2006 Michigan Health and Safety Coalition Consumer Report

Survey Results for Beaumont Hospital - Troy

In the Annual Volume Results column, the lower bar always represents the Coalition's recommended volume and the upper bar always represents the hospital's volume. The actual volume numbers are displayed below the bars.

Click the links in the Treatment Area column to view the survey results for a specific treatment.

Treatment Area

Activity Results

Annual Volume Results

Open Heart Surgery

•••••


277 (actual volume)


200 (coalition threshold)

Percutaneous Coronary Intervention

•••••


504 (actual volume)


400 (coalition threshold)

Abdominal Aortic Aneurysm Repair

•••••


36 (actual volume)


20 (coalition threshold)

Carotid Endarterectomy Surgery

•••••


113 (actual volume)


50 (coalition threshold)

Esophagectomy

n/a

Low Birthweight Infants

n/a

Infants with Congenital Anomalies

n/a

Intensive Care Unit Physician Staffing (IPS)

•••

n/a

Hospital Comments

Percutaneous Coronary Intervention

The Emergency Center/Cardiology interdisciplinary work group meets on a regular basis to review care provided to patients with AMI and PCI. Aspirin at discharge and door to balloon time are two of the metrics that are used to measure quality of care. To work towards a goal of PCI within 90 minutes the team has implanted the following: • A communication algorithm between EC staff and cath lab team • EKG audits to improve timeliness • Drill down analysis on outliers is ongoing • Working towards transmission of EKG readings from ambulance providers to EC. 2006 year to date average time for door to balloon is 100 minutes.

Healthcare Failure Mode and Effect Analysis

We performed a HFMEA that included multidisciplinary inpatient departments and a Home Health Care Provider as a method of insuring continuity of patient safety after discharge.

Root Cause Analisys

We are passionately committed to resolving risks identified in our RCA’s and conducting Patient Safety Rounding in affected areas until work plan is implemented and risk is eliminated.

General Comments on Patient Safety Activities

Participation in Keystone ICU Participation in 100k Lives Campaign Participation in National Surgical Quality Improvement Program (NSQIP) Participation in Michigan Surgical Collaborative Initiation of Medical Response Team Implementation of DVT program for medical & surgical adult patients Implementation of evidenced based Sepsis protocol Mandatory Patient Safety Education Modules Journey toward Magnet status Initiated Vocada system for communication of diagnostic test results Alaris Guardrail technology with quality reporting capabilities Implemented SpectraLink phones for improved communication Implementation of Hand ff of patient care form Smoke Free campus as of February 2006.