Page 18 - Hoag Orthopedic Institute 2012 Outcomes Report

HOI HAS ACHIEVED 100% COMPLIANCE ON THE FOLLOWING SCIP INDICATORS SINCE DATA COLLECTION BEGAN IN JULY 2011:
• ANTIBIOTIC SELECTION
• APPROPRIATE HAIR REMOVAL
• PERIOPERATIVE TEMPERATURE MANAGEMENT
INFECTION PREVENTION CONTINUED
SURGICAL CARE IMPROVEMENT PROJECT (SCIP)
SCIP measures are the result of a national quality partnership of 10 steering entities, including
the Joint Commission and CMS, dedicated to saving lives and improving surgical care through complication reduction. SCIP’s process-of-care data demonstrate how consistently recommended care was provided to adult patients at participating hospitals. Only “Overall Appropriateness of Surgical Care,” summarizing whether patients received all of the recommended treatments, is not shown as a national comparison has not been available for this composite score.
SCIP protocols for orthopedic care are a major focus of HOI’s quality initiatives. To deliver the best possible care to patients undergoing procedures known to have inherent risks, HOI utilizes the SCIP “Bundle of Care.” This bundle consists of a set of evidence-based interventions in areas with potential for great harm and high cost throughout the episode of care.
Overall Appropriateness of Surgical Care
SCIP MEASURES
• Prophylactic antibiotic received within one hour prior to surgical incision
• Appropriate prophylactic antibiotic selected for surgical patients
• Prophylactic antibiotic discontinued within 24 hours after surgery end time
• Surgery patients on beta blocker therapy prior to arrival who received a beta-blocker during the perioperative period
• Surgery patients with recommended venous thromboembolism prophylaxis ordered
• Surgery patients who received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery
• Overall appropriateness of surgical care
Percent (Higher is Better)
100 96% 80
60
40
20 0
95% 97%
96% 96%
93%
Source: HOI’s MIDAS Comparative Database
18 | HOAG ORTHOPEDIC INSTITUTE
Q4 FY11
Q1 FY12
Q2 FY12
Q3 FY12
Q4 FY12
Overall FY12