Hospital-wide Measures

Some measures are service specific. They tell us about the quality and safety provided in a specific clinical area, such as heart care or orthopaedics. Other measures are hospital-wide and are not dependent upon whether the patient is receiving heart care or orthopaedic care. Nursing care at BIDMC is one example of a hospital-wide measure. Infections are another example. The following information gives you an idea of how we are doing in both areas. We will be adding to hospital-wide measures in the coming months.

Infections BIDMC Performance
Q3 FY 09		 Comparison1
Preventing Ventilator Associated Pneumonia
A higher score is better.		 96% 90%
Central Line Associated Blood Stream Infections in ICUs
A lower score is better.		 0.97 0.7

Hand Hygiene BIDMC Performance
Q4 FY 09		 BIDMC Goal2
Hand Hygiene: Intensive Care Unit
A higher score is better.		 80% 80%
Hand Hygiene: Medical-Surgical
A higher score is better.		 72% 80%

Nursing Care BIDMC Performance
Q3 FY 09		 BIDMC Goal2
Pressure Ulcers - Stage II & Above: Medical Units
A lower score is better.		 0.0% 0%
Pressure Ulcers - Stage II & Above: Medical- Surgical Units
A lower score is better.		 3.13% 0%

Nursing Care BIDMC Performance
Q3 FY 09		 BIDMC Goal2
Patient Falls - Medical Units
A lower score is better.		 4.68 2.65
Patient Falls -Medical-Surgical Units
A lower score is better.		 3.20 2.15
Patients First see text description for details

1Source of comparison for each measure may vary. It may be drawn from national, regional, or local databases.

2 Internal goal established by BIDMC.

For more information about each measure and its benchmark, click on the name of the measure.

Last updated: October 26, 2009

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