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QPI inVestigators

Interview with St David’s Round Rock Medical Center. QPI inVestigators. ST David’s Background. PI. Mission To provide exceptional care to every patient every day with a spirit of warmth, friendliness and personal pride. Values - I.C.A.R.E. I ntegrity C ompassion A ccountability R espect

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QPI inVestigators

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  1. Interview with St David’s Round Rock Medical Center QPIinVestigators

  2. ST David’s Background PI • Mission • To provide exceptional care to every patient every day with a spirit of warmth, friendliness and personal pride. • Values - I.C.A.R.E. • Integrity • Compassion • Accountability • Respect • Excellence • Vision • Exceptional Care, Customer Loyalty, Financial Strength QPIinVestigators

  3. ST David’s Quality Awards PI Texas Health Care Quality Improvement AwardAwarded by TMF® Health Quality Institute, the Medicare Quality Improvement Organization for Texas Texas Award for Performance Excellence • Same criteria and process as the Malcolm Baldridge National Quality Award! Awarded to organizations that serve as role models for quality, customer satisfaction, and performance excellence in Texas QPIinVestigators

  4. The Interview PI • Interviewee: • Shannon Kane-Reinhardt RN, BSN, Quality Manager(St David’s Round Rock Medical Center) • Interviewers: • LombeChitundu • Jean Cusick • Yolanda Johnson • Vicki McGinnis • Sharon Royall-Murphy • Interview Date: March 30, 2010 QPIinVestigators

  5. Format of the Interview PI 5 Steps in an Organizational PI Model QPIinVestigators

  6. Identify Performance Measures PI Core Measures SCIP Antibiotic Received Within One Hour Prior to Surgical Incision (SCIP-Inf-1a) QPIinVestigators

  7. Identify Performance Measures PI QPIinVestigators

  8. Measure Performance PI Areas Studied and Data Collection • Create confidential spreadsheet: • Anesthesia Start Date • Admission Date • Antibiotic Administration Route • Antibiotic Name • Antibiotic Received • Birth date • Clinical Trial • Discharge Date • ICD-9-CM Principal Diagnosis Code • ICD-9-CM Principal Procedure Code • Infection Prior to Anesthesia • Laparoscope • Oral Antibiotics • Other Surgeries QPIinVestigators

  9. Measure Performance PI Measurement Ratio QPIinVestigators

  10. Analyze and Compare Data PI • Data added to spreadsheet: • Name of surgeon • Case identifier • Date of surgery • Reason for outlier (why not started on time) • Responsibility (who started antibiotic) • Analyze all outliers OperatingRoomTimeout Checklists QPIinVestigators

  11. Analyze and Compare Data PI QPIinVestigators

  12. Identify Improvement Opportunity PI Multidisciplinary PI Team QPIinVestigators

  13. Identify Improvement Opportunity PI QPIinVestigators

  14. Perform Ongoing Monitoring PI Forces driving ongoing improvement efforts QPIinVestigators

  15. Perform Ongoing Monitoring PI HCAHPS Customer Satisfaction Survey The hospital indicated that the data submitted for this measure were based on a sample of cases. QPIinVestigators

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