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Massachusetts
Success
Stories: MASSACHUSETTS
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- 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.
- Berkshire
Medical reaches for perfection in cardiovascular care: Over a period of three years,
Berkshire Medical Center (BMC) in Pittsfield, Massachusetts, achieved
significant, sustained improvement in cardiac care—increasing
aspirin at discharge for cardiac patients from 96% to 100%; smoking
cessation counseling from 43% to 100%; ACE-inhibitor use from 67%
to 88%; lipid treatment from 59% to 92%; and referral to cardiac
rehabilitation from 14% to 98%. These gains were largely a result
of participation in the Get With The Guidelines (GWTG) pilot project
conducted in Massachusetts by the state’s QIO, MassPRO, and
the American Heart Association (AHA). As part of the project, BMC
instituted preprinted orders sets and used an Internet-based Patient
Management Tool for data collection, treatment reminders, and decision
support at the point of care. BMC has become a three-time winner
of the AHA’s National Performance Achievement Award by creating
a culture of excellence in which any missed opportunity to provide
evidence-based treatment for patients with AMI and other cardiovascular
disease is viewed as an error of omission.
- Nursing facility
reduces pain rate by 57%: Working in consultation with MassPRO, the
QIO for Massachusetts, the pain management committee at Woodbriar of
Wilmington Rehabilitation and Skilled Nursing Center in Wilmington,
MA, developed a multi-phased intervention directed at improving pain
management in long-term stay residents. The committee reviewed current
policies, revised assessment tools, and conducted a facility-wide education
program that included working with the medical director to send a letter
and questionnaire on pain management to all attending physicians, and
developing a series of storyboards to inform residents, families and
staff about the pain management program. The goal was to increase awareness
of the importance of managing patients’ pain, and to demonstrate
the center’s commitment to continuously improving this outcome
measure. Data indicates the pain rate for long stay residents has been
reduced by 57%.
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