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Florida
Success
Stories: FLORIDA
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- By implementing
quality improvement techniques from their QIO, FMQAI, Cathedral Gerontology
Center, Inc. in Jacksonville achieved a 90.5% improvement in chronic
pain and 86.8% improvement in post acute pain for nursing home residents.
- From
November 2002 to July of 2005, FMQAI, the
Florida QIO, worked to raise the rate of HbA1c testing (blood sugar)
in African American Medicare beneficiaries with diabetes. The disparity
rate decreased from 10.8% to 5.3% -- a reduction of 5.5 percentage
points, or 51%.
- Working
with their QIO, FMQAI, Florida
Hospital Home Care Services raised the percentage of home care patients
who get better at taking their medicines correctly from 41% in July
2002 to 46.3% in September 2004.
- Leesburg
Regional Medical Center in Florida increased the percentage of
patients receiving an ACE inhibitor for left ventricular systolic
dysfunction from 65% to 94% after working with their QIO, FMQAI.
They also increased the percentage of adults receiving smoking cessation
advice/counseling from 77% to 100%.
- Gold Coast
Home Health reduces a measure of resident pain by 10% in less than
six months: Gold Coast formed a partnership with FMQAI, the Florida
QIO, to work on reducing resident pain. They worked together to select
care behaviors for improvement and best practices for implementation.
Selected care behaviors included: staff documentation of pain; patient
education about pain; consistent staff evaluation of pain; and staff
consideration of factors that increase pain, and methods to decrease
pain. Interventions included: mandatory staff pain seminars, instruction
in pain medication methods, introduction of new pain tracking tools
for staff, monthly audits to review staff records and exchange ideas
in an open forum. On one specific indicator, Improvement in Pain
Interfering with Activity, the agency improved by an astounding 10%,
from Dec. 31, 2002 through May 31, 2003.
- Lifeline
Home Health Care of Sarasota improves treatment of surgical wounds
by 29%: Lifeline worked with the Florida QIO, FMQAI, to analyze patient
data and found that the most significant and meaningful area for
improvement was in the category of the number of surgical wounds.
Following a review of records for those patients who achieved the
outcome and those that did not, the agency was able to determine
the educational needs of staff to effect improvement. The plan of
action was formulated, posted for comment, and the agency received
valuable input and guidance from the QIO to formalize the plan. In
the two quarters of data collected to date, Lifeline Home Health
has realized a 29% improvement in the number of surgical wounds.
The improvement in the status of surgical wounds has been maintained
at 81% of 30 records reviewed.
- Jacksonville,
Florida, home uses new techniques to avoid pressure ulcers
All Saints Catholic Nursing
Home & Rehabilitation Center, worked with FMQAI, the state QIO,
to practically eliminate the incidence of new, avoidable, facility
acquired pressure ulcers during 2004. The facility adopted a Monitoring
Turn Clock procedure by attaching a laminated turn clock to each employee’s name tag. The staff was taught
to how to use the clock and which directions people should face when
repositioned. Random checks indicated a baseline compliance of 54%.
A subsequent goal of 90% compliance rate in the turning schedule has
been met, 50% of the ulcers prior to the onset of the project have
been healed and new pressure ulcers have been prevented.
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