Performance Reports
St.Vincent Dunn Hospital publicly reports data to various companies and government agencies:
Anthem Quality Survey:
This survey is designed to inform Anthem about the practices and patient outcomes for patient care services provided by St.Vincent Dunn Hospital and its physicians. Data collection includes hospital demographic and statistical data, quality improvement information, disease specific outcome statistics and patient safety information. Anthem analyzes and scores the data. The data scores are used to identify individual hospital opportunities to improve their care processes, as well as assist all Anthem-insured hospitals and health care providers in the development of best practice protocols and guidelines. How well a hospital performs on their individual scorecard may also impact how the Hospital is reimbursed.
St.Vincent Dunn Hospital submits the requested data on an annual basis to Anthem.
5 Million Lives Campaign:
The Institute for Healthcare Improvement (IHI) is a not-for-profit organization leading the improvement of health care throughout the world. IHI was founded in 1991 and is based in Cambridge, Massachusetts. IHI's work is funded primarily through our own fee-based program offerings and services, and also through the generous support of a distinguished group of foundations, companies, and individuals.
IHI is a reliable source of energy, knowledge, and support for a never-ending campaign to improve health care worldwide. The Institute helps accelerate change in health care by cultivating promising concepts for improving patient care and turning those ideas into action.
We will improve the lives of patients, the health of communities, and the joy of the health care workforce. We will accelerate the measurable and continual progress of health care systems throughout the world toward:
- Safety
- Effectiveness
- Patient-Centeredness
- Timeliness
- Efficiency
- Equity
We will be a recognized and generous leader, a trustworthy partner, and the first place to turn for expertise, help, and encouragement for anyone, anywhere who wants to change health care profoundly for the better. You can contact the Campaign at www.ihi.org/IHI/About
St.Vincent Dunn Hospital submits the following data to the campaign:
- Acute Myocardial Infarction
- Inpatient Mortality Ranges
- Central Lines Bundles
- Rapid Response Team Data
The Leapfrog Group:
The Leapfrog Group is an initiative driven by organizations that buy health care who are working to initiate breakthrough improvements in the safety, quality and affordability of healthcare for Americans. Leapfrog is a member supported program aimed at mobilizing employer purchasing power to alert America’s health industry that big leaps in health care safety, quality and customer value will be recognized and rewarded.
A 1999 report by the Institute of Medicine gave the Leapfrog founders an initial focus – reducing preventable medical mistakes. The report found that up to 98,000 Americans die every year from preventable medical errors made in hospitals alone. In fact, there are more deaths in hospitals each year from preventable medical mistakes than there are from vehicle accidents, breast cancer and AIDS. The report recommended that large employers provide more market reinforcement for the quality and safety of health care. Leapfrog’s founders realized that they could take “leaps” forward with their employees, retirees and families by rewarding hospitals that implement significant improvements in quality and safety. The Leapfrog Group’s growing consortium of major companies and other large private and public healthcare purchasers provide health benefits to more than 37 million Americans in all 50 states. Leapfrog members and their employees spend tens of billions of dollars on health care annually. Leapfrog members have agreed to base their purchase of health care on principles that encourage quality improvement among providers and consumer involvement. If all hospitals implemented just the first three of Leapfrog’s four “leaps” or recommended quality and safety practices: over 65,000 lives could be saved, more than 907,000 medication errors could be avoided (Birkmeyer 2004), and up to $41.5 billion could be saved (Conrad 2005) each year.
The Mission
The Leapfrog Group’s mission is to trigger giant leaps forward in the safety, quality and affordability of health care by:
Four Leaps in Hospital Quality, Safety and Affordability
A range of hospital quality and safety practices are the focus of Leapfrog’s hospital ratings via the Leapfrog Hospital Quality and Safety Survey, as well as our hospital recognition and reward programs. Endorsed by the National Quality Forum (NQF), the practices are: computer physician order entry; evidence-based hospital referral; intensive care unit (ICU) staffing by physicians experienced in critical care medicine; and the Leapfrog Safe Practices Score. Survey. To view hospitals ratings, visit http://www.leapfroggroup.org/cp or www.leapfroggroup.org.
