Support For 100,000 Lives Campaign Initiatives

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Support for 100,000 Lives CampaignInitiativesCatholic Health Initiatives and its senior leadership team strongly endorse theobjectives of the 100,000 Lives Campaign created by the Institute for HealthcareImprovement. This initiative aims to use proven health care improvement methodsto avoid 100,000 deaths between December 14, 2004, and June 14, 2006.Initiatives is published by Catholic HealthInitiatives. Please direct submissions forarticles, questions, comments or mailinglist changes in writing to:IHI hopes to enlist up to 2,000 hospitals in the campaign, which promotes sixchanges in health care practice:䡲Deploy rapid response teams to examine patients at the first sign of decline.䡲Deliver reliable, evidence-based care for acute myocardial infarction.䡲Prevent adverse drug events by implementing medication reconciliation.䡲Prevent central line infections by delivering five interdependent, scientificallygrounded steps (the “central line bundle”).䡲Prevent surgical site infections by delivering the correct perioperative antibiotics, maintaining glucose levels and avoiding shaving hair at the surgical site.䡲Prevent ventilator-associated pneumonia by implementing five interdependent,scientifically grounded steps (the “ventilator bundle”).Hospitals that enroll must commit to implementing some or all of the changesand reporting results. More information and a list of participants is available atwww.ihi.org/IHI/Programs/Campaign/.100k livesInitiativesCommunications OfficeCatholic Health Initiatives1999 Broadway, Suite 2600Denver, CO 80202fax: 303/298-9690e-mail: initiatives@catholichealth.netSubmission GuidelinesPlease send photos, news releases orbrief announcements on successfulhealthy community initiatives, uniqueclinical and service advancements,new partnership activities, awardsand recognitions and appointmentsof executives. Submissions shouldinclude contact information.www.catholichealthinitiatives.org 2005 Catholic Health Initiatives,1999 Broadway, Suite 2600, Denver, COFirst ClassUS PostagePAIDA spirit of innovation, a legacy of care.Catholic Health Initiatives1999 Broadway, Suite 2600Denver, CO 80202AMG, INC.

Volume 10, Number 3A publication for theparticipating congregations,leadership, physiciansand staff of CatholicHealth InitiativesMarch 2005InitiativesSupport for 100,000Lives CampaignCatholic Health Initiativesstrongly endorses the objectives of the 100,000 LivesCampaign created by theInstitute for HealthcareImprovement, which aimsCore Strategy: QualityThe Road to Quality is STEEEPCommitted to being a recognized leader in clinical quality,safety and customer loyalty, Catholic Health Initiatives hasidentified key indicators of quality care, collectively knownas STEEEP: Safe, Timely, Effective, Efficient, Equitableand Person-Centered care. The concept of person-centeredcare is particularly essential. “It expands the focus to thepatient as a whole person, inclusive of his or her familyand community,” said John Anderson, MD, chiefmedical officer for Catholic Health Initiatives.4A spirit of innovation, a legacy of care.Saint FrancisNamed Finalistfor McGaw Prizeto use proven health careSaint Francis Medical Center,December 14, 2004, and JuneGrand Island, Neb., was14, 2006. Several Catholicnamed a finalist for theHealth Initiatives market-basedprestigious 2004 Foster G.organizations have alreadyMcGaw Prize for excellencemade the decisionin community service. “Saintto sign on.improvement methods toavoid 100,000 deaths betweenFrancis Medical Center isan excellent example of thewonderful results that can beachieved through partneringwith other community groupsto invest in people and helpthem improve their lives,”said Susan Manilow, chairof the prize committee.28

