonary Care Excellence Award™ Four Years in a Row (2010-2013) • Ranked Among the Top 10 percent in the Nation for Overall Pulmonary Services Four Years in a Row (20102013)
• Five-Sta Sepsis T 2013)
• Five-Sta Respira Row (20
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ar Recipient for Treatment of onia Five Years in a Row (2009-
ar Recipient for Treatment of Three Years in a Row (2011-
ar Recipient for Treatment of atory Failure Nine Years in a 005-2013)
To learn more about these awards, visit kdmc.com
KING’S DAUGHTERS MEDICAL CENTER
Quality at every turn Team KDMC strives to improve in all areas How you define healthcare quality depends on who you are. For patients, the definition includes questions like, “Did I get better … and how quickly?” “Were people nice to me and my family?” “Was my pain controlled?” “How quickly did they get me discharged?” For healthcare providers, the quality equation includes all of the above plus measurements of safety, infection control, speed, effectiveness, efficiency and value. The entire team at King’s Daughters is focused on all dimensions of quality – both from the patient’s perspective and from an outcomes aspect. From 2010 to 2012, KDMC reduced catheterassociated urinary tract infections by more than 70 percent; central line associated blood stream infections by 100 percent (to zero); and wrong site/wrong patient/ or wrong procedure surgeries to zero for two years running. New Theradoc software implemented in 2012 has increased efficiency in monitoring and reporting infections while helping avoid drug/bug mismatches. We improved performance in 11 clinical and eight service areas measured as a part of Medicare’s value based purchasing program. As a result, KDMC’s performance score (as measured by the Center for Medicare/Medicaid Services) rose to 67.71 against a national average of 53.76. The cancer program earned Three-Year Approval with Commendation from the American College of Surgeons Commission on Cancer. The Cancer Resource Center was recognized by the ACOS as a Comprehensive Community Cancer Program. Our stroke program received three important quality
recognitions in 2012: Joint Commission accreditation as a Primary Stroke Center; the American Heart/Stroke Association’s Gold Plus Get With the Guidelines award; and Target: Stroke Honor Roll. Eighty percent of stroke patients coming to KDMC receive tPa – a clot busting drug – within 60 minutes of arrival. National best practice is 50 percent, so our performance of 80 percent is exceptional. Our average door-to-needle time for stroke patients is just 51 minutes. The heart and vascular programs continue to produce exceptional patient outcomes. King’s Daughters average
door-to-balloon time for heart attack patients was 52 minutes, with 95 percent of patients receiving PCI within 90 minutes. KDMC also received the American Heart Association’s GWTG Gold Award for the treatment of heart failure and earned Society of Cardiovascular Patient Care accreditation for the treatment of heart failure. Since 2008, KDMC has reduced inpatient mortality for heart failure patients by 67 percent. No matter where you turn, KDMC is working hard to deliver world-class care, and quality, to our communities.
Improving quality at the bedside All KDMC nurses achieve ACLS certification
Members of KDMC’s Information Services and Technology department.
Technology a driving force for seamless patient care One of the most profound changes occurring in healthcare today is the Electronic Medical Record – or EMR. An EMR contains all of a patient’s health information – records of lab tests, radiology exams, physician visits, hospital stays, surgeries, treatments and medications. EMRs allow physicians and other healthcare providers to access important information about patients at the point of care – whether the patient is being seen in the physician office or the emergency department. This functionality greatly increases quality and improves patient safety. King’s Daughters was recently recognized by Hospital & Health Networks Magazine as one of the nation’s Most Wired for Health Information Technology. KDMC started its EMR journey in late 2008 and has recently implemented the last major module of the system. King’s Daughters selected the Epic™ system for its physicians and facilities. “Epic continually improves quality outcomes for our patients,” said Cathy CooperWeidner, vice president and chief of Information Technology. Epic is used daily by hundreds King’s Daughters practitioners in more than 60 offices across all specialties within the medical center and at locations throughout the region.
“The progress King’s Daughters has made with respect to information technology and the electronic health record in such a short period of time is remarkable.”
It’s a fact that Advanced Cardiac Life Support training saves lives. The American Heart Association has found that patients in cardiac arrest have a 6.4 percent better chance of survival with ACLS than with conventional CPR. So most hospitals require their critical care nurses to be ACLS certified. But King’s Daughters Medical Center has taken this a step further – requiring all bedside nurses to be ACLS certified. “We established 100 percent ACLS certification as a goal for fiscal year 2012,” said Angela Graham, R.N., director of Quality Outcomes at KDMC. From January to June, 679 bedside nurses earned the certification. Today, every bedside nurse – from the Behavioral Medicine Unit to Respiratory Stepdown, from Emergency to Surgery – is ACLS certified, 788 nurses total. New nurses joining the organization have six months to earn the certification, Graham noted. “ACLS certification is about quality,” Graham said, “because it gives bedside nurses additional knowledge and skills to better monitor their patients and make critical decisions about their conditions in a proactive way.” Since the ACLS initiative started, the number of Code Blues has decreased significantly, while nurses are proactively transferring those whose conditions are worsening into critical care. Coupled with KDMC’s rapid response team, called the ACT Team, results have been significant. Earlier this year, KDMC received the nation’s first-ever American Heart Association’s Get with the Guidelines: Resuscitation Bronze Award, Graham noted.
—Cathy Cooper-Weidner vice president and chief of Information Technology “The progress King’s Daughters has made with respect to information technology and the electronic health record in such a short period of time is remarkable,” Cooper–Weidner said. The nation’s Most Wired hospitals use health information technology to improve performance in managing population health, reconciling medications, reviewing quality and optimizing patient flow and communication. An additional benefit of the EMR is MyChart™, which enables secure patient access to their personal health information.
Some of KDMC’s 788 ACLS certified bedside nurses. One of the Medical Center’s goals in 2012 was to achieve 100 percent certification of bedside nurses.