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- 1. Institute of Medicine Reports: To Err is Human: Building a Safer Health System Crossing the Quality Chasm: A New Health System for the 21st Century
- 2. The Leapfrog Group: Evidence Based Hospital Referral Volume Standards Section of Health Services Evaluation Ellen McCarthy, MPH James Naessens, MPH Copyright, 2001. Mayo Foundation for Medical Education & Research. All Rights Reserved. Preliminary Data
- 10. Methods Leapfrog Safety Standards for Patient Safety
- 11. Favorable Hospital Volume Characteristics
- 12. Methods Compare & Contrast DSS Approach vs. SAS Approach
- 19. Results MCR (St. Mary’s & Rochester Methodist Hospitals Only)
- 21. MCR Surgeries by Year 500 400 30 100 7
- 22. MCR NICU Average Daily Census Source: Larry Albrecht, Systems & Procedures 15 22 MCR # beds, NICU
- 23. Low Birth Weight Babies, 1999 * SMH/RMH data does not appear for: <1500 gms w/fetal malnutrition & <1500 gms w/signs of malnutrition
- 24. Delivery with Congenital Anomalies
- 25. Discharge Mortalities by Year
Editor's Notes
- Based on recent reports that have been issued from the Institute of Medicine, the first of which was &quot;To Err is Human: Building a Safer Health Care System&quot;, and the patient safety movement that it has driven, the Leapfrog Group evolved. It is sponsored by The Business Roundtable, whose members are fortune 500 companies and are responsible for the health care of millions of Americans. The Institute of Medicine also recently issued a report entitled &quot;Crossing the Quality Chasm: A New Health System for the 21st Century&quot; on March 1st, 2001. It is available on their website, IOM.edu. So, into this arena jumps The Leapfrog Group (slide 2).
- We chose all patients for the surgical procedures because we wanted to have a true count of the total # of procedures to compare to Leapfrog's specified procedures. We chose just the inpatients for the babies for 2 reasons: 1.most (if not all babies are born as inpatients); and 2. we found that if we compared the babies who died as inpatients to a total number of patients who were outpatients, then we would not have an accurate estimate of the mortality rate.
- The data here from DSS show that in every case for surgeries we have exceeeded the Leapfrog standards.
- This slide is to show that our average daily census is below the Leapfrog standard. Also, we have 22 beds in our NICU. So, this puts a greater burden on us to examine our data and understand what patterns of care occur in the NICU for very sick babies. One scenario might be that they are transferred to a specialist's care out of the NICU....
- RMH is driving the pooled data; this makes sense because our babies are born there. There are two categories of data in which MCR had no cases: they are 1) Babies <500gms.-14999gms. with signs of malnutrition, and 2) 500gms-1499 gms. with malnutrition.
- For the congenital anomalies, SMH is driving the pooled data. This is because once the children who have anomalies are born, they are sent to the NICU, which is at SMH.