Page 30 - COPR-Oct 2017_HTML5

Amazing Patient Care Scorecard

Lorain - October 2017

Inpatient & ED Patient Experience 7 Day Follow-Up (high readmission risk PHP) Hospital Acquired Infections
Overall rating Top Box %, higher is better % discharges with 7 day follow-up, higher is better MTD vs. Best Qtr. Monthly Avg. Cases, lower is better
Dr. Sam El-Dalati Cheryl Rieves Dr. Rick White Cheryl Rieves Dr. Gilbert Palmer Sue Bowers
80% IP, MTD 90% MTD 3 MTD
IP, Rolling-12 Avg
ED, MTD Stretch Target BQMA
ED, Rolling-12 Avg 80% Target 2.5
70% ED Target
IP Target
70% 2
60% 60% 1.5
50% 1
50%
40% 0.5
0
40% 30%
Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 CAUTI CDIFF CLABSI COLO HYST MRSA

ED Visits per 1,000 Admissions per 1,000 Door to Provider & Admit Order to ED Departure
Lower is better Lower is better Median minutes, lower is better
Dr. Sam El-Dalati Kim Daniels Dr. Sam El-Dalati Kim Daniels Dr. Gilbert Palmer Carrie Jankowski
500 MSSP, Annualized 400 MSSP, Annualized 80 To ED Departure
MSSP, Rolling YTD
MSSP, Rolling YTD
To Provider
EHP, Annualized EHP, Annualized
EHP, Rolling YTD EHP, Rolling YTD To ED Departure Target
400 MSSP Target MSSP Target To Provider Target
EHP Target 300 EHP Target 60
300
200 40
200
100 20
100

0 0 0
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17

Likelihood to Recommend Provider Office MyChart Response Timeliness
Top Box %, higher is better % of questions answered within timeliness criteria, higher is better
Dr. Frank Hiti Mark Rau Dr. Bradley Barker Anita Mattingly

96% MTD 100% Submitted before 4pm
95% Rolling 12 Avg Submitted after 4pm
94% Target Target
93% 90%
92%
91% 80%
90%
89%
88% 70%
87%
86%
85% 60%
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17

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