Washington Hospital 2010 Annual Quality Report - (Page 8)

Focusing on improvement Tracking our Core Measure performance AT WASHINGTON HOSPITAL, WE CONTINUOUSLY MONITOR AND ANALYZE OUR PERFORMANCE RELATED TO CORE MEASURES SET BY THE JOINT COMMISSION AND THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS). For the past nine years, these organizations have monitored hospital performance related to proven therapies for conditions that contribute to a majority of U.S. hospitalizations. Each measure tracks a combination of evidence-based procedures that, when consistently implemented, have been shown to reduce the risk of complications and recurrences. Tracking and analyzing these measures helps hospitals improve quality by focusing on the health care delivery process and the results of care. Core measurement areas include heart attack, heart failure, pneumonia and prevention of surgical infections. Historically, our Hospital has nearly always met or exceeded national and state benchmarks for all Core Measures, often scoring 95 percent or higher. CMS considers hospitals scoring 95 percent or higher on any of the measures to be in the top 10 percent nationwide. As part of our Hospital’s Dashboard of Quality Indicators, we report the latest results of Core Measure tracking to our Board of Directors on a quarterly basis. These reports are available to the public in video format on our Web site www.whhs.com. Analysis of the Measures is an ongoing, evolutionary process, and we recognize there is always room for improvement. When a score is not at goal, we review and analyze the root cause and formulate steps we will take to improve. Improving our performance At Washington Hospital, meeting or exceeding the Core Measure standards set by The Joint Commission is an ongoing, evolutionary process, and there is always room for improvement. Stephanie Williams, RN, MHA, CPHQ, NE-BC, Chief of Quality and Resource Management 8  http://www.whhs.com

Table of Contents for the Digital Edition of Washington Hospital 2010 Annual Quality Report

Washington Hospital 2010 Annual Quality Report
Mission Statement
Setting Our Quality Goals
Our Total Commitment
Inspiring Change Through Excellence
Collaborating for Quality and Safety
Promoting Safety
Assuring a Safe Place for Patients
Focusing on Improvement
Cultivating Quality
Advancing Excellence in Nursing
Connecting Evidence-based Practice to Quality Outcomes
Teaming Up for Higher Quality and Greater Efficiency
Learning From Our Patients
Innovation That Builds Quality
Recognized for Quality
Raising the Bar on Quality

Washington Hospital 2010 Annual Quality Report

https://www.nxtbookmedia.com