Maintain Administrative Management Capacity 5.8.14 Assess hospital management expertise related to trauma-informed care. Standard 5E: Reduce health care facility serious reportable events. Measure 5.9 Reduce the hospital-acquired pressure ulcer prevalence in acute and care hospitals by 10%. Outcome Indicator Baseline 2020 Target Data Source SRE Annual Report: In the Stage +2 hospital general hospitalized population acquired pressure 88 79 the rate of Stage 2 or greater ulcers pressure ulcer is between 2-3% Number of reported hospital-acquired Stage III, IV or Unstageable Numerator: Pressure Ulcers Denominator: Number of patient discharges at & non-acute hospitals Exclusions: None Timeframe: Yearly Annual SRE report How will this be (Calculation: 20% reduction of 2%; the lower bound of Stage 2+ measured? hospital-acquired pressure ulcers) Monitor Health to Identify and Solve Community Health Problems 5.9.1 Collect SRE data from all hospital facilities (acute and non-acute). 5.9.2 Track trends of SRE data to determine common themes. Inform, Educate, and Empower People About Health Issues 5.9.3 Support efforts for education SRE prevalence, sharing lessons learned, the importance of transparency and collaboration. Mobilize Community Partnerships to Identify and Solve Health Problems 5.9.4 Sustain and enhance collaborations among MDPH partners (injury prevention, health care facilities licensure and certification, policy and quality, as well as health professions licensure) and non-governmental partners/stakeholders to reduce the prevalence of serious reportable events. 5.9.5 Support coalitions and partnerships to enhance and increase reporting of SREs and building joint efforts to minimize the impact of SREs. Measure 5.10 Reduce the prevalence of falls with serious injury or death in acute and acute care hospitals by 10%. Outcome Indicator Baseline 2020 Target Data Source with serious 404 361 Annual SRE Report injury or death Number of reported falls with serious injury or death while a patient Numerator: is being cared for in a hospital facility Denominator: Number of patient days at acute & non-acute hospitals Exclusions: None Timeframe: Yearly
Maintain Administrative Management Capacity 5.8.14 Assess hospital management expertise related to trauma-informed care. Standard 5E: Reduce health care facility serious reportable events. Measure 5.9 Reduce the hospital-acquired pressure ulcer prevalence in acute and care hospitals by 10%. Outcome Indicator Baseline 2020 Target Data Source Stage +2 hospital acquired pressure ulcers 88 79 SRE Annual Report: In the general hospitalized population the rate of Stage 2 or greater pressure ulcer is between 2-3% Numerator: Number of reported hospital-acquired Stage III, IV or Unstageable Pressure Ulcers Denominator: Number of patient discharges at acute & non-acute hospitals Exclusions: None Timeframe: Yearly How will this be measured? Annual SRE report (Calculation: 20% reduction of 2%; the lower bound of Stage 2+ hospital-acquired pressure ulcers) Monitor Health to Identify and Solve Community Health Problems 5.9.1 Collect SRE data from all hospital facilities (acute and non-acute). 5.9.2 Track trends of SRE data to determine common themes. Inform, Educate, and Empower People About Health Issues 5.9.3 Support efforts for education SRE prevalence, sharing lessons learned, the importance of transparency and collaboration. Mobilize Community Partnerships to Identify and Solve Health Problems 5.9.4 Sustain and enhance collaborations among MDPH partners (injury prevention, health care facilities licensure and certification, policy and quality, as well as health professions licensure) and non-governmental partners/stakeholders to reduce the prevalence of serious reportable events. 5.9.5 Support coalitions and partnerships to enhance and increase reporting of SREs and building joint efforts to minimize the impact of SREs. Measure 5.10 Reduce the prevalence of falls with serious injury or death in acute and care hospitals by 10%. Outcome Indicator Baseline 2020 Target Data Source with serious injury or death 404 361 Annual SRE Report Numerator: Number of reported falls with serious injury or death while a patient is being cared for in a hospital facility Denominator: Number of patient days at acute & non-acute hospitals Exclusions: None Timeframe: Yearly
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