St.Vincent Dunn Hospital submits data on an annual basis to the Leapfrog Survey in the areas applicable to our facility.
CMS:
Quality measures are used to gauge how well an entity provides care to its patients. Measures are based on scientific evidence and can reflect guidelines, standards of care, or practice parameters. A quality measure converts medical information from patient records into a rate or percentage that allows facilities to assess their performance. Quality measures are used in several activities under the Hospital Quality Initiative (HQI), most notably for the Hospital Compare website. Quality measures are used in other CMS hospital quality initiatives such as the Premier Hospital Quality Incentive Demonstration. More information on hospital quality measures can be found by accessing links below. www.cms.hhs.gov
Hospital Compare:
This tool provides you with information on how well the hospitals in your area care for all their adult patients with certain medical conditions. Hospital Compare was created through the efforts of the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services, and other members of the Hospital Quality Alliance: Improving Care Through Information (HQA). The information on this website has been provided primarily by hospitals that have agreed to submit quality information for Hospital Compare to make the information public. This information will help you compare the quality of care hospitals provide. Talk to your doctor about this information to help you, your family and your friends make your best hospital care decisions. You can visit the hospital compare site at www.hospitalcompare.hhs.gov
Indiana Hospital Association: (Comparative Outcome Program)
The Comparative Outcome Profile is a collection of quarterly reports that can put quality indicators into perspective. The profile allows Indiana hospitals to compare data they commonly capture -- indicators on mortality, unplanned events, infections, deliveries, and behavioral health patients.
Adjunct to Quality Improvement:
The profile reports are becoming a key component of hospitals' quality improvement process. They help answer the most frequent quality question of chief executive officers and governing boards - "How do we compare?" The Comparative Outcome Profile initiative was launched in 199l to address the need in Indiana for reliable, meaningful quality benchmarks. The profile reports can:
- provide focus to quality assessment or assurance activities.
- open communications with the medical staff and assist in practice pattern analysis.
- give governing boards benchmarks on patient care outcomes.
- pave the way for dialogue with surveying agencies, payers, and patients requesting information on the quality of care.
- Data collection began in 1993, and a steering committee continues to refine data element definitions, to assure the integrity of the comparisons.
Release of the COP data is currently limited to participating hospitals. St.Vincent Dunn Hospital particulates in this program by submitting data on the following disease processes:
- Acute Myocardial Infarction
- Heart Failure
- Pneumonia
- Surgical Care Infection Project
- Out Patient Chest Pain
- Out Patient Myocardial Infarction
- Out Patient Surgery
National Cardiovascular Data Registry (NCDR)
NCDR® is the recognized resource for measuring and quantifying outcomes and identifying gaps in the delivery of quality cardiovascular patient care in the United States. Its mission is to improve the quality of cardiovascular patient care by providing information, knowledge and tools, implementing quality initiatives; and supporting research that improves patient care and outcomes.
ACTION Registry-GWTG
ACTION Registry®–GWTG™ is an outcomes-based quality improvement program that helps participating facilities measure and improve care for high-risk myocardial infarction (MI) patients with STEMI or NSTEMI. Created by the merger of the NCDR® ACTION Registry® and the American Heart Association (AHA) Get With The GuidelinesSM-CAD program, ACTION Registry–GWTG combines the best of both programs into a single, unified national registry.
CathPCI Registry
The CathPCI Registry® is a risk-adjusted, outcomes-based, national quality improvement program that helps participating facilities measure and improve care for patients receiving diagnostic catheterizations and/or coronary interventions in the cardiac catheterization laboratory. It was the first in a growing suite of cardiovascular data registries under the auspices of NCDR®, the largest, most comprehensive cardiovascular patient data repository in the U.S.