2006 Michigan Health and Safety Coalition Consumer Report

Survey Results for Sinai-Grace 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

•••••


183 (actual volume)


200 (coalition threshold)

Percutaneous Coronary Intervention

•••••


264 (actual volume)


400 (coalition threshold)

Abdominal Aortic Aneurysm Repair

•••••


29 (actual volume)


20 (coalition threshold)

Carotid Endarterectomy Surgery

•••••


30 (actual volume)


50 (coalition threshold)

Esophagectomy

••••


5 (actual volume)


7 (coalition threshold)

Low Birthweight Infants

••••


68 (actual volume)


70 (coalition threshold)

Infants with Congenital Anomalies

••••


68 (actual volume)


70 (coalition threshold)

Intensive Care Unit Physician Staffing (IPS)

•••••

n/a

Hospital Comments

Open Heart Surgery

Recent improvement activities include developing a ventilator weaning protocol, Keystone:ICU, and the Surgical Care Improvement Project.

Percutaneous Coronary Intervention

A Cardiovascular Team is focusing on improving the care delivery process for cardiac patients, including PTCA within 90 minutes. Sinai-Grace Hospital was awarded a grant by the Robert Wood Johnson Foundation to participate in the Expecting Success - Excellence in Cardiac Care project. The project focuses on reducing racial and ethnic disparities in the care of targeted diseases, such as cardiovascular disease.

Abdominal Aortic Aneurysm Repair

Initiating a performance improvement initiative to monitor the administration of a beta-blocker prior to induction and prescribing beta-blockers at discharge in 4th quarter 2006.

Low Birthweight Infants and Infants with Congenital Anomalies

Sinai-Grace Hospital adheres to the recommended guidelines for administering at least one dose of antenatal steroids to inborn mothers delivering at 24 through 33 6/7 weeks of gestational age. A PI initiative will be implemented in 4th quarter 2006 to confirm compliance.

Intensive Care Unit Physician Staffing (IPS)

Sinai-Grace Hospital has been fully compliant with the Leapfrog IPS standards since 1983. Sinai-Grace Hospital participates in the Keystone:ICU initiative. Also participate in a Robert Wood Johnson Foundation Grant funded project caled Expecting Success - Excellence in Cardiac Care. This initiative focuses on reducing racial and ethnic disparities in care of targeted diseases such as cardiovascular disease.

General Comments on Patient Safety Activities

-Keystone: ICU -Keystone HAI -Designated Patient Safety Officer & Committee -Executive Patient Safety Rounds -Administrative Ambassador Program - Members of management are in the hospital during off shifts rounding on each nursing unit to address customer satisfaction issues and patient safety.