Infection Rate per 1000 patient days: Total number of infections per unit x 1000 = % number of inpatient days 1st Quarter 2015 = 3256 1st Quarter 2016 = 3361 1st Quarter 2017=3889 2nd Quarter 2015 = 3550 2nd Quarter 2016 = 3508 2nd Quarter 2017= 3rd Quarter 2015 = 3453 3rd Quarter 2016 = 3587 3rd Quarter 2017= 4th Quarter 2015 = 3422 4th Quarter 2016 =3584 4th Quarter 2017= II. Measure Name: Patient & Family Education on Hand Hygiene/Cough Etiquette Measure Description: Prior to discharge, a questionnaire will be distributed to each patient that includes the following questions: D1: I received information on how to stay healthy by washing my hands D2: I received information on how to cover my cough or sneeze to prevent the spread of illness Type of Measure: Performance Improvement Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD Quarterly 2012: D1 Target: response rate response 86% 86% D1 90% rate: 80% “agree/strongly agree” for D1 & 2012: D2 Target: D2 is set at response 86% 86% D2 90% 90% rate: 80% Data Analysis: First quarter response rate for question D1 was 86%, a decrease of 7% from the previous quarter. First quarter response rate for question D2 was 86%, a decrease of 4% from the previous quarter. Action Plan: For FY2017, the goal has been increased to 90% compliance rate.
Infection Rate per 1000 patient days: Total number of infections per unit x 1000 = % number of inpatient days 1st Quarter 2015 = 3256 1st Quarter 2016 = 3361 1st Quarter 2017=3889 2nd Quarter 2015 = 3550 2nd Quarter 2016 = 3508 2nd Quarter 2017= 3rd Quarter 2015 = 3453 3rd Quarter 2016 = 3587 3rd Quarter 2017= 4th Quarter 2015 = 3422 4th Quarter 2016 =3584 4th Quarter 2017= II. Measure Name: Patient & Family Education on Hand Hygiene/Cough Etiquette Measure Description: Prior to discharge, a questionnaire will be distributed to each patient that includes the following questions: D1: I received information on how to stay healthy by washing my hands D2: I received information on how to cover my cough or sneeze to prevent the spread of illness Type of Measure: Performance Improvement Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD Target: D1 90% Quarterly response rate “agree/strongly agree” for D1 & D2 is set at 90% 2012: D1 response rate: 80% 86% 86% Target: D2 90% 2012: D2 response rate: 80% 86% 86% Data Analysis: First quarter response rate for question D1 was 86%, a decrease of 7% from the previous quarter. First quarter response rate for question D2 was 86%, a decrease of 4% from the previous quarter. Action Plan: For FY2017, the goal has been increased to 90% compliance rate.
1Q2017.docx