CMS Clinical Value Based Purchasing Compliance: Value-Based Purchasing, a Center for Medicare and Medicaid initiative, will reward (reimburse) hospitals, including Greenville Health System, for delivering high-quality care, treating their patients with respect and compassion, and ensuring they have the opportunity to participate in decisions about their treatment. In 2012, it will incorporate 12 clinical process-of-care measures. It also will use eight measures from our patient satisfaction survey - Consumer Assessment of Healthcare Providers and Systems (HCAHPS).
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Our goal is 98.0% (Top Quartile).
Patient Safety Culture Survey: Key to Patient Safety is the development of an organization wide culture of safety. This is best measured using the AHRQ Patient Safety Culture Survey tool with standardized results and benchmarks. The results of our survey were previously reported, but opportunities existed in the areas of improving communication and teamwork across units and the creation of a “Just Culture”.
Our goal is 68.2% (Top Quartile). The survey will be conducted in August 2012. For more information, see the January 2012 quarterly report beginning on page 6. Link is above.
Hand Hygiene: We strive to eliminate infections. Infection rate targets are established annually to promote continuous improvement. The benchmark is typically obtained from the National Healthcare Safety Network (NHSN), a national surveillance program sponsored by the Center for Disease Control and Prevention (CDC), in which GHS participates. There are no national benchmarks for hand hygiene and multi-drug resistant organisms. Targets were established for these infections based on internal data.
Hand hygiene remains the hallmark of infection prevention and was identified as a GHS organization wide goal for FY 2010. Compliance rates around the country typically run around 30% to 70%. There are no national benchmarks, but the literature suggests a critical target of 90% compliance.
For up to date information on hand hygiene see the January 2012 quarterly report, page 15. Link is above.