Page 15 - COPR- January2018

Kentucky Performance Report

EXECUTIVE SUMMARY

Amazing patient care Patient story

Mercy Health Physicians — Kentucky achieved its Primary Donald Beadles was shocked when he found out he had
Care 6 stretch goal for 2017, meeting 3 out of 6 metrics. oral cancer. He had never smoked or chewed tobacco.
Combining the wisdom and efforts of our local CIOC Doctors recommended surgery and radiation. Due
quality subcommittee providers and leadership team, to his radiation treatments, Donald developed
we developed a dynamic approach to improve the osteoradionecrosis (ORN), a side effect of radiation
education and adherence of our patients to preventive that can lead to soft tissue damage and bone necrosis.
care initiatives. We exceeded our “Controlled Blood “It was very painful. My gums were deteriorating and my
Pressure” measure and our “Comprehensive Diabetic jaw bones were exposed. I was losing weight because
Care for Nephropathy screening” measure to get us to our I couldn’t eat,” said Donald. “Thankfully, my oral surgeon
target goal of 2 out of 6 metrics in early third quarter of told me about Lourdes Wound Care Center’s hyperbaric
2017. Thanks to the great persistence and care provided oxygen treatments that could help with my wounds that
by our teams and our system’s prevention strategies, we were not healing.”
closed the gap on our pneumonia vaccination measure
by the end of the year, meeting our metric goal. We “Hyperbaric oxygen is used to treat the damaged tissue,”
narrowed our reach to meet the HgbA1c target to less said Dr. Jason Banister, Lourdes Wound Care Center.
than 70 patients for the market, just 1% off the target to “While in the chamber, a patient receives 100 percent
meet 4 of 6 measures. oxygen, delivered at two times the normal atmospheric
pressure. This treatment produces an increased
Operational excellence oxygenation of damaged tissue, new blood vessel
formation, improved infection control and wound healing.”
Lourdes’ Hospitalist program is experiencing continued Donald went through 30 hyperbaric oxygen treatments.
growth and clinical improvements in several areas. “I highly recommend Lourdes Wound Care Center to
We saw a 23% increase in hospitalist visits in December anyone who has a wound that won’t heal,” added Donald.
while maintaining better than target results in “I noticed an improvement after a few treatments, and
readmissions, computerized physician order entry, that encouraged me to keep going. It was definitely worth
consults per admission, discharge summary completions my time to get my wounds healed.”
and coding inquiry response rates. We saw a significant
downward trend in length of stay for the service. Clinician story
As we continue to move private providers’ patients to the Maurleen Neihoff started working at Lourdes as a teen
hospitalist service and add MHP primary care providers, volunteer when she was 16 years old. Now, nearly 48 years
we are recruiting additional support for this vital service. later, Lourdes first and only employee health nurse enters
We greatly appreciate our hospitalists’ hard work in a new phase of her life.
maintaining quality and managing high patient volumes Lourdes honored Maurleen with a special retirement
as we grow. celebration and thanked her for her unwavering

Creating the future commitment to improving the health of our employees
and community. Maurleen leaves her former coworkers
Skilled Nursing Facility Utilization continues to be a focus some words to live by: “It’s not important what you say.
for the Orthopaedics Service Line. The conversation about It’s your presence that’s important. It’s all about being of
discharge placement begins as early as joint camp. service to others.”

We have front-end processes in place to ensure patients
are prepared to transition home upon leaving the hospital
post-operatively. Physicians and nurses educate the
patient on the reality of their need for assistance at home.
The patient knows going into surgery that our goal is to
have them transition home after a two-day stay at the
hospital. Individuals who live alone and don’t have family
are those who most likely require SNF care upon discharge.
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