Survey Results for Genesys Health System
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.
Hospital Comments
Open Heart Surgery |
Establishment of the Rocky Roll Cardiac Rapid Diagnostic Center to assist with early detection and treatment of heart attacks(April, 2005)
Reduction in average post-surgical ventilation time from over 12 hours to less than 7 hours (Ongoing)
Reduction in time from patient arrival with a heart attack to going for percutaneous cardiac intervention (Door to Balloon Time). Our median time from January - June, 2006 is 80 minutes. (Ongoing)
Implementation of evidence-based medical practices for heart atack and heart failure patients, as well as surgical infection prevention initiatives. (Ongoing)
Reduction in ventilator-associated pneumonias in our Sugical ICU to less than the national average through participation in Keystone evidence-based medical practice initiatives. (Ongoing) |
Percutaneous Coronary Intervention |
Establishment of the Rocky Roll Cardiac Rapid Diagnostic Center to assist with early detection and treatment of heart attacks(April, 2005)
Reduction in time from patient arrival with a heart attack to going for percutaneous cardiac intervention (Door to Balloon Time). Our median time from January - June, 2006 is 80 minutes. (Ongoing)
Implementation of evidence-based medical practices for heart atack and heart failure patients, as well as surgical infection prevention initiatives. (Ongoing)
Implementation of Keystone evidence-based medical practice initiatives in all ICUs. (Ongoing) |
Abdominal Aortic Aneurysm Repair |
All patients are screened for beta-blocckers prior to induction as part of our Anesthesia protocol. However, we do not have a measurement.
Member of the Michigan chapter of the National Surgical Quality Improvement Project that focuses on general and vascular surgery. Attention is to mortality, morbidity and other patient outcomes. |
Carotid Endarterectomy Surgery |
Member of the Michigan chapter of the National Surgical Quality Improvement Project that focuses on general and vascular surgery. Attention is to mortality, morbidity and other patient outcomes. |
Intensive Care Unit Physician Staffing (IPS) |
Reduction in average post-surgical ventilation time from over 12 hours to less than 7 hours (Ongoing)
Reduction in ventilator-associated pneumonias in our Sugical ICU to less than the national average through participation in Keystone evidence-based medical practice initiatives. (Ongoing)
Implementation of Keystone evidence-based medical practice initiatives in all four of our ICUs. (2005)
Reduction in medication delivery times due to revised medication delivery process. (2006)
Implementation of a Bed Tracking System to allow improved throughput in the ICUs. (September, 2006)
- Added additional critical care beds
- Centralized medication distribution
- Pyxis Connect (faxing physician orders)
- Medication Reconciliation
- SBAR Communication
- Sharps Injury Reduction
- Hand-off Communication between shifts
- Signature Care
- GEMS Computerized Documentation - Several upgrades
- Implementing new physiological monitoring
- Ergologix: Lift Equipment Installation
- Barton Chairs implemented
- Bed ready project to help with thru-put
- SKINN - pressure ulcer prevention
- VTE
- Fall Prevention program
- Reducing ventilator associated pneumonias (VAP)
- Reducing nosocomial Blood Stream Infection (BSI)
- Daily Goals
- Multidisciplinary Rounds
- Glycemic Control
- Sepsis Bundle : MULTIPLE COMPONENTS
- Central Line Policy
- Role of Clinical Facilitator
- Addressing 1:1 critera (staffing)
- Developing ICU Admission Order Set
- ICU Family Guidelines: provides critical care education for families
- Visitation policy
- Implementing pagers for ICU pts' families
- Pain Management
- NTICU: Collaborative - Formed to address QI, M & M, etc., for trauma certification
- Family Interaction Conferences
- SICU: CRRT Services implemented
Improvements around Bivad procedures
Sternal Incision Infection project
Peridex Project
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General Comments on Patient Safety Activities |
-Implementation of Executive Patient Safety WalkRounds
-Implementation of Bed Tracking System to improve patient throughput
-Implementation of Ascension Health Priorties for Action to eliminate unnecessary deaths and injuries (perinatal safety, patient falls, rapid response team, reducing harm in the ICUs, skin breakdown, DVT/PE prevention)
-Participating in Ascension Health project concerning medication management (SMART2)
-Compliance with National Quality Measures (acute myocardial infarction, heart failure, pneumonia, sugical care improvement)
-Added additional critical care beds
- Centralized medication distribution
- Pyxis Connect (faxing physician orders)
- Medication Reconciliation
- SBAR Communication
- Sharps Injury Reduction
- Hand-off Communication between shifts
- Signature Care
- GEMS Computerized Documentation - Several upgrades
- Implementing new physiological monitoring
- SCIP
- Ergologix: Lift Equipment Installation
- Barton Chairs implemented
- Bed ready project to help with thru-put
- Reducing ventilator associated pneumonias (VAP)
- Reducing nosocomial Blood Stream Infection (BSI)
- Daily Goals
- Multidisciplinary Rounds
- Glycemic Control
- Sepsis Bundle : MULTIPLE COMPONENTS
- Central Line Policy
- Role of Clinical Facilitator
- Addressing 1:1 critera (staffing)in ICUs
- Developing ICU Admission Order Set
- ICU Family Guidelines: provides critical care education for families
- Visitation policy
- Implementing pagers for ICU pts' families
- Pain Management
- NTICU: Collaborative - Formed to address QI, M & M, etc., for trauma certification
- Family Interaction Conferences
- SICU: CRRT Services implemented
Improvements around Bivad procedures
Sternal Incision Infection project
Peridex Project
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