2006 Michigan Health and Safety Coalition Consumer Report

Survey Results for St. Joseph Mercy Oakland

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

•••••


293 (actual volume)


200 (coalition threshold)

Percutaneous Coronary Intervention

•••••


1145 (actual volume)


400 (coalition threshold)

Abdominal Aortic Aneurysm Repair

•••••


28 (actual volume)


20 (coalition threshold)

Carotid Endarterectomy Surgery

•••••


73 (actual volume)


50 (coalition threshold)

Esophagectomy

••••


1 (actual volume)


7 (coalition threshold)

Low Birthweight Infants

•••••


59 (actual volume)


70 (coalition threshold)

Infants with Congenital Anomalies

•••••


59 (actual volume)


70 (coalition threshold)

Intensive Care Unit Physician Staffing (IPS)

•••••

n/a

Hospital Comments

Open Heart Surgery

SJMO is using a "Fast Track" protocol to decrease ventilation time for CABG patients who are without surgical or respiratory complications or comorbidities. These patients are extubated within 12 hours after surgery reducing vent-related infections.

Percutaneous Coronary Intervention

Continuous improvements in both the Emergency Department and the Cardiac Cath Lab have resulted in median "door-to-balloon" times under 80 minutes (the guideline is less than 90 minutes) for the last quarter.

Abdominal Aortic Aneurysm Repair

The two Leapfrog guidelines regarding use of beta-blockers in AAA repairs have been added to the key indicators reviewed monthly by the medical staff quality committees to ensure adherence.

Intensive Care Unit Physician Staffing (IPS)

The Fundamentals of Critical Care course provided by the Society of Critical Care Medicine has been shared with all ICU staff, physician residents, and other patient care personnel. This training will be repeated for each new staff/resident addition. SJMO ICU staff is participating in the Keystone state-wide project (sponsored by the Mich. Hosp. Assoc. & John Hopkins) and has completed the Daily Goals project and the Vent Bundle project. About to implement the Minimizing Blood Stream Infection project. Completed projects have resulted in a decrease in ICU length of stay by 1.2 days and a ventilator-acquired pneumonia rate below Keystone target.

General Comments on Patient Safety Activities

1)Corporate wide “Culture of Safety” Survey 2)On-line incident reporting system 3)Rapid response team 4)ICU Keystone 5)IHI 1,000,000 Lives Saved 6)Medication reconciliation 7)Implementing Genesis – Electronic medical records 3/07