Hospital Performance Report for Emergency Department Measures

Transcription

1 QUALIS HEALTH Hospital Outpatient Quality Reporting Hospital Performance Report for Emergency Department Measures Community: Washington State Includes Data Through: Q Q Report Created: April 20, 2017 Purpose of the Report This report shows performance on emergency department (ED) throughput. The source of the data is Hospital Compare. It is intended to help hospitals focus specifically on ways to improve efficiencies and care in their emergency departments. About Qualis Health Qualis Health is one of the nation s leading population health management organizations, working with clients throughout the public and private sector to advance the quality, efficiency, and value of healthcare for millions of Americans every day. As the Medicare Quality Improvement Network - Quality Improvement Organization for Idaho and Washington, our team of quality improvement consultants and clinical leaders works with healthcare providers, consumers, and community partners to redesign processes, build sustainable change, and deliver care with improved value, quality, and safety for patients. This material was prepared by Qualis Health, the Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO) for Idaho and Washington, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. WA-D1-QH

2 Qualis Health Report In an effort to help hospitals focus specifically on ways to improve efficiencies and care in their emergency departments, Qualis Health provides the following hospital performance report for select outpatient quality measures. Time periods of performance, unless otherwise indicated, are from second quarter, 2015 to the end of first quarter, The source of the data is Hospital Compare. Bar charts are used to compare hospitals performance to each other and to national benchmarks. Bars in green meet or exceed the national benchmark; bars in yellow are above the national benchmark; and bars in red are more than 1.5 times higher than the national benchmark. Emergency Department Throughput The report shows performance on the three measures for emergency department (ED) throughput: Median Time from Door to Diagnostic Evaluation; Median Time from Arrival to Departure for Discharged Patients; Percent of Patients that Left without Being Seen. Overcrowding and heavy emergency department resource demand leads to ambulance diversion, prolonged patient waiting times, increased suffering for those who wait, rushed and unpleasant episodes of care, and potentially poor patient outcomes. Reducing the time patients remain in the emergency department (ED) potentially improves access to care. Pain Management The report also shows performance on Median Time to Pain Management for Long-Bone Fractures. Pain management in patients with long bone fractures remains undertreated in emergency departments for all patients, but especially for minorities and other patients of color, including children Improving the time from ED arrival to administration of analgesics for all patients presenting with confirmed and potential long-bone fractures improves satisfaction with care, improves outcomes, and potentially improves ED efficiency and throughput. 5 1 Ritsema TS, Kelen GD, Pronovost RJ, and Pham JC. The national trend in quality of emergency department pain management of long bone fractures. Acad Emerg Med Feb 14; 14(2): Epps CD, Ware LJ, and Packard A. Ethnic wait time differences in analgesic administration in the emergency department. Pain Manag Nurs Mar;9(1): Todd KH, Samaroo N, and Hoffman JR. Ethnicity as a risk factor for inadequate emergency department analgesia. JAMA Mar 24-31;29(12): Friedland LR and Kulick RM. Emergency department analgesic use in pediatric trauma victims with fractures. Ann Emerg Med Feb;23(2): Brown JC, Klein EJ, Lewis CW, Johnston BD, and Cummings P. Emergency department analgesia for fracture pain. Ann Emerg Med Aug;42(2):

3 Door to Diagnostic Evaluation by Qualified Medical Personnel Measure Definition The process measure is defined as the median time, in minutes, from the patient s earliest documented arrival time at the ED to the first direct, personal exchange between an ambulatory patient and a physician or institutionally credentialed provider to initiate the medical screening examination in the emergency department. National Median, 22 4 Door to Diagnostic Evaluation Median Time (minutes), Q Q / CHERRY HILL UNIVERSITY OF WASHINGTON MEDICAL CASCADE SKAGIT YAKIMA REGIONAL MEDICAL AND PROVIDENCE REGIONAL MEDICAL PEACEHEALTH ST JOSEPH MEDICAL PROVIDENCE SACRED HEART MEDICAL PEACEHEALTH SOUTHWEST MEDICAL MULTICARE GOOD 2

4 National Median, Median Time to Pain Management for Long Bone Fractures in the ED Q Q / CHERRY HILL PROVIDENCE SACRED HEART MEDICAL CENTER CASCADE SKAGIT YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER UNIVERSITY OF WASHINGTON MEDICAL CTR PEACEHEALTH PROVIDENCE REGIONAL MEDICAL CENTER EVERETT PEACEHEALTH SOUTHWEST MEDICAL CENTER MULTICARE GOOD 3

5 Median Time from ED Arrival to ED Departure for Patients Admitted to the Facility from the ED, Q Q National Median, / CHERRY HILL CASCADE PEACEHEALTH PROVIDENCE SACRED HEART MEDICAL CENTER PEACEHEALTH SOUTHWEST MEDICAL CENTER SKAGIT YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER PROVIDENCE REGIONAL MEDICAL CENTER EVERETT MULTICARE GOOD UNIVERSITY OF WASHINGTON MEDICAL CTR 4

6 Median Time from Admit Decision Time to Time of Departure from the ED for Patients Admitted to the Facility, Q Q National Median, CASCADE PEACEHEALTH SOUTHWEST MEDICAL CENTER / CHERRY HILL PROVIDENCE SACRED HEART MEDICAL CENTER PROVIDENCE REGIONAL MEDICAL CENTER EVERETT SKAGIT PEACEHEALTH YAKIMA REGIONAL MEDICAL AND CARDIAC CENTER MULTICARE GOOD UNIVERSITY OF WASHINGTON MEDICAL CTR 5

7 Median Time from Emergency Department Arrival to Emergency Department Departure for Discharged Patients Measure Definition The process measure is defined as the median time, in minutes, from the patient s earliest documented arrival time at the ED to the documented time at which the patient departed from the emergency department. ED Arrival to ED Departure for Discharged Patients Median Time (minutes), Q Q National Median, CASCADE PROVIDENCE ST MARY MEDICAL YAKIMA REGIONAL MEDICAL AND / CHERRY PEACEHEALTH ST JOSEPH MEDICAL LEGACY SALMON CREEK MEDICAL TACOMA GENERAL ALLENMORE SKAGIT PEACEHEALTH SOUTHWEST MEDICAL MULTICARE GOOD SAMARITAN PROVIDENCE REGIONAL MEDICAL PROVIDENCE SACRED HEART MEDICAL UNIVERSITY OF WASHINGTON 6

8 Left Emergency Department without Being Seen Measure Definition This measure is defined as the percent of patients who presented to the emergency department and signed-in to be evaluated for emergency service, but left without being evaluated by a qualified healthcare provider. Percent of ED Patients Left without Being Seen, CY National Median, UNIVERSITY OF WASHINGTON MEDICAL / CHERRY HILL CASCADE SKAGIT YAKIMA REGIONAL MEDICAL AND PEACEHEALTH ST JOSEPH MEDICAL MULTICARE GOOD PEACEHEALTH SOUTHWEST MEDICAL PROVIDENCE REGIONAL MEDICAL PROVIDENCE SACRED HEART MEDICAL 7

9 100 Percent of Results for Stroke Patients Who Received Head CT or MRI Scan* Who Received Interpretation within 45 Minutes of ED Arrival, Q Q National Median, *Only patients who are not admitted to the hospital are included. 8