PeaceHealth St. Joseph Medical Center for Whole Community Health Dr. Leasa Lowy, MD, BSN, FACOG Bellingham, WA Whatcom County
PeaceHealth St. Joseph Medical Center • Non-Profit Hospital serving a community • Providing 253 acute care beds • Medical Staff of over 300 • Employing more than 2,200 personnel and 400 volunteers • Delivering a full complement of healthcare services: • Behavior Health, Cardiovascular, Medicine, Neurosciences, Orthopedics, Rehab, Oncology, Peri-operative, Women’s & Children’s, Trauma, Emergency Medicine, Wound Healing and Disaster Management.
Our Journey Toward Whole Community Healthcare Quality • 1891 – St. Joseph Hospital opened its doors to patients in Bellingham, WA • 1976 – The Sisters of St. Joseph of Peace form a separate corporation known as Health & Hospital Services to effectively meet the challenges of contemporary health care • 1990 – Significant commitment made to quality and continuous improvement strategies • 1994 – PeaceHealth begins developing electronic Community Health Record. • 1996 – PH trip to Japan to see how industry examples of improvement translate to healthcare • 2001 – PH embraces the IOMs Crossing the Quality Chasm • 2002 - $1.9 million “Pursing Perfection” grant awarded to PeaceHealth and Whatcom County to build needed infrastructure to transform care across the community – Sweden Partnership • 2003 – PH Leadership Model is created to focus dialogue and discussion on who we are and what we do in service to the PH mission and vision • 2004 – PH signs up along with other American hospitals to save 100,000 lives in deploying 6 proven interventions • 2006 – Shared Care Plan is developed and deployed to the community • 2009 – Partnering to develop a Washington State Health Record Bank (HRB) • 2009 – 1st submission of WSQA Performance Excellence Full Application
Why the Baldrige Framework? • Baldrige is a great and essential framework • For collaborating with organizations who seldom have worked together. • With objective outside assessments • That already spans sectors and could help bring them together for the health and wellbeing of their communities • Health, Industry, Small Business, Schools/Universities, and Government, and Non-Profits. • There are already existing non-profit regional healthcare role models to learn from
Baldrige Criteria is well aligned with a community approach • A few examples include: • 1.1 a1 How Senior leaders set and deploy organizational mission, vision, and values to all stakeholders -- including community. • 1.2c Societal Responsibilities, support of key communities, and community health • 2.1 and 2.2 Developing and Deploying Strategy -- includes community stakeholders • 3.1 Patient and community stakeholder engagement • 3.2 a Patient and stakeholder listening • 6.1 a Worksystem design
The Framework in Action • Cath code at the tennis • Community outreach, activated intervention plan, EMT, Hospital Cath Code, Patient Outcome Improvement due to community care connections, Door to Balloon Time 18 minutes • Linkages make the difference Our Next Steps: • Leveraging our strengths across service lines and learn from others
Outcomes for our Patients and Community Standardized 30 Day Readmission Rates
Why Now? • As a community, we have to partner to manage the escalating costs of healthcare to continue to take care of the health of the community.