THE SOUTH CAROLINA HOSPITAL QUALITY GUIDE 2013
Next to tradition, business is the heart and soul of South Carolina. Commerce helps drive our state, and by embracing changes in health care and adopting new technologies, we can make South Carolina s workforce one of the most attractive and productive in the nation. The purpose of the South Carolina Business Coalition on Health is to serve as a partnership for businesses, organizations and individuals in S.C. and inside the healthcare field to act collaboratively in creating sustainable initiatives to improve healthcare quality and efficiency, promoting greater consumer responsibility in healthcare decisions, improving the overall health of South Carolinians and thereby improving our economic competitiveness and quality of life. Here s to health, wealth and wellbeing for all.
THE LEAPFROG GROUP FOR PATIENT SAFETY The Leapfrog Group is a voluntary identify solutions that will improve program aimed at mobilizing hospital quality and safety and employer purchasing power to then gather this information from alert America s health industry that hospitals around the country. The big leaps in health care safety, Leapfrog Hospital Quality and Safety quality and customer value will be Survey asks hospitals to report on recognized and rewarded. Among the steps they take to improve the other initiatives, Leapfrog works with quality of patient care. Survey results its employer members to encourage are available for public viewing on transparency and easy access to Leapfrog s web site, health care information as well as www.leapfroggroup.org. rewards for hospitals that have a The Leapfrog Hospital Quality and proven record of high quality care. Safety Survey asks hospitals if they The Leapfrog Group works with adhere to the quality and safety over 50 leading medical experts to practices on the following pages. OVERALL PATIENT SAFETY RATINGS Safe Practices Select a hospital that has a full Leapfrog Safe Practices Score. This means it has put in place 17 procedures to reduce preventable medical mistakes. Preventing Medication Patients should choose a hospital that uses computerized prescriber order entry (CPOE) systems to order medications, tests, and procedures. CPOE systems are computer systems designed to alert doctors and other prescribers to potentially serious problems with their instructions. Managing Serious Patients should choose a hospital that has implemented Leapfrog s policy on managing serious events ( or never events ) such as surgery on the wrong body part or death due to contaminated drugs or devices. Appropriate ICU Staffing Patients should choose a hospital with an intensive care unit (ICU) that is staffed by doctors and other caregivers who have special training in critical care medicine. These doctors are called intensivists. HIGH-RISK TREATMENT SAFETY RATINGS Select a hospital with a lot of experience and the best results for specific procedures, surgeries, or conditions. This is known as Evidence Based Hospital Referral (high-risk procedures). The scores for the following high-risk treatments are based on a combination of quality and costs: Heart Bypass Surgery Heart Angioplasty Heart Attack Pneumonia The following scores are based on quality of care: High-risk Weight loss surgery
REGION UPSTATE Preventing Medication GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Safety- Focused Scheduling Rate of Early Elective MATERNITY CARE HIGH-RISK SURGERIES HOSPITAL-ACQUIRED CONDITIONS RESOURCE USE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Aortic Valve Replacement Abdominal Aortic Aneurism Repair Pancreatic Esophageal Central-Line Urinary Catheter Pressure Ulcers Injuries Length of Stay Readmission AnMed Health Medical Center Anderson AnMed Health Women s and Children s Hospital Anderson Baptist Easley Easley Oconee Medical Center Seneca Piedmont Medical Center Rock Hill Self Regional Health Care Greenwood St. Francis Eastside Greenville St. Francis Hospital - Downtown Greenville Wallace Thomson Hospital Union WHAT THE SCORES MEAN Fully meets the standards of and Substantial progress in implementing Leapfrog s recommended quality Some progress in implementing Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Unable to Calculate Score Hospital declined to respond
