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Managed Care Partners - Improving Core Measures and Patients' Lives

Managed Care Partners Fall 2013

Improving Core Measures and Patients' Lives

Date: November 1, 2013


Through teamwork and innovation, the Johns Hopkins Health System’s five Maryland- and D.C.-based hospitals significantly improved their 2012 performance in core measures.

In an effort to demonstrate national leadership in patient safety and quality, Johns Hopkins Medicine leaders set a goal to reach 96 percent compliance on core measures across its hospitals. Last year, with support from the Armstrong Institute for Patient Safety and Quality, the health system exceeded the goal in seven measures related to heart attack, heart failure, pneumonia, surgical care and children’s asthma care.

Highlights of Accomplishments in Core Measures

  • Emergency medicine and interventional cardiology staff at The Johns Hopkins Hospital collaborated with city and county emergency medicine services to expedite treatment for heart attack patients requiring immediate care. Now, the hospital’s Heart Attack Team is often activated before a patient reaches the Emergency Department. The group reduced the time between arrival and treatment for heart attack patients from around 90 minutes, the national benchmark, to an average 66 minutes.
  • An IT-developed electronic report at Suburban Hospital that flags immune-compromised and elderly patients in need of the pneumococcal vaccine early in their stay, plus support from the pharmacy team that administers nearly all vaccines, allowed more patients to receive the shot.
  • At Howard County General Hospital, phone calls to remind nurses to remove urinary catheters from patients within two days of surgery improved compliance with a measure to prevent urinary tract infections. When a review of the team’s performance revealed a higher incidence of misses over the weekend, nursing shift directors stepped in to follow up.
  • The Johns Hopkins Hospital, Howard County General Hospital, Sibley Memorial Hospital and Suburban Hospital won the Delmarva Excellence Award for Quality Improvement for 2012 for their core measures performance. In addition, Johns Hopkins and Sibley were named to the Joint Commission Top Performers on Key Quality Measures list that recognizes accredited hospitals attaining excellence on their accountability measures.