Treatment Area

Activity Results

Annual Volume Results

Open Heart Surgery

n/a

Percutaneous Coronary Intervention

n/a

Abdominal Aortic Aneurysm Repair

17 (actual volume)

20 (coalition threshold)

Carotid Endarterectomy Surgery

10 (actual volume)

50 (coalition threshold)

Esophagectomy

3 (actual volume)

7 (coalition threshold)

Low Birthweight Infants

32 (actual volume)

70 (coalition threshold)

Infants with Congenital Anomalies

32 (actual volume)

70 (coalition threshold)

Intensive Care Unit Physician Staffing (IPS)

n/a

General Comments on Patient Safety Activities

Rapid Response Team Initiative Potential Error/Event Reporting System (PEERS) Clinical Service Line Management with Monthly Updates via Dashboards BCM2 for PCI IHI 100K lives Keystone ICU Core Indicators (JCAHO, CMS, Trinity Health) BCBS Incentive Program Lean Initiatives in Emergency Dept, Radiology, Surgical Processing, Registration Surgical Intiative - CREW CPOE Medication Reconciliation Vermont Oxford Handwashing Initiatives Employee Initiative for Influenza Vaccination Emergent C-Section Improvement (Time) Blood utilization reduction Governor's Award for AMI, Pneumonia, Heart Failure Development of Stroke Program for JCAHO Disease Certification Program Hill-Rom Versicare Bed Project