Key Initiatives and Goals

Key Initiatives and Quality Goals

The goal of UH Quality Institute is to improve outcomes, create more satisfied patients and better value, all across the University Hospitals system. The institute is developing data-based, patient-focused metrics for every aspect of quality, including clinical care, patient satisfaction, safety, process improvement, research and education, and is dedicating teams of top experts to find the highest-value ways to achieve those goals.

UH is committed to achieving the Institute of Medicine’s six quality aims: safety, patient-centeredness, effectiveness, efficiency, timeliness and equity.

UH Quality Institute’s key initiatives and goals include the following:

Safety

• Infection prevention
• Implement an Antibiotic Stewardship Program
• Implement a Nurse-Driven Foley Removal Program
• Reduce Foley days
• Reduce central line associated infections
• Reduce infections for colon and hysterectomy surgeries
• Surgical and procedure safety
• Implement a safety checklist in all procedural areas
• Improve documentation of postsurgical/postprocedural note
• Medication safety
• Synchronize UHCare and Alaris
• Implement Alaris system wide with ongoing process improvement
• Preventable harm
• Implement best practices from the STAAR Readmission Project
• Reduce AHRQ indicators and hospital acquired conditions
• Revitalize CLIPSS
• Revitalize Readmission Project

Patient-Centeredness

• Implement consistent use of patient satisfaction bundle
• Develop patient satisfaction initiatives
• Implement process improvement across ambulatory spectrum
• Increase use of navigators/volunteers
• Complete Way-Finding Project
• Continue to develop patient and family councils
• Continue to emphasize Relationship-Based Interdisciplinary Model of Care
• Develop a system-wide palliative care program

Effectiveness

• Clinical analytics
• Implement Director of Clinical Informatics position
• Implement MIDAS Live
• Effective use of quality reporting systems
• Utilize data for research and publication
• Implement a data governance process
• Align databases with quality reporting needs
• Integrate data from Socrates & Explorys
• Electronic medical record optimization
• Implement clinical documentation
• Complete UHCare prioritization plan
• Develop relevant clinical effectiveness teams
• Emphasize evidence-based clinical care

Efficiency

• Continue Transformation initiatives
• Minimize variations of care
• Continue Turnaround Time Study & drive improvement
• Continue order set design/increase usage
• Continue cost efficiency & provide data

Timeliness

• Continue Throughput initiatives
• Operating Room
• Emergency Department
• Inpatient care areas
• Continue access improvement

Equity

• Active engagement in Better Health Ohio Program
• Continue monitoring of quality
• Race
• Ethnicity
• Socioeconomic class
• Continue development of Accountable Care Organization for employees/families
• Continue minimizing variations in care

Health Care Reform

• Maintain readiness for Value Based Purchasing
• Core measures to exceed baseline
• Patient satisfaction to exceed baseline
• Reduce 30-day readmissions for heart attack, heart failure, and pneumonia
• Achieve Meaningful Use
• Evaluate effectiveness of care model design

Organizational Goals

• Pursue National Quality Forum Quality Award
• Develop a Physician Improvement program
• Develop a Physician Accountability program
• Develop an Interdisciplinary Professionalism program
• Complete Quality Institute infrastructure development

Accreditation and Certification Readiness

• Sustain accreditation programs at all hospitals
• Create an electronic patient education documentation process
• Pursue Magnet Journey or Pathway to Excellence designation for all hospitals
• Sustain accreditation programs at all hospitals
• Create an electronic patient education documentation process
• Pursue Magnet Journey or Pathway to Excellence designation for all hospitals
• Regulatory
• Improve ORYX measures
• Achieve successful ODH annual surveys

Quality Center Goals

• Achieve Best Place to Work goals in
• Credibility
• Fairness & recognition
• Respect
• Develop an ongoing continuing education program