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

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.

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.

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.