FAMILY MEDICINE HEALTHNET INPATIENT SERVICE QUALITY REPORT AND

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FAMILY MEDICINE HEALTHNET INPATIENT SERVICE QUALITY REPORT AND UNIT DASHBOARD: BMC E 6 W

FAMILY MEDICINE HEALTHNET INPATIENT SERVICE QUALITY REPORT AND UNIT DASHBOARD: BMC E 6 W QUEST: (QUALITY, EFFICIENCY, SATISFACTION AND TOTAL REVENUE) July 2015

INPATIENT MORTALITY INDEX BMC wants to achieve a score of. 77 or lower. FM

INPATIENT MORTALITY INDEX BMC wants to achieve a score of. 77 or lower. FM has always been lower than that. Source: UHC, Patient Outcomes Report

DAILY WORKLOAD BY CARE TEAM (CENSUS COUNTED AT 8 AM) From month to month,

DAILY WORKLOAD BY CARE TEAM (CENSUS COUNTED AT 8 AM) From month to month, FM 1 and FM 2 have a similar average number of patients Source (both graphs): SDK Combined Census Report and confirmed with EPIC census on weekdays

WEEKLY AVERAGE DISCHARGE TIME 16: 48 A 12/P 12 16: 07 A 12/P 12

WEEKLY AVERAGE DISCHARGE TIME 16: 48 A 12/P 12 16: 07 A 12/P 12 15: 50 A 12/P 12 15: 32 A 12/P 12 14: 52 A 12/P 12 13: 55 A 12/P 12 13: 53 A 12/P 12 13: 30 A 12/P 12 12: 57 A 12/P 12 12: 00 A 12/P 12 Source: 6/1/14 Weekly 7/1/14 hospital reports Jonathan Bunker) 8/1/14 (From 9/1/14 10/1/14 11/1/14 12/1/14 FM-HN Entire Hospital 1/1/15 Avg of H 6 E & H 6 W 2/1/15 3/1/15 Goal 4/1/15 5/1/15 6/1/15 7/1/15 The gap in average discharge time between FM, BMC, and comparable floors is starting to close

MONTHLY TOTAL NUMBER OF PATIENTS DISCHARGED BY CARE TEAM FM-HN continues to maintain a

MONTHLY TOTAL NUMBER OF PATIENTS DISCHARGED BY CARE TEAM FM-HN continues to maintain a constant volume about 8 -9 discharges per day. Note: Total Number of Patients Discharged = Inpatient + Obs Source: EPIC, DOM Discharges by Month report

MONTHLY PERCENTAGES OF DISCHARGES IN OBS STATUS BY CARE TEAM The % of patients

MONTHLY PERCENTAGES OF DISCHARGES IN OBS STATUS BY CARE TEAM The % of patients discharged in OBS satatus decreased for FM 1 and CCA but increased for FM 2 Source: EPIC, Department of Medicine Admissions and DOM Discharges by Month Report

ALOS OF INPATIENT DISCHARGES BY CARE TEAM (IN DAYS) Based on Mean- Since may,

ALOS OF INPATIENT DISCHARGES BY CARE TEAM (IN DAYS) Based on Mean- Since may, the ALOS for FM 1 and CCA increased and stayed the same for FM 2. Based on Median. Since May the ALOS for all three teams increased. Source: EPIC (From DOM Discharges by Month report) Note: The ALOS goal came from BMC Inpatient Data Dashboard (Medicare ALOS)

ALOS OF OBSERVATION DISCHARGES BY CARE TEAM (IN HOURS) Based on both the mean-

ALOS OF OBSERVATION DISCHARGES BY CARE TEAM (IN HOURS) Based on both the mean- the ALOS for FM 1 and 2 increased and decreased for CCA since Mar. Based on the medianthe ALOS for all three teams increased since Mar. Source: EPIC , DOM Discharges by Month report Note: The ALOS goal came from BMC Inpatient Data Dashboard (Internal)

PERCENTAGE OF PATIENTS ADMITTED/DISCHARGED FROM E 6 W Percentage of Patients Admitted to E

PERCENTAGE OF PATIENTS ADMITTED/DISCHARGED FROM E 6 W Percentage of Patients Admitted to E 6 W Percentage of Patients Discharged from E 6 W

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W had a lower percentage

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W had a lower percentage for recommending the hospital Note: The percentage presented in these graphs are the top box score percentages Source: BMC Administration (From Inpatient Dashboard)

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter,

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter, E 6 W had a higher score than BMC

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter,

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter, E 6 W had a lower score than BMC Note: The percentage presented in these graphs are the top box score percentages Source: BMC Administration (From Inpatient Dashboard)

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter,

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter, E 6 W had a higher score than BMC Note: The percentage presented in these graphs are the top box score percentages Source: BMC Administration (From Inpatient Dashboard)

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter,

HCAHPS: QUARTERLY PATIENT EXPERIENCE TRENDS: BMC & E 6 W In the last quarter, E 6 W had a higher score than BMC

HEALTHNET PATIENTS’ ADMISSIONS FOR ALL SERVICES IN APRIL • The % of Health. Net

HEALTHNET PATIENTS’ ADMISSIONS FOR ALL SERVICES IN APRIL • The % of Health. Net patients admitted to the FM-HN service has been increasing • FM-HN is losing less patients Source: Individual SDK Inpatient and Observation admissions by Health Center report Note: This graph includes patients with a PCP in Family Medicine Yawkey; *As of 5/1 this graph excludes Harvard and Upham’s ESP patients