June 20, 2019
For Immediate Release:
HANYS recognizes hospitals for improving quality of care and patient safety
Faxton St. Luke’s Healthcare, NYC Health + Hospitals/Bellevue, Rochester Regional Health, Saratoga Hospital and Stony Brook University Hospital Receive HANYS’ Pinnacle Award for Quality and Patient Safety
SARATOGA SPRINGS, NY — The Healthcare Association of New York State presented its 2019 Pinnacle Award for Quality and Patient Safety to five 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.
“We commend Faxton St. Luke’s Healthcare, NYC Health + Hospitals/Bellevue, Rochester Regional Health, Saratoga Hospital and Stony Brook University Hospital 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, RN, JD. “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 51st Annual Membership Conference in four categories based on organization size and type. HANYS presented five Pinnacle Awards this year because for the first time, there was a tie in one category. The honorees and their award-winning initiatives are summarized below.
Rochester Regional Health for High Five: Achieving Continuous Quality Measure Improvements Across Six Skilled Nursing Facilities
The six facilities in Rochester Regional Health’s long-term care division care for the most vulnerable residents/patients and focus on high-complexity medical conditions such as ventilator care, hemodialysis and complex wounds. The High Five program monitors, analyzes, manages and supports quality improvement projects in real time. High Five supports nurses with a performance improvement coordinator who presents the care quality data in an actionable way to help clinical teams improve the quality of care. Successful results include:
- Best practices were developed and all six skilled nursing facilities had 13 consecutive quarters of improvement.
- Five out of six facilities within the division achieved four stars for the Centers for Medicare and Medicaid Services Nursing Home Compare Five-Star Quality Ratings.
- This successful model was replicated in a partnered facility outside Rochester Regional Health.
Saratoga Hospital for Achieving Universal Sepsis Excellence through a Patient- and Staff-Centered Culture along with Alignment of Purpose, People and Processes
What began as an internal sepsis awareness campaign matured into a comprehensive, collaborative, mission-driven initiative that focuses on saving lives and improving the health and experience of patients and the community. This was accomplished through the development of innovative technologies to improve timeliness of sepsis recognition and treatment, along with expanding community outreach and engagement. Successful outcomes include:
- Saratoga Hospital achieved performance in the top 10% in New York state and nationwide on compliance with the Centers for Medicare and Medicaid Services’ sepsis care recommendations.
- 30-day readmissions for severe sepsis improved 60%.
- 30-day mortality for severe sepsis improved 43%.
Faxton St. Luke’s Healthcare — St. Luke’s Campus for CDIFFerently: A Bundled Approach to Sustained C. diff Infection Prevention
This comprehensive Clostridium difficile infection reduction strategy focuses on diagnostic stewardship, environmental contamination, transmission prevention and education. The individual CDIFFerently elements were tied together with a marketing campaign to pique interest and sustain engagement. Innovative strategies included a CDIFFerently mascot, t-shirts for staff, screensavers on all facility computers and prizes to encourage competition in achieving goals. Successful results include:
- The healthcare facility-onset incidence rate of Clostridium difficile was reduced by 48%.
- The facility achieved greater than 80% compliance with the testing algorithm.
- Utilization of an ultraviolet light disinfection system was expanded to include 98% of Clostridium difficile discharge rooms and 13% of total discharge rooms.
NYC Health + Hospitals/Bellevue for Ventilator-Associated Pneumonia in Adult Trauma Patients
This project successfully reduced the rate of ventilator-associated pneumonia in adult trauma patients by achieving culture change through multidisciplinary effort and empowerment. Interventions included data analysis to determine the most at-risk patients, ventilator care protocols, an oral care tracking system, analgesia/sedation guidelines and real-time monitoring. Successful results include:
- Compliance with the ventilator “bundle” of care protocols increased from 93% to 100%.
- All intensive care units in the hospital now use a standard ventilator bundle on all mechanically-ventilated patients.
Stony Brook University Hospital for Quality Diabetes Care: Creating a Culture of Excellence through Innovation
Stony Brook University Hospital formed a multidisciplinary diabetes advisory committee with a workgroup focusing on the development and implementation of “glucometric” defined dashboard monitors for patients with diabetes and associated risk indicators, standardized insulin order entry and system-wide education. Successful results include:
- An institutional culture of excellence and awareness was established regarding the care of patients with diabetes through standardized insulin order entry and administration.
- An innovative, automated Tableau dashboard monitor was created to track real-time and historic glucometrics for patients with diabetes.
- Stony Brook achieved significant improvements in system-wide diabetes outcomes, including a reduced length of stay index, decreased readmission rates and increased hbA1c monitoring.
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 panel of judges for the Pinnacle Award is comprised of independent quality improvement experts and a healthcare consumer.
The Healthcare Association of New York State is the only statewide hospital and continuing care association in New York, representing nonprofit and public hospitals, nursing homes, home care agencies and other healthcare organizations.