Page 39 - COPR-Feb2018

Youngstown Performance Report

EXECUTIVE SUMMARY

Amazing patient care Creating the future

The Youngstown administration has ramped up efforts Tom Chirchella established a Hepato-Pancreatico-Biliary
in working with the quality team, the CMOs and CNOs (HPB) Center to provide coordinated care for newly-
about the culture of safety and patient experience. There diagnosed patients with liver, biliary or pancreatic
are initial plans made to roll this out to all areas of the neoplasms. This center provides a multi-disciplinary
ministry in Youngstown. It has started with the medical approach to individualized diagnosis and treatment for
practices and medical education and soon will roll out to patients. Since November 2016, the Center has treated
nursing groups and eventually all leaders and front-line over 750 patients. The HPB program is now a high volume
staffing. The focus on quality, patient safety and patient center with over 50 complex surgical resections, a zero
experience will remain a top priority for amazing patient in-hospital mortality, length of stay no longer than 7 days
care for the Youngstown region in 2018 with extra focused (MH-Y median is 6 days and national median is 10 days)
effort in these areas. and a continued goal to treatment of no more than
2.5 weeks from diagnosis.
Operational excellence
Fostering healthy communities
We implemented a new daily focus on the 10 longest
length-of-stay cases, led by the CMO and case Mercy Health — Youngstown continues to address the
management. The baseline was 260 days total stay opioid epidemic through prevention and expansion of
for those top-10 patients on week one. By week two, it early screening. In January 2018, dialogue was initiated
had dropped to 220, and to 150 days by the end of the with a local school district with the ability to provide
fourth week. We will continue to expand this to all three prevention education within the school-aged
hospitals in February. Evaluation of clinical documentation demographic. Additionally, moving from assessment to
is underway. We believe this may also have an impact. treatment remains a priority with metrics in place to
increase the number of MH-Y emergency departments
using the SBIRT screening program — goal of 25,000
assessments for 2018. Lastly, a goal for 2018 is a 10%
reduction from baseline in number of morphine equivalent
daily units being dispersed daily to acute pain patients and
a reduction in overall opiate burden in morphine
equivalent dosage prescribed. January results were
8.2 and 22.5 reductions respectively.

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