Survey Results for Central Michigan Community Hospital

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	n/a
Percutaneous Coronary Intervention	n/a
Abdominal Aortic Aneurysm Repair	•	4 (actual volume) 20 (coalition threshold)
Carotid Endarterectomy Surgery	•	19 (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

Intensive Care Unit Physician Staffing (IPS)	Implemented MHA's Keystone ICU QI Collaborative
Root Cause Analisys	Key staff maembers have been trained on RCA. We utilize a Quality Consultant to lead teams through RCA when needed.
General Comments on Patient Safety Activities	1. Implementation of bar coding to reduce medication errors 2. Compliance with National Patient Safety Goals 3. S-Bar Communication Strategies 4. Fall Prevention 5. Wrong-site Procedure Compliance 6. Sentinel event reaction and reporting process 7. Corrective and Preventive Action Database

Survey Results for Central Michigan Community Hospital

Treatment Area

Activity Results

Annual Volume Results

Hospital Comments

Intensive Care Unit Physician Staffing (IPS)

Root Cause Analisys

General Comments on Patient Safety Activities