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Kansas
Success
Stories: KANSAS
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- Via Christi
Regional Medical Center in Wichita cuts surgical infection rate by
two-thirds: Working with Kansas Foundation for Medical Care, Inc.,
the Kansas QIO, Via Christi Regional Medical Center established a team
of quality improvement experts and in-house champions to prevent surgical
infections. Via Christi Regional Medical Center improved on-time administration
of prophylactic antibiotics from 34.9% to 85.3% in 12 months; improved
the rate of appropriate selection of prophylactic antibiotics from
86.0% to 91.6%; decreased the surgical infection rate from 3.41% to
1.04% (compared to national rate of 2 to 5 percent); and brought community
healthcare professionals together to create a community wide standard
for surgical infection prevention.
- Kansas
nursing home system dramatically lowers pain
The percentage of residents
suffering chronic pain at The Cedars’ home dropped from 19.96%
to 2.39% after participating in a year-long quality improvement project
with the Kansas Foundation for Medical Care, the Kansas QIO. KFMC trained
nursing staff on pain identification and management, which reinforced
the need for staff to question and regularly observe residents for pain.
The Cedars created a new system that calls for pain assessments to be
conducted at routine times. Certified nursing assistants ( CNA ) now
carry pocket tools for screening residents, which they monitor on flow
sheets. If the resident reports a high level of pain, the CNA notifies
the nurse, who conducts a comprehensive pain assessment. The Cedars has
also established tools that allow nurses to assess pain experienced by
residents with dementia. After updating its pain-screening system, The
Cedars cut the number of residents suffering from chronic pain dramatically,
with only 3 out of 95 residents experiencing chronic pain.
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