Cox Monett Hospital has reported gains in key services for patients. The positive performance reflected similar gains made in a newly released national study.
According to the Joint Commission, the nation's largest acccrediting body of hospitals and other healthcare organizations, accredited hospitals in America have steadily improved the quality of patient care over a seven-year period, saving lives and improving the health of thousands of patients. Details are reported in the Joint Commission's fourth annual "Report on Quality and Safety 2009."
The report shows continual improvement in hospitals between 2002 and 2008 on 12 quality measures, reflecting the best evidence-based treatments for heart attack, heart failure and pneumonia. The magnitude of national improvement on these measures ranged from 4.9 percent to 58.8 percent. Hospital performance also improved on 13 other measures.
More than 3,000 Joint Commission-accredited hospitals contributed data. The study showed overall heart attack care result improved to 96.7 percent in 2008 from 86.9 percent in 2002. The overall heart failure care result improved to 91.6 percent, up from 59.7 percent in 2002. The overall 2008 pneumonia care result is 92.9 percent, up from 72.3 percent in 2002.
The study cited areas where improvement was still needed. Almost half of hospitals still do not administer drugs to dissolve clots within 30 minutes of arrival to heart attack patients. Over a third of hospitals do not provide antibiotics to intensive care unit pneumonia patients within 24 hours of arrival.
"In addition to saving lives and improving health, improved quality reduces healthcare costs by eliminating preventable complications," said Mark R. Chassin, M.D., president of the Joint Commission.
"By eliminating the preventable complications that today drive up the cost of care, we would easily save the many billions of dollars lawmakers are struggling so hard to locate," Chassin added.
Janell Patton, director of community relations and volunteer services for Cox Monett Hospital, reported core measures for hospital performance have shown improved clinical outcomes for patients. The Center for Medicare and Medicaid Services established core measures and began publicly reporting data in 2003.
"Cox Monett Hospital currently tracks four core measures," Patton said.
|Measures cover surgical care improvement project (SCIP) or inpatient surgeries; acute myocardial infarction (AMI) or heart attack; pneumonia; and heart failure.|
"Within SCIP alone," Patton said, "there are 17 elements or subcategories that we look at. There are 10 elements for AMI, nine for pneumonia, which has the highest volume of patients, and five for heart failure. We have two abstractors looking at charts two times per week and then a third abstractor will conduct a final review."
Third quarter 2009 results at Cox Monett Hospital follow:
* AMI: All core measures -- 100 percent.
* Heart failure: All core measures -- 100 percent.
* Pneumonia: 85.7 percent. (The three areas missed hitting core measures were: Pneumococcal vaccination, blood culture in ER prior to antibiotics and initial antibiotic received within six hours of hospital arrival.)
* SCIP: All core measures -- 100 percent.
"The quality of healthcare in southwest Missouri is among the best in the country," said Cox Monett Administrator Greg Johnson. "CoxHealth is blessed to have a team of physicians and support staff that are actively engaged in continuous quality improvement.
"We are pleased to be able to join our peers among the Joint Commission hospitals in celebrating the improvement of healthcare quality happening across our country," Johnson added.