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South Carolina
Success
Stories: SOUTH CAROLINA
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- The Carolinas Center for Medical Excellence is actively involved in
the work of the Patient Safety Committee of the South Carolina Hospital
Association. This multidisciplinary committee produces materials on patient
safety for distribution to hospitals. In conjunction with the SC Hospital
Association, CCME developed a brochure that focuses on medication safety
for patients based on similar materials from the federal Agency for Healthcare
Research and Quality and the Massachusetts Coalition for the Prevention
of Medical Errors. The brochure has been endorsed by the SC Medical Association
and the SC Society of Health System Pharmacists and shared by these groups
with their contacts throughout the state.
- Myrtle
Beach Manor greatly reduces the average number of severe pain episodes
for chronic pain patients: Working with the South Carolina
QIO, The Carolinas Center for Medical Excellence, Myrtle Beach Manor cut the number
of “breakthrough” episodes
for chronic pain nursing home residents on a pain management program.
Self reported data show that patients experienced 17 episodes during
the baseline month. That was reduced to 6.2 episodes at re-measurement
five months later.
- Chesterfield
Convalescent Center in Cheraw reduces pain intensity for all post-acute
residents: Working with the South Carolina QIO, Carolina Medical
Review, Chesterfield Convalescent Center dramatically increased the
percent of post acute pain residents that experienced a decrease
in peak pain intensity during the first 14-days of admission. Over
five months, Chesterfield increased from a baseline measure of 50%
of residents experiencing a decrease in pain intensity to 100% showing
a decrease at re-measurement.
- In South
Carolina, nursing homes improve pain, pressure ulcer measures: Carolina
Medical Review, the South Carolina QIO, led projects in 2003 and
early 2004 that resulted in a nearly 20% relative change in post
acute pain management and 17% relative change in chronic pain as
well as a reduction in self-reported data for pressure ulcers. Forty-three
nursing homes took part in the effort to reduce pain and 70 nursing
homes participated in the project to reduce pressure ulcers. CMR
held three learning sessions for each collaborative. These sessions,
which included working through multi-disciplinary teams and employing
an expert panel, built trust and encouraged participants by showing
visible improvements. Participating facilities submitted senior leader
reports and shared data with CMR on a consistent basis. Conway Nursing
Center, for example, dramatically cut the number of “breakthrough” episodes
for chronic pain residents: residents experienced 30.1 episodes during
the baseline month—which were reduced to 6.8 episodes eight
months later. At Myrtle Beach Manor home, staff cut the number of “breakthrough” episodes
for chronic pain from17 episodes during the baseline month to 6.2
episodes at re-measurement five months later. Chesterfield Convalescent
Center dramatically increased the percent of post acute pain residents
that experienced a decrease in peak pain intensity during the first
14 days of admission. Over five months, Chesterfield increased from
a baseline measure of 50% of residents experiencing a decrease in
pain intensity to 100% showing a decrease at re-measurement.
- Reducing
pain among Idaho nursing home residents: To help Idaho nursing homes
improve pain evaluation and management, Qualis Health, the QIO for
Idaho, held educational workshops and provided evidence-based tools
for improving care. Among 59 nursing homes across the state, the
percentage of long-term residents reporting moderate to severe pain
fell from 18% in spring 2002 to 8% in spring 2004.
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