News In General, October 2017

QUALITY & PATIENT SATISFACTION

The Press Ganey survey returns from July 1, 2017 to Sept 12, 2017 revealed that we are declining in 3 out of the 4 service areas. Let’s get back on track by allowing every patient the opportunity to experience good quality care.

QUALITY PILLAR

Goal: Reduce Hospital Acquired Infections to 15 YTD (As August 31, 2017) – 2 infections (annualized 12) 1 CAUTIs 0 CLABSI 0 Total abdominal hysterectomy surgical site infection 0 Colon surgical site infections

0 C-diff infections 1 MRSA bacteremia How can we keep improving? Addressing foleys for the inpatients after day 2 Reminding staff and physicians about the C-diff protocol Remembering protocols for SSIs and educating staff and patients to prevent infections Encourage proper hand hygiene

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