HAB Performance Story Template

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Hospital logo
HEN Name
Hospital Name; Hospital Location.
We are looking for HAB hospitals with good overall performance. Provide an introductory paragraph
with information on the hospital. This should describe organizational goals in relation to a culture of
excellence, Safety Across the Board/Harm Across the Board and why it is important to focus on
SAB/HAB.
We want to know how hospitals are reporting harm to catch hazards and improve patient care safety!
This could be through overall good performance in multiple areas of success or could focus on one
innovation in one top area of success. Stories should be data driven performance stories.
Data Driven Measures:
 Identify outcome measures showing zero outcome rates in any of the core focus areas.
 Identify high performance areas meeting benchmarks set for associated key metrics.
 Identify continued efforts in the reduction of SAB/HAB
Provide Run Charts with data measures which identify Core Focus Measures showing
progress. Examples are provided below.
Key Contacts:
Identify key hospital personnel who other HEN and Hospital leaders can contact to discuss Hospital
Engagement Network performance and participation.
Name
Title
Hospital Name
Hospital Address
Email
Phone
Hospital logo
HARM ACROSS THE BOARD
Harm Across the Board looks at the multitude of patient harms that might occur during a hospital stay.
Patient harms include adverse event areas like infections, embolisms, falls, and pressure ulcers, as well
as early elective deliveries and readmissions. An example of patient harms is healthcare-associated
infections.
Hospital Trend in Reducing HARM
140
Spike in Readmissions
117
Total # of HARMS
120
100
96
90
87
82
78
83
83
Number of
Harms
80
60
40
20
20
14
15
14
19
15
10
14
Harms
Without
Readmissions
0
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
2011 2011 2011 2011 2012 2012 2012 2012
[Hospital name] has been successful in reducing the total number of harms. The increase in harms
during Q1 2012 results from a spike in readmissions, which has continued to decline in the following
period.
Hospital logo
EXCESSIVE ANTICOAGULATION WITH WARFARIN
(ADE) Excessive anticoagulation with warfarin - Inpatients
16
13.51
14
12
12.5
10
Rate
10
7.89
8
4.76
6
4
2
3.13
4
3.25
3.23 3.23
2.5
0
0
0
0
0
This chart shows the decrease in rate of Adverse Drug Events related to excessive anticoagulation with
warfarin. The rate has declined from a high of 13.51 in February of 2012 to 3.25 in February of 2013,
with three consecutive months of a zero rate August through October of 2012.
Hospital logo
PREVENTABLE READMISSIONS
(Readmissions) INDIANA All Cause 30 Day Readmissions
10
8.65
9
8
7
Rate
6
6.48
7.05 6.72
7.54
6.36
5.63
5.25
6.94
5.82
6.38
5.09
5
4
3
2.26
2
1
0
The graph represents a 65 percent reduction in readmissions since their 2011 baseline.
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