Page 17 - Hoag Orthopedic Institute 2014 Outcomes Report

“AT HOI, ANESTHESIOLOGISTS PLAY AN INTEGRAL ROLE IN ENSURING EACH PATIENT IS IN OPTIMAL CONDITION BEFORE SURGERY AND USE THE MOST ADVANCED MEDICATIONS AND TECHNIQUES FOR A SAFE ANESTHETIC AND OPTIMAL PAIN RELIEF FOLLOWING SURGERY.”
LEIGHTON SMITH, MD, ANESTHESIOLOGIST
SURGICAL CARE IMPROVEMENT PROJECT (SCIP)
The Surgical Care Improvement Project is a national quality partnership of organizations interested in improving surgical care. This partnership includes the steering committee
of 10 national organizations, including the Joint Commission and Center of Medicare
and Medicaid Services (CMS), dedicated to saving lives and improving surgical care by significantly reducing surgical complications. SCIP measurements reflect proven best practices and are a major focus of HOI’s quality initiatives.
Studies have demonstrated that the risk of infection increases progressively with greater time intervals between antibiotic administration and skin incision.
Antibiotics within 1 Hour of Incision
This measure of optimal care uses the “all-or-none” methodology to determine if a patient received all of the recommended treatment for which they were eligible. It helps ensure the right care, for every person, every time.
SCIP All Measures All-or-None Bundle
Percent (Higher is Better)
100 93% 96% 99% 80
60 40 20 0
2011 2012 2013
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services – HHS.gov, retrieved December 2013.
This measure focuses on the use of prophylactic antibiotics (those intended to prevent infection) consistent with current guidelines on proper agents, dosing, route of administration, timing, duration and, when appropriate, intraoperative dosing.
Percent (Higher is Better)
100 98% 80
60
40
20 0
98%
100%
99.8%
Antibiotic Selection
Percent (Higher is Better)
100 99% 98% 100% 80
60
40
20 0
99.8%
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services – HHS.gov, retrieved December 2013.
Average for all reporting hospitals in the United States
Average for all reporting hospitals in California
Source: Hoag Orthopedic Institute Midas Reports; Comparative data from U.S. Department of Health and Human Services – HHS.gov, retrieved December 2013.
Hoag Orthopedic Institute Hoag Orthopedic Institute on www.medicare.gov/ FY13
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2014 OUTCOMES REPORT | 17