June 25, 2015
Strong Memorial Hospital, Elizabethtown Community Hospital, Silvercrest Center for Nursing and Rehabilitation Recognized for Outstanding Quality Improvement Programs
BOLTON LANDING, N.Y.—Celebrating significant achievements in improving patient care and outcomes, the Healthcare Association of New York State (HANYS) presented its Pinnacle Award for Quality and Patient Safety to Strong Memorial Hospital, Elizabethtown Community Hospital, and the Silvercrest Center for Nursing and Rehabilitation.
"The award winners—and all 113 applicants—show the diverse and innovative ways our hospitals and health systems across the state are transforming and improving care for a safer and better patient experience," said HANYS President Dennis Whalen.
IMPACT: Inpatient Multidisciplinary Pediatric Asthma Care Team at Strong Memorial Hospital in Rochester received HANYS' Pinnacle Award for Quality and Patient Safety for the category of Hospital System or Hospital with 100 Beds or More.
Front-line clinicians identified an opportunity to improve outcomes by standardizing care for children with asthma through an inpatient "admission-to-discharge" clinical pathway. A standardized respiratory scoring system helps facilitate communication between members of the care team, and administration of asthma medication was altered based on recent evidence of toxicity and side effects. Inter-professional online education was provided to nurses, residents, and attending physicians, and tools were built into the electronic medical records to facilitate the pathway. As a result of this initiative, the length of stay for children admitted with an asthma exacerbation shortened by nearly 35%, and variability in care of pediatric asthma patients decreased.
University of Vermont Health Network-Elizabethtown Community Hospital received HANYS' Pinnacle Award for Quality and Patient Safety for the category of Hospital with Less than 100 Beds for its Care Transitions Program to Reduce Reductions.
Identifying that critical access hospitals and their patients have readmissions challenges, the hospital developed and coordinated a care transitions program, including a community-based care transition committee. A hospital care transition program was developed for patients preparing for discharge and a coach was trained to initiate and implement care plans, coaching calls, medication reconciliation support, community services coordination, and any other readmission risks. As a result of this project, all-cause readmissions rates decreased from 10% in 2012 to 4% in 2013, and to 3.5% in 2014, and relationships have been established among community organizations and the hospital.
HANYS' Pinnacle Award for Quality and Patient Safety for the category of Post-Acute or Outpatient Provider was awarded to The Silvercrest Center for Nursing and Rehabilitation in Briarwood, for its Reducing Hospitalizations in Long-Term "Chronic Critically-Ill" Residents and Patients.
By creating two interdisciplinary work groups on hospitalization and palliative care, the Center was able to focus on reducing hospitalization and 30-day readmission rates. The groups reviewed hospital transfers weekly and made recommendations for improvements in clinical practices and documentation for diagnoses. As a result of this initiative, the facility reduced hospital transfers by 31%, hospital admissions by 30%, and 30-day hospital readmissions by 34%. There was also a 52% increase in residents receiving palliative care.
Associate Director, Public and Media Relations
The Healthcare Association of New York State (HANYS) is the only statewide hospital and continuing care association in New York State, representing 500 non-profit and public hospitals, nursing homes, home care agencies, and other health care organizations.