|
Montana
Success
Stories: MONTANA
|
- Mountain-Pacific
Quality Health Foundation (MPQHF), the QIO for Montana developed a
project to decrease disparities in pneumococcal immunization in rural
critical access hospitals (CAHs) in the state. Through active collaboration
with the Montana Health Research and Education Foundation, MPQHF targeted
all Montana CAHs. The Foundation developed and implemented numerous
interventions including: one-on-one training with CAHs; online training
sessions with national and local experts; presentations at CAH conferences;
development of tools and educational materials; provision of literature;
and assistance with data collection. At baseline, the five urban hospitals’ pneumococcal immunization rate was 14.2%; the 34
CAHs rate was 6.9% for a disparity of 7.3 percentage points. At re-measurement,
the urban hospital rate was 37.5% and the CAHs rate was 35.4% for a disparity
of 2.1%—decreasing the absolute disparity by 5.2 percentage points.
- Working with
their QIO, Mountain-Pacific Quality Health Foundation, from 2003
to 2005, Barrett Hospital & HealthCare, a 25-bed critical access
hospital in Dillon, Montana, improved care for immunization and surgical
infection: administration of pneumococcal vaccine increased from 3%
at baseline to 62% at remeasurement; administration of influenza vaccine
increased from 4% to 73%; and timely antibiotic administration in surgical
patients increased from 20% to 90%. These, along with other improvements
in more than 10 clinical measures led to recognition as a 2005 Hospital
Quality Achievement Award winner for improving and/or sustaining
quality care.
- Mountain-Pacific
Quality Health Foundation, the QIO for Montana, worked with the Quality
Improvement officer at Northern Rockies Medical Center a 20-bed critical
access hospital in Cut Bank, Montana, from June 2004 to July 2005 to
institute the use of evidence-based care. To date, the hospital has
implemented standing orders for heart failure and pneumonia patients,
as well as influenza and pneumococcal immunizations. Now the hospital
also tracks their compliance with the national quality measures using
the CMS Abstration and Reporting Tool (CART).
- Benefis
Healthcare in Great Falls reduces surgical site infections by more
than 50%: In collaboration with Montana’s
QIO, Mountain-Pacific Quality Health Foundation (MPQHF), Benefis
Healthcare was able to successfully cut surgical infection rates
in coronary bypass (CABG) surgery by 79 percent, and infection rates
in total knee replacements by 57 percent. Working with MPQHF staff,
the Benefis team focused on improving timing of prophylactic antibiotics
and discontinuation of antibiotics within 24 hours. Benefis also
monitored other measures to prevent surgical infection, including
normothermia, glucose control, and staff and patient education. The
hospital will apply the success of this program to all surgeries.
The facility also plans to implement an insulin drip protocol to
manage high glucose levels for critically ill patients.
|
|