About theFoster G.McGaw PrizeThe Foster G. McGaw Prize,Saint Francis NamedFinalist for McGaw PrizeSaint Francis Medical Center, Grand Island, Neb., was named a finalist for theprestigious 2004 Foster G. McGaw Prize for excellence in community serviceby the American Hospital Association and other sponsors.first awarded in 1986, recognizes health care organizationsthat display a continuous commitment to making communities healthier and more vital.The award is named for FosterG. McGaw, who founded theAmerican Hospital SupplyCorporation in 1922 and isrenowned for his philanthropic activities in health care.“The 2004 Foster G. McGawPrize winner and finalists aretruly inspirational organizations,” said Susan Manilow,chair of the Foster G. McGawAs a finalist for the prize, which honors healthcare organizations that provide programs topromote community health and well-being,Saint Francis will receive 10,000. The winner of the 2004 Foster G. McGaw prize wasHenry Ford Health System of Michigan.“Saint Francis Medical Center is providingstrong leadership and energy to improvingthe overall health and well-being of itscommunity, including addressing economicand social issues that impact good health,”said Susan Manilow, chair of the prizecommittee. “It is an excellent example ofthe wonderful results that can be achievedthrough partnering with other communitygroups to invest in people and help themimprove their lives.”Saint Francis’ community healthinitiatives include:䡲Growing Our Own Health Professionals.These hospital-sponsored, collaborativeprograms address the need for health careworkers and improve the economic statusof low-income individuals through exposure to health care careers, innovativetraining programs and financial assistance.䡲Student Wellness Center at Grand IslandSenior High School. This collaborationPrize Committee. “Their outstanding community programsare significantly improving thehealth and quality of life of thepeople they serve.”The annual award is sponsoredcreated a primary-care clinic that offersmedical, mental health and substanceabuse services to students at one ofNebraska’s largest high schools.䡲Parish Nursing. This program trainsregistered nurses to deliver holistic careto faith communities and develop teamsthat focus on improving the health oftheir church families.䡲Supportive Care of the Dying. SaintFrancis created this coalition of agenciesand individuals to better meet the needsof central Nebraskans at the end of life.䡲Hispanic Health Outreach. Saint Francisdesigned this collection of communication vehicles, programs and services tomeet the needs of the region’s burgeoning Hispanic population.“I am extremely proud of the Saint Francisemployees who participate in our outreachprograms, as well as our partner organizations throughout the community,” saidMichael Gloor, president and chief executiveofficer of Saint Francis. “Saint Francis MedicalCenter will continue to develop innovativeways to meet our community’s needs andadvocate for systemic changes in healthcare that improve the well-being of all.”by the American HospitalAssociation, the Baxter International Foundation and theCardinal Health Foundation.Initiatives 2Students at Grand Island Senior HighSchool can prepare for careers in healthcare through a medical pathway program created by Saint Francis MedicalCenter. Instructor Sue Beaty, APRN(second from left) watched students (leftto right) Virgilio (Alex) Villeda, CassandraHopkins, Amber Moreno, Erica Guerreroand Josefina Cuevas practice care techniques on a “patient” in the school’sVirtual Hospital setting.

See What’s Newat Inside CHIInside CHI, Catholic Health Initiatives’ system-wide intranet, hasbeen enhanced to provide a new, easier way to access nationaland local system news; find national resources for personal andprofessional development; advance patient care; and collaboratewith colleagues across the system.Inside CHI now includes:䡲䡲News and information from marketbased organizations and CatholicHealth Initiatives.Learning Center – Resources includethe LEAD program for managersand executives, as well as corporateeducation programs for all CatholicHealth Initiatives employees.䡲Clinical resources for national qualityand patient safety initiatives.䡲Practice in Action – Lessons fromAnnual Planning Reviews, includinga “Good Practices” database.䡲CHI Communities – The opportunityto collaborate with others in thenationwide Catholic HealthInitiatives community.Inside CHI will continually add contentand tools to support each of the organization’s core strategies: People, Information, Quality, Performance and Growth.Inside CHI is located athttp://home.catholichealth.net.For assistance, contact CHI CustomerSupport at 866/236-0441 ord Attendance at Quality ConferenceAt least one representativefrom each market-basedorganization attendedCatholic Health Initiatives’2005 Quality Conference andJCAHO Hospital Update, setting a record of more than200 attendees.The conference, heldFebruary 2–4 in San Antonio,Texas, began with an updatefrom Joint Commission onAccreditation of HealthcareOrganizations (JCAHO)surveyors Kenneth DaleBrown, MSN, RN, andStephen Dorman, MD. Theydiscussed changes in thesurvey process for 2005and problematic standards,among other topics.The second day was devotedto presentations by nationalstaff and market-based leaders, who discussed engagingleaders in quality and patientsafety; peer review; knowledgetransfer; information technology and patient safety;and pharmacy.The final day of the conference featured Sandra Murray,MA, of Corporate Transformation Concepts, whodiscussed the use of datato bring about measurableimprovements in quality care.“This conference has evolvedfrom a single focus onJCAHO preparedness to acomprehensive look at quality initiatives within CatholicHealth Initiatives and thehealth care industry,” saidJohn Anderson, MD, chiefmedical officer for CatholicHealth Initiatives. “Thisyear’s conference providedsignificant resources forquality initiatives throughoutour system.”3 Initiatives

