St. Croix Regional Medical Center is committed to an ongoing quality and performance improvement program to evaluate the quality, safety and effectiveness of the care delivered to our patients and their families.
CheckPoint gives a snapshot of Wisconsin hospitals' performance in key areas. With this information, you can see how often each hospital provides recommended care for patients with certain conditions or the progress hospitals have made towards national patient safety goals. This information may be used by the public to compare how different hospitals perform and to promote quality improvement efforts within hospitals. (Click Here for Reports)
SCRMC participates with the Center for Medicare and Medicaid Services (CMS) inpatient hospital care survey: a standardized survey
used to measure the patient's perception of care during their hospitalization. The data is available on the CMS Hospital Compare website for consumer review and comparison with participating facilities. This data is available for use by consumers when choosing a facility for their healthcare needs.
During April 2013 thru March 2014, responses were as follows:
MNCM is the result of a pioneering project to collect comparable data across health system and report it publicly. What began as an
idea in 2000 has grown into the source statewide for credible performance data on quality, cost and patient experience. Again the opening of the Lindstrom Clinic has provided us with the opportunity to participate with this program. To date we have submitted data on Optimal Diabetes Care, Optimal Vascular Care and Depression Care. It is important that because the opening of the clinic was 8 months into the reporting period, the dominator is quite low for each of the measures thus affecting the percentages.
SCRMC is committed to sharing information about the quality and safety of the health care services that we deliver to our community. For example, SCRMC voluntarily participates with CMS’s Performance Measurement Program by publically reporting data to Checkpoint on care provided to patients diagnosed with pneumonia, congestive heart failure, or have undergone surgery such as a total knee, total hip, hysterectomy and/or colon surgery.
Results for calendar 2013 on selected measures are:
Although some adverse drug reactions are not very serious, others cause the death, hospitalization, or serious injury of more than 2 million people in the United States each year. We have increased physician and staff awareness, and continue our efforts to report instances of even common drug side effects. All adverse reactions are entered in the patient's EMR for future reference in an effort to prevent recurrence.
Our Adverse Drug Reactions per 100 inpatient discharges are:
Communication problems are a major contributing factor to adverse events in hospitals, accounting for 65% of sentinel events tracked by the Joint Commission. As a result, the Joint Commission has adopted National Patient Safety Goal 2, “Improve the Effectiveness of Communication Among Caregivers.” This goal required all accredited hospitals to implement a standardized approach to hand-off communications, including nursing and physician hand-offs from the Emergency Department (ED) to inpatient units, other hospitals, and other types of health care facilities. The process must include a method of communicating up-to-date information regarding the patient’s care, treatment, and services;condition; and any recent or anticipated changes. The ED Transfer Communication Project
aims to provide a means of assessing how well key patient information is communicated from an ED to any healthcare facility. Starting in October 2013, SCRMC became part of a national pilot project for small rural hospitals focusing on transfers from the Emergency Department.