DSRIP Plan: San Joaquin General Hospital
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CATEGORY 1: Infrastructure Development
Project
Expand Primary Care
Capacity

Implement Disease
Management Registry
Functionality

Redesign Primary Care

Description
Increase primary care
5-Year Goals
Y1: Develop plan for expanding primary care clinic staff by identifying
current patient volume, assessing new patient waiting list, and
developing plan for expanding staff and hours
Y2: Add at least 1 primary care provider in the Primary Medicine Clinic
Y3: (1) Add at least 1 more primary care provider (2) Increase primary care
clinic volume by 10%
Y4: (1) Add at least 1 more primary care provider (2) Increase primary care
clinic volume by another 10%
Y5: Increase primary care clinic volume by another 10%
Y1: Develop plan that addresses which chronic diseases or clinical
Implement disease management registry
conditions will be included, the number of clinic sites, and timetable for
implementation.
Y2: Implement a functional disease registry for 25% of San Joaquin General
Hospital’s primary care sites
Y3: (1) Implement a functional disease registry for 50% of San Joaquin
General Hospital’s primary care sites (2) Increase number of providers,
clinicians and staff using the registry
Y4: (1) Implement a functional disease registry for 75% of San Joaquin
General Hospital’s primary care sites (2) Increase number of providers,
clinicians and staff using the registry
Y5: (1) Implement a functional disease registry for 100% of San Joaquin
General Hospital’s primary care sites (2) Increase number of providers,
clinicians and staff using the registry
CATEGORY 2: INNOVATION AND REDESIGN
Expand primary care capacity and improve
medical home implementation
Y1: Develop plan for staff training on methods for redesigning clinics to
improve efficiency
Y2: Staff in at least one clinic will be trained on redesigning clinics for
improved efficiency
Y3: (1) Staff in at least one additional clinic (2 total) will be trained on
redesigning clinics for improved efficiency (2) Reduce patient
appointment no-shows to 20% or less
Y4: (1) Staff in at least one additional clinic (3 total) will be trained on
redesigning clinics for improved efficiency (2) Reduce patient
DSRIP Plan: San Joaquin General Hospital
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appointment no-shows to 15% or less
Y5: Reduce patient appointment no-shows to 20% or less
Train primary care clinic staff so that at least 1000 Y1: Develop plan
Y2 : Develop medical home assignment criteria, including which specific
patients in primary care clinics are assigned to
chronic conditions, high risk patients, and high utilization patients will
medical homes
be assigned to medical homes
Y3: At least 400 eligible patients assigned to medical homes
Y4: At least 750 eligible patients assigned to medical homes
Y5: At least 1000 eligible patients assigned to medical homes
CATEGORY 4: URGENT IMPROVEMENT IN CARE
Expand Medical Homes

Improve Severe Sepsis
Detection and
Management

Central Line Associated
Blood Stream Infection
(CLABSI) Prevention


improve compliance with central line insertion
bundle
Reduce avoidable harm or deaths and costs of
care due to central-line associated blood stream
infections
Surgical Site Infection

improve surgical site infection prevention

implement Sepsis Management and Resuscitation
Bundle
Reduce avoidable harm or deaths due to severe
sepsis to patients receiving inpatient services
Y1: Develop plan.
Y2: (1) Implement the Sepsis Resuscitation Bundle: (2) Report at least 6
months of data to SNI for baseline / benchmarks; (3) Report the results
to the state.
Y3: (1) achieve TBD% compliance with sepsis resuscitation bundle; (2) share
data and practices with SNI for benchmarking across public hospitals; (3)
Report results to the state
Y4: (1) achieve TBD% compliance with sepsis resuscitation bundle; (2) share
data and practices with SNI for benchmarking across public hospitals; (3)
Report results to the state
Y5: (1) achieve TBD% compliance with sepsis resuscitation bundle; (2) share
data and practices with SNI for benchmarking across public hospitals; (3)
Report results to the state
Y1: Develop plan
Y2: (1) Implement the Central Line Insertion Practices (CLIP; (2) Report at
least 6 months of data collection on CLIP to SNI for baseline /
benchmarks; (3) Report at least 6 months of data collection on CLABSI
to SNI baseline / benchmarks; (4) Report CLIP results to the state
Y3: (1)achieve TBD% compliance with CLIP; (2) share data and practices
with SNI; (3) report CLIP and CLABSI results to State
Y4: (1) achieve TBD% compliance with CLIP; (2) reduce central line
bloodstream infections by TBD%; (3) share data and practices with SNI;
(4) report CLIP and CLABSI results to State
Y5: (1) achieve TBD% compliance with CLIP; (2) reduce central line
bloodstream infections by TBD%; (3) share data and practices with SNI;
(4) report CLIP and CLABSI results to State
YI: Develop a plan to collect and report data about surgical site infections
Y2: (1) Report at least 6 months of data to SNI for baseline/benchmark (2)
Stroke Management

DSRIP Plan: San Joaquin General Hospital
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Report results to the state (3) Work with IT to capture patients with
surgical site infections that are not readmitted or have their wound
cultured
Y3: (1) Reduce rate of SSI for Class 1 and 2 sounds by X, (X TBD in year 2)
(2) Share data, promising practices and findings with SNI to foster
shared learning and benchmarking across the California public hospitals
(3) Report results to the state
Y4: (1) Reduce rate of SSI for Class 1 and 2 sounds by X, (X TBD in year 2)
(2) Share data, promising practices and findings with SNI to foster
shared learning and benchmarking across the California public hospitals
(3) Report results to the state
Y5: (1) Reduce rate of SSI for Class 1 and 2 sounds by X, (X TBD in year 2)
(2) Share data, promising practices and findings with SNI to foster
shared learning and benchmarking across the California public
hospitals (3) Report results to the state
Improve stroke care to reduce unnecessary death Y1: Develop plan to identify, monitor and report about the seven stroke
management process measures
and harm and improve rehabilitation rates using
Y2: (1) Report at least 6 months of data collection on the 7 stroke
JCAHO and American Stroke Association
management process measures to SNI (2) Report the data to the state
guidelines
Y3: (1) Increase rate of ischemic stroke patients prescribed antithombotic
therapy at discharge by TBD (2) Increase rate of ischemic stroke
patients with atrial fibrillation/flutter discharged on anticoagulant
therapy by TBD (3) Increase rate of acute ischemic stroke patients who
arrive at hospital within 120 minutes and for whom IV t-PA was initiated
within 180 minutes by TBD (4) Increase rate of ischemic stroke patients
who receive antithrombotic therapy by the end of hospital day two by
TBD (5) Increase rate of ischemic stroke patients with LDL>100, or not
measured, or were on cholesterol reducing therapy prior to
hospitalization who are discharged on statin medication by TBD (6)
Increase rate of ischemic and hemorrhagic stroke patients and or
caregivers who are given education re: stroke risk, warning signs, and
followup by TBD (7) Increase rate of ischemic and hemorrhagic stroke
patients who were assessed for rehabilitation by TBD (8) Share data
with SNI (9) Report the seven process measures and stroke mortality
rate results to the state
Y4: Same as Y3 with adjusted rates
Y5: Same as Y4 with adjusted rates