Core Strategy: QualityThe Road toQuality is STEEEPThrough its core strategy ofQuality, Catholic Health Initiatives is committed to beinga recognized leader in clinicalquality, safety and customerloyalty. To help guide theorganization toward its qualityobjectives, Catholic HealthInitiatives’ National ClinicalServices Group has adoptedthe definition of qualitycare created by the Instituteof Medicine:“Quality care is the degree towhich health services forindividuals and populationsincrease the likelihood ofdesired health outcomes andare consistent with currentprofessional knowledge.”䡲Just as important as thedefinition are six domainspromoted by the Clinical Services Group as key indicatorsof quality care. Each of theseindicators, collectively knownby the acronym STEEEP,contribute to care that is:In particular, the conceptof person-centered care isessential to Catholic HealthInitiatives’ quality strategy.“It is different from patientfocused care, which takes anarrower view of the healthneeds of an individual,” saidJohn Anderson, MD, chiefmedical officer for CatholicHealth Initiatives. “Personcentered care expands thatfocus to the patient as a wholeperson, inclusive of his orher family and icientEquitablePerson CenteredIn its hospitals and other careorganizations, Catholic HealthInitiatives’ market-basedchief executive officers areadvancing the developmentof person-centered care.Initiatives 4“Market-based chief executives attend to the entirebusiness of their facilitiesand services, with models forclinical care as just one aspectof overall operations,” saidAnderson. “Catholic HealthInitiatives intends to help chiefexecutives focus more intensively on the clinical enterprise, including quality care,safety and service excellence.Initiatives such as CHI Connect will help by eliminatingsome of the time that chiefexecutives must now spendmanaging the detailsof human resource, finance,supply chain and informationtechnology programs.”Market-based chief executives agree that a focus onquality care is critical to localmarket success. “Among amarket-based chief executiveofficer’s responsibilities,quality assurance andimprovement are just asimportant as financial performance,” said Gary Rowe,president and chief executiveofficer of St. John’s Regional

Honored forQualityCatholic Health Initiatives’hospitals regularly appear onlists of the “best” hospitals in thecountry as determined by organizations that support clinical qualityand service excellence. Recentrecognitions include:Parents-to-be prepare for childbirth and build networks of peer support in community education classesat St. Vincent Infirmary Medical Center, Little Rock, Ark.Medical Center, Joplin,Mo. “At St. John’s, qualityimprovement starts with ourboard. Our board reviewsquality and patient safetyoutcomes in addition to itsoversight of operations,strategy and mission.”St. John’s board receivesregular reports that compare the organization tonational benchmarks forclinical quality. “We compare our performance tonational and CatholicHealth Initiatives benchmarks for clinical excellence,”said Rowe. “Where weachieve excellence, wecelebrate and maintain it.Where we do not, it’s ourjob to ensure that our staffand physicians, using ateam approach, developwork plans designed toreach specific goals.”Joseph Wilczek, presidentand chief executive officerof Franciscan Health System, Tacoma, Wash., seesmiddle managers as a foundation for quality assurance.The three-hospital networkscrutinizes a variety of clinical quality indicators as partof its daily managementprocesses. “Our managersmake sure we do the rightthings — for example, givingaspirin to heart patients asthey go home,” said Wilczek.To ensure that managershave the skills needed tosolve problems that canaffect quality, FranciscanHealth System providesthem with high-leveltraining. More than twodozen of the organization’smanagers have completedhealth care managementtraining provided byThe Advisory Board,Washington, D.C.Wilczek also hosts anannual one-day retreatat which more than 300managers focus on developing the skills to builda better organization.“Most recently we hadBrian Bagley, the leadresearcher on the bookGood to Great, as a guestspeaker,” said Wilczek.“He gave us a lot to talkabout regarding the principles discussed in the book,such as having the rightpeople in place to drivequality improvement.”While market-basedorganizations have different ways of determiningand reaching quality goals,Rowe noted that qualityis a common commitmentthroughout the system.“There’s a lot of movementsurrounding quality assurance within Catholic HealthInitiatives,” he said. “We allcan learn from each other.”CARITAS Medical Center, Louisville, Ky.2005 Distinguished Hospital Award forClinical Excellence from HealthGradesFlaget Memorial Hospital, Bardstown, Ky.100 Top Hospitals Award for 2004from Solucient (new — see p.6)Good Samaritan Hospital, Dayton, Ohio2005 Distinguished Hospital Award forClinical Excellence from HealthGradesMemorial Hospital, Chattanooga, Tenn.2005 Distinguished Hospital Award forClinical Excellence from HealthGrades100 Top Hospitals Award for 2004from Solucient (new — see p.6)Mercy Medical Center, Des Moines, Iowa100 Top Hospitals-CardiovascularBenchmarks for Success Awardfor 2004 from Solucient2005 Distinguished Hospital Award forClinical Excellence from HealthGradesMercy Medical Center, Roseburg, Ore.2005 Distinguished Hospital Award forClinical Excellence from HealthGradesPenrose-St. Francis Health System,Colorado Springs, Colo.100 Top Hospitals Award for 2003from Solucient100 Top Hospitals-CardiovascularBenchmarks for Success Awardfor 2004 from Solucient2005 Distinguished Hospital Award forClinical Excellence from HealthGradesSaint Elizabeth Regional MedicalCenter, Lincoln, Neb.100 Top Hospitals Award for 2003and 2004 from Solucient (new — see p.6)Saint Joseph HealthCare, Lexington, Ky.J.D. Power and AssociatesDistinguished Hospital ProgramSt. Clare Hospital, Lakewood, Wash.100 Top Hospitals Award for 2003from SolucientSt. Francis Hospital, Federal Way, Wash.100 Top Hospitals Award for 2003from SolucientSt. John’s Regional Medical Center,Joplin, Mo.2004 Distinguished Hospital Awardfor Patient Safety from HealthGradesSt. Joseph Medical Center, Towson, Md.100 Top Hospitals-Cardiovascular Benchmarks Award for 2004 from Solucient5 Initiatives

