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Lorain Performance Report

EXECUTIVE SUMMARY

Amazing patient care post-surgery expectations, complete lab work, and build
relationships with caregivers. The region expects these
In order to improve the inpatient experience, Mercy improvements to continue to differentiate the TJR
Health — Lorain began an initiative to improve nurse program and expand to surgical spine patients.
communication and responsiveness. Every med/surg
nurse and bedside support staff member attended a Patient story
training session on improving patient experience. This
included conducting purposeful hourly rounding with Recently, Mercy Health Physicians started its second year
patients, setting expectations focused on patient-centered providing care in three clinics located within Lorain City
care, and being held accountable. As a result, hourly School District elementary schools. One example of
rounding has improved and call-light occurrences were success is the account of a single mother of six children
reduced. Additionally, improvements in Q3 results and one grandchild who recently moved into the area. She
compared to the first six months for the following doesn’t have any transportation, but does live close to one
HCAHPS areas have been realized: help from hospital staff of the schools where five of her children attend and where
from 60.8% to 74.4%, nurse communication from 79.1% to Mercy Health has a clinic. The mother has been able to
83.8%, and overall rating of care from 65% to 72.9%. walk to the clinic to meet her family’s healthcare needs,
including getting all of the children caught up on their
Operational excellence immunizations. The clinic’s nurse practitioner, Katie Malear,
is now the primary care provider for all eight
Reducing average inpatient length of stay (LOS) has been family members.
a critical focus for our region. YTD Oct. 2017 observed/
expected (OE) is 0.96 compared to 1.02 for YTD 2016.
One strategy has been reducing LOS for patients being Clinician story
discharged to skilled nursing facilities (SNF). YTD 2017
Oct. OE is 1.27 compared to 1.31 YTD 2016. In August, Marcietta Wilson-Coleman, DO,
Mercy Health partnered with Sprenger SNF facilities where FACOOG, an OB/GYN, recently
Sprenger piloted accepting patients who met the returned to the community and
qualifications of a 90% certainty of insurance acceptance began seeing patients in the Mercy
while awaiting final precertification. Thus far, 12 patients Health — Lorain Obstetrics and
met the criteria, achieving a savings of 25 inpatient days at Gynecology office, with Dr. Tarek
Mercy Regional Medical Center. As a result, Sprenger has Dbouk, as well as in the Mercy Allen
agreed to expand and fully implement the process. Mercy Hospital Medical Office Building on
is contacting other local SNFs to spread this process. October 18. A familiar face to many,
Creating the future Dr. Wilson-Coleman is excited to
return to the Lorain County community. Board certified in
Two years ago, Mercy Regional Medical Center repurposed obstetrics and gynecology, Dr. Wilson-Coleman earned
a nursing unit to care specifically for orthopaedic, spine, her Doctorate of Osteopathic Medicine from Ohio
and stroke patients. Significant improvements in patient University College of Osteopathic Medicine. She
experience, quality, costs, and volumes were made. The completed her internship and residency at St. John Detroit
care team has created further improvements by instituting Riverview Hospital. She specializes in fibroid management,
a new care path for total joint replacement (TJR) patients, uterine, bladder, and pelvic conditions. Please join us in
with two key elements being: (1) A preoperative welcoming Dr. Wilson-Coleman back to Mercy Health.
assessment in the patient’s home, which allows the care
team to determine the best place for post-surgery
rehabilitation. This process, along with key scripting, has
decreased the percent of patients discharged to skilled
nursing from 28% to 21%. (2) A weekly class for scheduled
TJR patients, where they are educated on pre- and

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