Surgical Infection Prevention: Success Stories MASSACHUSETTS New England Baptist Hospital, Boston, MA New England Baptist (NEB) Hospital in Boston, specializing in orthopedic surgery, started working in earnest with MassPRO in 2004, attending seven conferences for heart failure, pneumonia, surgical infection prevention (SIP) and quality improvement liaison meetings. As of Quarter 3 of 2004, NEB or "The Baptist" as it is often called, exceeded achievable benchmarks for SIP for all three measures. For antibiotics given within 1 hour before incision, NEB achieved 95%. For use of appropriate antibiotic, NEB achieved 98%. For discontinuing antibiotics within 24 hours, NEB achieved 87%. Morton Hospital & Medical Center, Taunton, MA Another Massachusetts hospital that is up and coming for breakthrough performance in SIP is Morton Hospital in Taunton. Morton started working with MassPRO in 2004, attending four SIP, pneumonia and heart failure collaborative meetings and Webex events. The MassPRO HCQIP Hospital Team presented at Morton's Surgical Grand Rounds on 11/22/04. Since that time, Morton has worked closely with the team and reports that they have achieved 100% on antibiotics within 1 hour before incision.   Contact info where needed is: Sue C. Kelman at skelman@maqio.sdps.org Baystate Medical Center Surgical Infection Prevention Success As a result of its work with MassPRO, Baystate Medical Center (BMC) has increased its rate of on-time antibiotic administration (60 minutes prior to incision) for its surgical patients by 59%. Using what it learned as a participant in the Surgical Infection Prevention Collaborative, BMC performed multiple small tests of change to overhaul its perioperative system, including the presentation of baseline data and evidence-based resources to surgical staff, the implementation of standardized administration and documentation processes, and the revision of order sets. Using this model, BMC has also made improvements in other SIP indicators, including appropriate antibiotic selection and the discontinuation of antibiotic therapy within 24 hours. "I know I can speak for Baystate Medical Center when I say that the changes which have taken place in our operating rooms before and after surgery have been a reflection of the impact MassPRO has had on improving patient care surrounding surgical infection prevention." Richard M. Engelman, MD Chief of Cardiac Surgical Research Baystate Medical Center MassPRO is the Medicare Quality Improvement Organization for Massachusetts, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. For more information, contact: Sue C. Kelman, Director of Media Relations & Public Information, 781.419.2740, skelman@maqio.sdps.org This material was prepared by MassPRO, the Medicare Quality Improvement Organization for Massachusetts , under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy.

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