REGION MIDLANDS Preventing Medication GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Safety- Focused Scheduling Rate of Early Elective MATERNITY CARE HIGH-RISK SURGERIES HOSPITAL-ACQUIRED CONDITIONS RESOURCE USE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Aortic Valve Replacement Abdominal Aortic Aneurism Repair Pancreatic Esophageal Central-Line Urinary Catheter Pressure Ulcers Injuries Length of Stay Readmission Lexington Medical Center West Columbia Palmetto Baptist Medical Center Columbia Columbia Palmetto Richland Memorial Hospital Columbia Providence Hospital Columbia Regional Medical Center of Orangeburg & Calhoun Counties Orangeburg Tuomey Healthcare System Sumter WHAT THE SCORES MEAN Fully meets the standards of and Substantial progress in implementing Leapfrog s recommended quality Some progress in implementing Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Unable to Calculate Score Hospital declined to respond
REGION PEE DEE Preventing Medication GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Safety- Focused Scheduling Rate of Early Elective MATERNITY CARE HIGH-RISK SURGERIES HOSPITAL-ACQUIRED CONDITIONS RESOURCE USE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Aortic Valve Replacement Abdominal Aortic Aneurism Repair Pancreatic Esophageal Central-Line Urinary Catheter Pressure Ulcers Injuries Length of Stay Readmission Carolinas Hospital System Florence Clarendon Memorial Hospital Manning Georgetown Memorial Hospital Georgetown Grand Strand Regional Medical Center Myrtle Beach McLeod Regional Medical Center and Health System Florence Waccamaw Community Hospital Murrells Inlet WHAT THE SCORES MEAN Fully meets the standards of and Substantial progress in implementing Leapfrog s recommended quality Some progress in implementing Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Unable to Calculate Score Hospital declined to respond
REGION LOW COUNTRY Bon Secours St. Francis Hospital Charleston Coastal Carolina Hospital Hardeeville Colleton Medical Center Walterboro East Cooper Medical Center Mount Pleasant Preventing Medication GENERAL INFORMATION Appropriate ICU Staffing Steps to Avoid Harm Managing Serious Safety- Focused Scheduling Rate of Early Elective MATERNITY CARE HIGH-RISK SURGERIES HOSPITAL-ACQUIRED CONDITIONS RESOURCE USE Rate of Episiotomy Maternity Care Standard Precautions High-Risk Aortic Valve Replacement Abdominal Aortic Aneurism Repair Pancreatic Esophageal Central-Line Urinary Catheter Pressure Ulcers Injuries Length of Stay Readmission Hilton Head Hospital Hilton Head Medical University of SCU Medical Center Charleston Mount Pleasant Hospital Mount Pleasant Roper Hospital Charleston Summerville Medical Center Summerville Trident Medical Center Charleston WHAT THE SCORES MEAN Fully meets the standards of and Substantial progress in implementing Leapfrog s recommended quality Some progress in implementing Willing to report publicly; did not yet meet Leapfrog s criteria for good early stage effort Hospital does not perform procedure Unable to Calculate Score Hospital declined to respond
Start with the heart. The most important part of the body, the heart is the center of your entire circulatory system, helping breath life into your lungs and powering your muscles. At Leapfrog and the South Carolina Business Coalition on Health, we view personal health as a similar catalyst for our state. By empowering South Carolina s businesses, organizations and individuals to make smart lifestyle choices, we can improve the health, wealth and well being of our state. If you re looking to improve your overall health, the heart is a great place to begin. By practicing mindful eating habits, reducing stress, minimizing harmful habits, and getting regular exercise, you can improve your cardiovascular strength. From hiking at Table Rock to sea kayaking at Edisto Island, South Carolina offers a host of options for exercise. In addition, our temperate climate is perfect for tending gardens, strolling through one of our many state parks, or visiting a local farmer s market. It s this perfect environment that makes South Carolina a perfect place for improving your heart health and quality of living. All it takes is you to start. Keep these ABCs of heart health in mind every day -- and especially when you talk to your health care professional: Appropriate Aspirin Therapy (for those who need it) Blood Pressure Control Cholesterol Management Smoking Cessation The foods you eat have a big impact on your heart health. When planning your meals and snacks, try to: Eat lots of fresh fruits and vegetables. Check the labels on your food and select those with the lowest sodium. Limit foods with high amounts of saturated fat, transfat, and cholesterol. Cook at home more often. Limit sauces, mixes, and instant products, including flavored rice and ready-made pasta. For more comprehensive information on enjoying a hearthealthy lifestyle, please visit the American Heart Association at www.heart.org
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