Henry Ford Health System
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Basic Hospital Performance

These basic, or core, measures are sets of health care quality and safety data tracked by the United States government. These standardized common measures are integral to improving the quality of care provided to hospital patients and bringing value to stakeholders by focusing on the actual results of care.

Mortality
Henry Ford Hospital boasts one of the lowest severity-adjusted mortality rate of any large hospital in the state of Michigan.

Overall, 2008
  Henry Ford Hospital Michigan Hospital Association
Expected
Mortality 2.3% 2.6%
Length of Stay (days) 4.7 4.7
Data accurate according to Michigan Hospital Association database
  • Mortality at Henry Ford Hospital is 11% better than expected
  • Mortality at Henry Ford Hospital has had a relative decrease of 22% since 2004   

 

Common Complications

January - March 2009
  Henry Ford Hospital Comparison Average
Falls with injury - all hospital (per 1000 patients) .31 .1*
Pressure Ulcers (per 100 patients) 3.1 3.3
Deep vein thrombosis (per 1000 patient days) 1.6 N/A
*: IHI goal
†: Hill Rom 2009 report

 

Infections

Preventing Ventilator-Associated Pneumonia (VAP)

Pneumonia is a common complication of ventilator care (breathing machine). By reliably delivering several evidence-based prevention strategies, Henry Ford Hospital has markedly decreased ventilator-associated pneumonia infection rates. These strategies include elevating the hospital bed by 30 degrees and removing the ventilators as soon as possible.

January - May 2009
  Henry Ford Hospital National Healthcare Safety Network
50th% percentile
(2008 report)
Overall (per 1,000 ventilator days) 0.44 2.3

Bloodstream Infection Rate Reductions

A bloodstream infection is a condition in which bacteria enters the blood through a wound or infection, or through a surgical procedure or injection. Efforts to reduce bloodstream infection rates at Henry Ford Hospital have been successful. But our aim is to eliminate bloodstream infections altogether. In order to accomplish that goal, efforts are under way with a number of key innovations:

  • A simulation-based training program for all medical staff to improve how staff are taught to manage intravenous lines.
  • The development of a line placement team to ensure a high level of experience, thus reducing the occurrence of bloodstream infections.
  • Focused education on line maintenance with audits of nursing practice.

Infection Rate - General Medicine and Surgical Units, January - May 2009
  Henry Ford Hospital National Healthcare Safety Network
50th% percentile
(2008 report)
Overall (per 1,000 patient days) 0.02 0
Infection Rate - Intensive Care Units, January - May 2009
  Henry Ford Hospital National Healthcare Safety Network
50th% percentile
(2008 report)
Overall (per 1,000 line days) 0.44 1.5

Urinary Tract

2008
  Henry Ford Hospital National Healthcare Safety Network
50th% percentile
(2008 report)
Urinary Tract Infections (per 1,000 patient days) 3 2.9

 Surgical Care 

Surgical Infection Prevention, October - December 2008
  Henry Ford Hospital National average
Antibiotics administered one hour before surgery: Preventive antibiotics given one hour before surgery have been shown to prevent infections that occur at the surgical site. Infections remain an important complication of surgical procedures despite increased knowledge about prevention and technological advances in modern surgery. 94.5% 94%
Most appropriate antibiotic selected: Different bacteria are treated with different antibiotics, and choosing the right one for patients depends on many factors. Higher numbers mean better performance.  99.3% 96.9%
Beta blocker administered peri-op: Perioperative beta blockers given to patients during surgery have been shown to reduce cardiac related death. 100% 93.1%

Patient body temperature within normal range 15 minutes after surgery complete (colon surgery only): Maintaining a core body temperature within the normal range is helpful to reducing infections.

90.3% 83.7%
National average is from Quantros, a vendor approved for submission of core measure data to Center for Medicare/Medicaid Safety (CMS)

 


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