1 / 22

Potential Role of Automated Patient Safety Reporting Systems in Vermont Hospitals

Potential Role of Automated Patient Safety Reporting Systems in Vermont Hospitals. Kenneth E. Thorpe, Ph.D. Robert W. Woodruff Professor and Chair Department of Health Policy and Management Rollins School of Public Health Emory University kthorpe@sph.emory.edu. Major Opportunity.

hammett-benton
Télécharger la présentation

Potential Role of Automated Patient Safety Reporting Systems in Vermont Hospitals

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Potential Role of Automated Patient Safety Reporting Systems in Vermont Hospitals Kenneth E. Thorpe, Ph.D. Robert W. Woodruff Professor and Chair Department of Health Policy and Management Rollins School of Public Health Emory University kthorpe@sph.emory.edu

  2. Major Opportunity Greater than 50% of the $17 - $29 billion national cost associated with medical errors is preventable. Source: Thomas EJ, Studdert DM, Newhouse JP et al. 1999. Costs of medical injuries in Utah and Colorado. Inquiry. 36:255-64.

  3. The Key to Long Term Success Establishing a Safety Management Program • Leadership driven • Data-based • Multi-disciplinary • Enterprise wide • Multi-faceted • Foundation for all improvement initiatives

  4. The Opportunity On average existing patient safety interventions have identified, 10-15% of a hospital’s annual operating budget being spent on resources associated with medical errors and ineffective and failed processes that occur in the care delivery process

  5. Patient Safety Models Are Integrated into a Hospital’s Information System

  6. Impact on Errors, Costs, and Malpractice Claims • Case study from 400 bed community hospital • Results from 4 key areas • Patient Falls • Medication events • Skin integrity issues • Nosocomial infections

  7. Study Methods • Total cost of care for (DRG, severity adjusted) patients with error/event less total costs care for all patients in same DRGs. • Many underestimate reductions since reference group includes all patients --- those with and without a medical error/event.

  8. Results

  9. Additional Cost of Care Declining by 2.2% Per Month SOURCE: APTIS, Inc.

  10. Trend in Medical Malpractice Claims Total Claims by year 100 99 95 88 80 67 60 58 52 40 20 0 1999 2000 2001 2002 2003 2004 . SOURCE: APTIS, Inc.

  11. Patient Safety Outcomes • 16% Relative Reduction in Hospital Fall Rate • 28% Relative Reduction in Hospital Medication Event Rate • 0.2% Incidence of Skin Breakdown (0.4-38% National Incidence) • 40% Relative Reduction in Additional Cost of Care over 30 Months for Adverse Events* • 50% Relative Reduction in Additional Days of Stay over 30 Months for Adverse Events* * As Calculated by SafeCare Systems SIS – 400-bed facility

  12. Patient Falls Rate per 1,000 Adjusted Patient Days 5 4 3 2 1 0 Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul 99 00 01 02 03 04 Data Source = SafeCare™ SIS 01/99 – 07/04 SOURCE: APTIS, Inc.

  13. Medication Events Rate per 1,000 Adjusted Patient Days 12 10 8 6 4 2 0 Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul 99 00 01 02 03 04 SOURCE: APTIS, Inc. Data Source = SafeCare™ SIS 01/99 – 07/04

  14. Total Skin Integrity Issues Rate per 1,000 Adjusted Patient Days (Excluding Non-Hospital Acquired and Unstaged Sites) 5 National Incidence 0.4%- 38%* 4 3 2 1 0 Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun July Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul 99 00 01 02 03 04 Data Source = SafeCare™ SIS 01/99 – 07/04 SOURCE: APTIS, Inc.

  15. SOURCE: APTIS, Inc.

  16. SOURCE: APTIS, Inc.

  17. SOURCE: APTIS, Inc.

  18. SOURCE: APTIS,Inc.

  19. SOURCE: APTIS, Inc.

  20. SOURCE: APTIS, Inc.

  21. SOURCE: APTIS, Inc.

  22. SafeCareSafety Information System Key Benefits • Identifies the safety opportunities  Manages the organization’s response  Measures the effectiveness of QI initiatives  Quantifies the cost savings

More Related