Page 24 - Hoag Orthopedic Institute 2015 Outcomes Report

“PATIENTS’ VERBAL AND WRITTEN FEEDBACK ABOUT THE RELAXATION KITS HAS BEEN OVERWHELMINGLY POSITIVE, WITH SOME EVEN COMPARING THEIR HOI STAY TO A FIVE-STAR HOTEL OR LUXURIOUS BOUTIQUE.”
SOPIDA ANDRONACO, BSN, RN, PHN, DIRECTOR OF PERFORMANCE IMPROVEMENT AND CLINICAL OUTCOMES
PERFORMANCE IMPROVEMENT CONTINUED
NOISE REDUCTION
Measuring hospital noise level is an important aspect of our patient satisfaction survey. HOI’s survey revealed that some patients were bothered by squeaky wheels, doors opening and closing, and other noises that the staff had grown accustomed to but prevented rest during the patient’s hospital stay.
A multidisciplinary team was created to look
at ways to reduce the noise level and promote a quiet, healing atmosphere. Key steps in this project included educating and involving staff in opportunities to identify and decrease the noise level and unnecessary noise. HOI implemented quiet times to further ingrain a healing environment as an organizational goal.
To continue to enhance the patient experience, HOI staff devised, assembled and in May 2014 began distributing Relaxation Kits to hospitalized patients. The kit contains earplugs, satin light- blocking sleep masks, soothing herbal tea to promote sleep, and a message inviting guests
to view the 12 different calming, scenic videos found on their televisions. Patients’ verbal and written feedback on the Relaxation Kits has been overwhelmingly positive, with some even comparing their HOI stay to that of a five-star hotel or luxurious boutique.
JOINT REPLACEMENT LEARNING COMMUNITY
HOI was one of 32 orthopedic groups participating in the 2014 Institute for Healthcare Improvement (IHI) Joint Replacement Learning Community (JRLC). Organizations from across the U.S. as well as international groups participated in the 12-month learning community on measuring outcomes and reducing costs for knee and hip replacements, with the goal of ensuring high-value care.
Faculty from IHI and Harvard Business School taught participants how to perform time-driven activity-based costing and improve clinical outcomes. While focusing on hip and knee replacement, the HOI project team adapted the methodology to other orthopedic procedures, and applied it to further refine HOI’s bundled payment program.
As a result, HOI’s joint class participation rose, discharge disposition to home increased, and HOI’s cost savings, annualized, is estimated to exceed $700,000.
24 | HOAG ORTHOPEDIC INSTITUTE