Thursday, November 12, 2009

It is with great pride that I share...

From time to time, we must proudly share the great work we are doing. While too many days I try not to "dwell" on the good and focus on how we can continue to improve, it is healthy to take a breather and reflect on the advancements made. During our annual Medical Staff meeting this week, Cynde Gamache, Chief Nursing Officer, provided an exceptional overview of some key accomplishments and advancements.

Quality, Safety & Compliance

Pneumonia Core Measure:
2009 Quarter 2 CPS 92.70% (HQID Top 10%-99.26%)

Pneumococcal Vaccination:
Oct-Dec 2007: 86.67 %
Oct-Dec 2008: 92.59%
Apr-Jun 2009: 93.94%


Along with our sister hospital, St. Mary's Medical Center, we maintain our Magnet Accreditation through our next survey scheduled for 2012. Only about 6% of all U.S. healthcare organizations have achieved Magnet recognition. The Magnet Recognition Program® recognizes quality patient care, nursing excellence, and innovations in professional nursing practice. It provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive from nurses.


Paula Ising RN received the Alfred Soffer Research Award for her CHEST 2009 Conference presentation “Effect of Intermittent vs. Continuous ScvO2 Monitoring on Sepsis Bundle Compliance and Mortality.”

RNs Carol Mulvenon, Nancy Walrafen, and Kathleen Brewer presented their research study entitled "Sadly Caught Up in the Moment: Exploring the Phenomenon of Overt and Covert Maltreatment Among Registered Nurses" was presented at the Sigma Theta Tau International (STTI-the Honor Society for Nursing) Conference in October.

SJMC was awarded Medal of Honor from the U.S. Department of Health and Human Services for our organ donation conversion rate of over 75% over a 12 month period. This is the second year in a row that we were recognized (only 295 hospitals earned this distinction this year).

Operating Effectiveness

Emergency Department Diversion (the hours that we have determined we cannot accept additional patients via ambulances):

FY 2008: 1003.27 total hours /83.6 average hours per month
FY 2009: 137.26 total hours /11.44 average hours per month
FY 2010 (July-October FY YTD): 19.89 total /4.97 average hours per month

I look forward to hearing about your organization' s accomplishments.

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