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Home > Quality and Safety Performance > Overall UMCSN Performance Results

Overall UMCSN Performance Results*


Safe & Effective Care    Cost of Care    What Our Patients Say About Us

SAFE AND EFFECTIVE CARE

Monitoring the care we give helps us evaluate and improve the way we deliver care.  We review areas where experts agree on the best treatment for a certain condition.  (A higher score is better.)

Most Recent Year
UMCSN

Most Recent Year
Median

Target
Overall performance for heart attack care:  Percent of eligible patients getting all the recommended elements of care for heart attack.

80.7%

88.7%

90%
Overall performance for heart failure care:  Percent of eligible patients getting all the recommended elements of care for heart failure.

81.4%

71.7%

90%
Overall performance for pneumonia:  Percent of eligible patients getting all the recommended elements of care for pneumonia.

51.5%

54.7%

90%
Overall performance for surgical infection and complication prevention:  Percent of eligible patients getting all the recommended elements of care for preventing surgical infection and other complications.

55.1%

62.7%

90%
 

Observed

Median

Expected
Overall mortality rate:  Percent of patients that die in the hospital during their inpatient stay. (A lower score is better.)

1.08%

0.97%

1.10%
       

COST OF CARE

Monitoring cost of care is one way we evaluate and improve services. (Click on each underlined measure below for details. A dash “-“ means that there is no comparison.)

      
Average length of hospital stay: The average number of days patients stay in the hospital. (A lower score is better.)

4.64

4.60

4.30
Average charge per hospital stay: The average charge per patient day admitted to UMCSN.  For CY2007. Source, Charge data within source system Case Mix module.

7,971

    
       

WHAT OUR PATIENTS SAY ABOUT US

We ask our patients to rate our care as one way to evaluate and improve our services. A dash “-“ means that there is no comparison. (A higher score is better.)

Observed

Compare Data

Target
% Positive Score:  Hospital rated scores across seven priority areas (ex., physical and emotional comfort, coordination and transition of care, communication, respect, and involvement of family).

45.3%

60.3%

90.0%

 Improvements Implemented

  • We developed a “Code Heart” activation team to respond timely for heart attack patients.
  • We have a full time, 24 hours a day, seven days a week, EKG technologist in the Emergency Department to perform timely EKG’s for potential heart attack patients.
  • Nursing has improved the patient initial assessment and discharge instruction/teaching process.
  • We developed best practice guides/pathways for physicians and nurses.
  • We are automating patient identification process for medications and labs with Care Fusion technology.
  • We have pneumonia protocol that is initiated early in the Emergency Department.

Data Source:                UHC-CDB and Quality and Safety Management Report
Data Extraction Date:    January, 16, 2008

 

* This section will continue to be developed as the number of measures is increased.