June 28, 2018
For Immediate Release:
HANYS Recognizes Hospitals for Improving Quality of Care and Patient Safety
Patient Care Improvement Efforts by Bassett Healthcare Network, St. Joseph Hospital, Good Samaritan Hospital Medical Center, and Northwell Health Receive HANYS’ Pinnacle Award for Quality and Patient Safety
SARATOGA SPRINGS, N.Y. — The Healthcare Association of New York State (HANYS) presented its 2018 Pinnacle Award for Quality and Patient Safety to four healthcare organizations from across the state in recognition of their outstanding initiatives that enhanced patient care. Presented annually, the Pinnacle Award for Quality and Patient Safety highlights New York providers’ great achievement in improving healthcare delivery. This year, 115 organizations across the care continuum submitted nominations.
“We commend Bassett Healthcare Network, St. Joseph Hospital, Good Samaritan Hospital Medical Center, and Northwell Health for their innovation and commitment to improving patient care in their communities, and congratulate them on this well-deserved award,” commented HANYS President Bea Grause. “We are pleased to recognize the efforts of hospitals, health systems, and other providers throughout the state, who all demonstrate an unwavering commitment to providing high-quality care.”
HANYS presented the Pinnacle Awards at its 50th Annual Membership Conference, in four separate categories based on organization size and type. The honorees and their award-winning initiatives are summarized below.
Bassett Healthcare Network
Bassett Healthcare Network’s project provides opioid addiction recovery services to patients at primary care centers. Bassett equipped its primary care teams with training, expert consultation, and necessary waivers to reach this vulnerable population.
By leveraging Delivery System Reform Incentive Payment (DSRIP) program funding and a unique collaboration with the University of Massachusetts (UMass), primary care clinicians obtained Drug Addiction Treatment Act (DATA) waivers. These waivers enable primary care clinicians to prescribe buprenorphine for treatment of opioid addiction. Bassett also meets with UMass by videoconference, using the Extension of Community Healthcare Outcomes (ECHO) model to share primary care-focused expertise.
Treatment was initiated for 210 patients from December 2016 to mid-January 2018; of these, 176 (84%) were treated by addiction medicine and/or primary care; and thirty-four (16%) were treated by OB-GYN physicians as part of perinatal care.
St. Joseph Hospital, Bethpage
St. Joseph Hospital’s project addressed barriers to safe patient handling by establishing a multidisciplinary committee, reviewing best practices, conducting staff interviews, and using Lean methodology to optimize use of safe handling devices.
Staff interviews revealed that the two biggest barriers to using safe patient handling equipment appropriately were accessibility and a knowledge deficit regarding when they should be used. The hospital assessed and updated operational processes for stocking, storing, and cleaning equipment. Technological processes were also changed to help staff select the most appropriate device. Last, directions for appropriate use were affixed to the patient safety devices to serve as a resource at the point of care.
As a result, sling use increased 339%, safe patient handling-related injuries decreased 36%, the number of days of lost work decreased 71%, safe patient handling-related injuries with lost days of work decreased 67%, patient falls where the patient was being assisted by nursing staff decreased 21%; and there was a 50% reduction in the number of Workers’ Compensation claims and the facility gained eligibility for the 2.5% Workers’ Compensation Safe Patient Handling credit.
Good Samaritan Hospital Medical Center
Blood culture contamination remains a challenging, but avoidable, cause of false positive blood cultures that result in diagnostic errors, including misdiagnosis of sepsis. Clinical impacts include extended length of stay and administration of unnecessary and/or inappropriate antibiotics with concomitant adverse drug events. Globally, this runs counter to antibiotic stewardship and contributes to antibiotic resistance. There are also significant financial costs associated with these preventable events.
Good Samaritan Hospital Medical Center improved staff adherence to evidence-based protocols for blood culture collection by embracing internal transparency practices and developing an un-blinded individual collector blood culture contamination rate report. The report helped identify those with high contamination rates and created opportunities to target education efforts appropriately and efficiently.
Through this initiative, the facility-wide blood culture contamination rate fell 68% and has remained below the national benchmark for two years. Emergency department collectors achieved a 71% contamination rate reduction. The inpatient collector contamination rate, which was already quite low, was reduced 25%; and the hospital avoided an estimated $2.14 million in costs associated with contaminated blood cultures over two years post-intervention.
Inappropriate antimicrobial use has been linked to antimicrobial resistance, which is associated with increased mortality, prolonged lengths of stay, and increased healthcare costs. Northwell Health established an antimicrobial stewardship program by aligning its antimicrobial reduction strategy with the U.S. Centers for Disease Control and Prevention’s campaign to prevent antimicrobial resistance, and with The Joint Commission and Centers for Medicare and Medicaid Services antimicrobial stewardship standards for hospitals, nursing care centers, and ambulatory care.
The program is led by a multidisciplinary subcommittee comprised of a clinical pharmacist, physicians, nurses, infection preventionists, licensed independent practitioners, microbiologists, information technology, and quality. Among other activities, Northwell developed and distributed guidelines among clinical staff using multiple types of communication, developed registered nurse competencies, published a monthly performance report, developed a financial report for antimicrobial utilization, surveyed staff, and developed and evaluated patient education tools.
As a result, total antibiotic days decreased by 9,318; facility-wide total antibiotic days for the five targeted high-use, high-cost antibiotics decreased by 19,231; and entries of pharmacy interventions in Quantifi, an electronic pharmacy database, increased from 9,914 to 11,061. In addition, the Clostridium Difficile standardized infection ratio (SIR) decreased by 18.52% across nine acute care and one children’s hospital.
HANYS established the Pinnacle Award for Quality and Patient Safety in 2001 to celebrate significant achievements by members in the areas of quality improvement and patient safety. The program recognizes and encourages broad dissemination of successful quality improvement and patient safety initiatives.
The Healthcare Association of New York State (HANYS) is the only statewide hospital and continuing care association in New York State, representing hundreds of non-profit and public hospitals, nursing homes, home care agencies, and other healthcare organizations.