New York Methodist Hospital is committed to continually improving the quality of care we provide to our patients. Below are some of the quality initiatives currently underway. We consistently develop and designate priorities for quality improvement based on own data and that of similar institutions in New York State and throughout the nation. Innovations and new trends in clinical care also drive our quality improvement program. Our doctors, nurses and other clinical staff members work with patients, families, and other institutions to promote continuous improvement and clinical excellence.
Hospital Acquired Infection (HAI) Prevention
At New York Methodist Hospital, infection prevention is a top priority. Hospital acquired infection rates at NYM consistently rank below New York State average. The Division of Infection Control participates in the CDC/National Healthcare Safety Network for the prevention of hospital acquired infection. Using the 2012 Nation Patient Safety Goals set by the Joint Commission, the Division of Infection Control at NYM pays specific attention to the prevention of:
- Surgical site infections (SSIs): Infections related to the following types of surgery are reported: colon procedures, coronary artery bypass graft (CABG) and hip replacement or revision surgery.
- Central Line-Associated Bloodstream Infections (CLABs): CLABs are monitored in selected intensive care units (ICUs), including cardiothoracic surgery ICU, coronary ICU, medical surgical ICU, neonatal ICU and the pediatric ICU.
- Multidrug resistant organisms (MDROs): Patients identified with a multidrug resistant organisms (MDROs), such as methicillin resistant staph aureus (MRSA) and vancomycin resistant enterococcus (VRE), will be placed on isolation or precautions.
Additionally, significant patient education efforts are undertaken to fortify the defense against infection, encouraging patients to become invested in infection prevention.
Rapid Response Team
To ensure the best possible outcome for our patients, NYM employs Rapid Response Teams (RRT), a patient safety initiative supported by the Institute for Healthcare Improvement and the Joint Commission. The RRT, consisting of a critical care nurse, respiratory therapist, and physician, are on call and poised to respond to signs of a sudden decline in a patient’s health. The RRT mobilizes before the patient’s condition deteriorates and acts to assess and treat the patient so as to avoid ICU transfer, cardiac arrest or expiration.
New York Methodist Hospital is working with New York's Statewide Pressure Ulcer Improvement Initiative – a collaboration of provider associations, the state Department of Health (DOH) and the Island Peer Review Organization (IPRO) – order to improve the assessment, management, and prevention of pressure ulcers.
At NYM, 30-day readmission rates for heart attack, heart failure, and pneumonia are below the national average. The administration and medical staff of New York Methodist Hospital (NYM) remains committed to studying and eradicating the causes of preventable hospital readmissions.
To this end, NYM has embarked on a comprehensive readmission prevention initiative, with help from funding from the United Hospital Fund. A special committee reviews readmissions data and create strategies to educate families and caregivers, home health care organizations and skilled nursing/rehabilitation facilities about appropriate, post-discharge patient care. NYM is also a proud participant in the UHF Transitions in Care: Quality Improvement Collaborative and the HANYS/GNYHA–Partnership for Patients.
- CHF Volunteer Intervention Program: Significant effort has gone into researching ways to specifically prevent readmission in the congestive heart failure (CHF) population. The Department of Educational and Volunteer Resources received a $40,000 United Hospital Fund /Promoting Volunteerism grant to realize a volunteer-based teach-back program—the CHF Volunteer Intervention Program (VIP)—for CHF patients. The VIP program aims to increase the quality of care and patient satisfaction while decreasing 30-day readmission rates of CHF patients through in-person and telephone “teach-back” sessions of patient education between trained volunteers and CHF patients.
- CHF Partnership: NYM has partnered with the Center for Nursing and Rehabilitation to help realize a reduction in preventable CHF readmissions through of the adoption of new strategies for accurate communication with family caregivers across the continuum, especially with regard to medication and plans of care.
Quality Awards and Recognition
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