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Mississippi
Success
Stories: MISSISSIPPI
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Information
and Quality Healthcare (IQH) reduced disparities between elderly
African-American women and Caucasian women in Mississippi. In
10 counties in the Mississippi Delta comprising 25 percent of the
underserved population, IQH made 148 onsite visits and recruited
89 providers to participate in a project to increase mammography
rates. Barriers
were identified through educational programs, focus groups, and partners.
IQH fielded a variety of tools designed to address these barriers. Data
show that the project successfully reduced the disparity between the
intervention group and the general population during 2002-2005 by 5.7%. The
infrastructure established during this project will be used in continuing
efforts on behalf of the underserved population.
- Working
with Information & Quality Healthcare (IQH), the Mississippi
QIO, Baptist Memorial Hospital-DeSoto in Southaven and Singing
River Hospital System in Oceans Springs, eliminated ventilator-associated
pneumonia, reducing mortality and extended stay costs for intensive
care unit patients. IQH helped the facilities conduct root cause
analysis and gather data that was reviewed on a monthly basis. The
QIO also promoted best practices and initiated system changes that
improved patient safety and quality of care.
- Information & Quality
Healthcare, the QIO for Mississippi, formed the Mississippi Patient
Safety Coalition in April 2005 to “To foster development of a
statewide culture of patient safety.” Members of the coalition
include the following state organizations: Department of Health, Hospital
Association, Pharmacists Association, Nurses Association, Healthcare
Association, State Medical Association, Society of Health System Pharmacists,
and AARP chapter; as well as Blue Cross and Blue Shield of Mississippi,
and University of Mississippi Medical Center. A statewide seminar “Advances
in Patient Safety Initiatives 2005” will be held in March 2006.
- Information
and Quality Healthcare, the Mississippi QIO, worked with Guardian Angel
Healthcare, Inc., in Marion to improve care in pressure ulcers and
use of restraints. Their efforts resulted in a decline in the number
of pressure ulcers from 20% to 17.7% and an improvement in the overall
condition of those residents with ulcers, a decrease in the use of
restraints from 12.36% to 9.3% -- well below the state average.
- Gulf Coast
Endocrinology in Ocean Springs, Mississppi, worked with Information & Quality
Healthcare (IQH), the Mississippi QIO, to improve care for diabetic
patients by using a patient registry (COMMAND) developed by IQH. From
2002 to 2005 the system tracked more than 400 patients: 92% of patients
had lipid panels documented; 98% of patients received HbA1c tests;
100% of patients had blood pressure monitored; and 41% of patients
received influenza immunizations at the time of the visit, when appropriate.
- Wayne General
Hospital Home Health Agency in Waynesboro, MS, worked with the state’s
QIO, Information and Quality Healthcare, to achieve statistically significant
improvement in care for breathing difficulties. The home health agency
is now working with their QIO to improve clients’ ability to
move around unassisted.
- Gilmore
Memorial Hospital in Amory, Mississippi, worked with their QIO, Information
and Quality Healthcare from 2002 to 2005 to educate congestive heart
failure patients about disease process and treatment in the CHF Quality
Improvement Project. Their efforts resulted in greater patient understanding
and more satisfaction with their care. Compared to other hospitals
in the state reporting data on these measures, Gilmore demonstrated
the greatest overall improvement, 44.3%, and the greatest overall
reduction in failure rate of 92.01%.
- Rush
Foundation Hospital in Meridian introduces effective interventions
to prevent second heart attacks: Rush Foundation Hospital,
a 215-bed acute care facility in Meridian, Mississippi, is working
with Information and Quality Healthcare, the Mississippi QIO, to
significantly improve care processes for heart attack patients.
Over a one-year period ending in June, 2003, Rush increased administration
of beta-blockers at arrival and discharge by approximately 20%,
and ACE inhibitors by 100%.
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