Strategic InitiativesQualityThree Market-based OrganizationsNamed to 100 Top Hospitals ListFlaget Memorial Hospital, Bardstown, Ky.; Memorial Hospital,Chattanooga, Tenn.; and Saint Elizabeth Regional MedicalCenter, Lincoln, Neb., have been named to the list of 100 TopHospitals for 2004 by Solucient. The 100 benchmark hospitalshad higher survival rates, lower complication rates and lowerexpenses than their peers. Solucient’s study also found that the100 Top Hospitals treated sicker patients with fewer staff, yethad better patient outcomes. On average, salary and benefitswere 1,900 per year higher per full-time staff member andpatients were released nearly half a day earlier than at peerhospitals. For more information, visit www.100tophospitals.com.Middleton and BiegertPublish Article on GeneticsAn article titled “Planning for theAge of Genetics” by Carl Middleton,DMin, vice president of theologyand ethics, and Mary Elise Biegert,director of communications services for Catholic Health Initiatives,appeared in the January/February2005 issue of Health Progress, apublication of the Catholic HealthAssociation. The article discussedhow and why Catholic health carefacilities have a unique opportunityto apply spiritual values and ethicalprinciples to the issues that surroundgenetic testing. The article is available via the Catholic Health Association Web site, www.chausa.org.Saint Joseph in Lexington OffersNew Treatment for Heart ArrhythmiaSaint Joseph Hospital, Lexington, Ky., is the first hospital inthe state to perform a new treatment for heart arrhythmia thatfreezes heart cells in order to restore normal rhythm. The treatment, catheter cryoblation, uses a cold method to destroy certainheart cells that cause irregular heartbeat, rather than the hotmethod used in traditional ablation. “This new approach toablation actually minimizes discomfort and reduces risk ofcomplications,” said Michael Antimisiaris, MD. “Cryoblationalso provides an improved ‘mapping’ system that providesexcellent detail of the problem area to physicians as they work.”For more information, contact Jeff Murphy of Saint Josephat jmurphy@sjhlex.org.Initiatives 6GrowthMercy Foundation atSt. John’s in JoplinApproves GrantsThe Mercy Regional HealthFoundation at St. John’sRegional Medical Center,Joplin, Mo., approved grantsof 14,389 for health serviceequipment and nursingeducation. Grant recipientsinclude the Volunteer FireDepartment in Duenweg,Mo.; the Civil Air Patrol inLamar, Mo.; and the St.John’s Trauma and Emergency Department. Formore information, contactthe Mercy Regional HealthFoundation at 417/625-2266.Alegent HealthContributes toTsunami ReliefAlegent Health, Omaha,Neb., has provided acorporate gift of 10,000to the Sri Lanka Relief Fundto aid relief efforts for peopleaffected by the tsunami insouthern Asia and easternAfrica. The Sri Lanka ReliefFund was co-founded byGamini Soori, MD, chiefof staff at Bergan MercyMedical Center in Omaha,who was visiting Sri Lankawhen the tsunami hit. Inaddition to the corporategift, Alegent Health employees donated more than 2,200, and raised morethan 20,000 through asell-back of paid time off.Memorial inChattanooga TakesMammography onthe RoadMemorial Health CareSystem, Chattanooga,Tenn., is serving residentsof southeast Tennesseeand northern Georgiathrough a mobile healthcoach equipped formammography andother screening activities.Memorial’s coach is theonly mobile mammographyunit in the region. Thecoach was purchased andequipped with a 300,000grant from the HamicoFoundation and SunTrustBank and a 125,000 grantfrom the National Consortium of Breast Centers.Additional grant fundswill support educationalprograms provided throughthe coach. For more information, contact K

Inside CHI, Catholic Health Initiatives’ system-wide intranet, has been enhanced to provide a new, easier way to access national . of Franciscan Health Sys-tem, Tacoma, Wash., sees middle managers as a foun