St John Hospital & Medical Center has earned the Blue Cross Blue Shield of Michigan Cardiac Center of Excellence designation for the last several years.

Regarding the improvement of PCI timing, St John Hospital & Medical Center has developed a team consisting of members from the Emergency Department, Cardiac Catheterization Lab, the Cardiology Quality Department and the Nurse Practitioner for the AMIcore measures. This team is using Six Sigma Lean methods/tools to improve the timing of the current door-to-balloon PCI process. A timeline has been developed to achieve PCI timing within 90 minutes.

Beta blocker assessment and standing orders will be implemented for all surgical patients in October 2006 as part of the Surgical Care Improvement Project (SCIP Car). St John Hospital & Medical Center actively participates in the American College of Surgeons (ACS) - sponsored National Surgical Quality Improvement Program (NSQIP), a national, validated, outcomes-based and risk-adjusted program for the measurement and improvement of surgical care. This participation results in the use of comparative performance measurements with national performance to drive continuous quality improvement through identification of variance in observed to expected results, active networking with peer organizations, improvement projects based on data-driven priorities and validation of/adoption of best practices.

St John Hospital & Medical Center actively participates in the American College of Surgeons (ACS) - sponsored National Surgical Quality Improvement Program (NSQIP), a national, validated, outcomes-based and risk-adjusted program for the measurement and improvement of surgical care. This participation results in the use of comparative performance measurements with national performance to drive continuous quality improvement through identification of variance in observed to expected results, active networking with peer organizations, improvement projects based on data-driven priorities and validation of/adoption of best practices.

The benefits of submitting clinical data on esophagectomies to the Society for Thoracic Surgery database is achieved by another option not included in this survey. St John Hospital & Medical Center actively participating in the American College of Surgeons (ACS) - sponsored National Surgical Quality Improvement Program (NSQIP), a national, validated, outcomes-based and risk-adjusted program for the measurement and improvement of surgical care. This participation results in the use of comparative performance measurements with national performance to drive continuous quality improvement through identification of variance in observed to expected results, active networking with peer organizations, improvement projects based on data-drivenpriorities and validation of/adoption of best practices.

For ten, 24-hour periods per month, there is in-house coverage by a board-certified neonatologist qualified in the intensive care of newborns. For the remaining days in the month, senior Pediatric residents are on call and present in house and neonatologists are available on call via phone or arrive at the hospital within 30 minutes of call. D-5: On an ongoing trial basis, for one 24-hour period per week, a neonatal nurse practitioner covers the NICU under the direct supervision of anin-house neonatologist.

St John Hospital & Medical Center has actively participated in the MHA Keystone initiative in all adult ICUs since 2004 In additiion to certified intensivist presence and coverage, the Surgical Intensive Care Unit has certified physician assistant coverage 40 hours/week (8 hours/day for 5 days per week). In addition to certified intensivist presence and coverage, the Medicine Intensive Care Unit has certified physician assistant coverage 24 hours/day, 7 days per week.