Achievements in Medical Performance Improvement
Discover how Bronson Battle Creek has implemented innovative strategies across various departments to enhance patient outcomes, reduce hospital stays, and improve overall satisfaction. From pain management techniques to advanced surgical protocols, explore the successful initiatives that have elevated the quality of care at the facility.
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Presentation Transcript
ASPIRE Lansing July 21, 2017 Bronson Battle Creek Performance Improvement
Key Dates 2010 Bronson Methodist becomes 51% owner 2013 Renovations to ED and Birth Center 2014 ERAS started for colorectal surgeries 2015 EPIC installed replacing Cerner 2015 Initiation of local PI Committees for Surgery, Orthopedics, CCU, and Women s Health 2015 ERAS started for Orthopedics, Urology, Gynecology, General Surgery
Key Dates 2016 Joined ASPIRE 2017 System PI Committees for CCU, Women s Health, and Surgery formed. Surgery Committee focusing on SSI.
Accomplishments COLORECTAL Pain relief with thoracic epidural, TAP blocks, or Ketamine/Lidocaine infusions coupled with multimodal PO meds. Full ERAS protocols including MSHOP, carbohydrate drinks, no NGs or drains, early ambulation, and new trays for closure. Decreased LOS by three days, decreased mortality and SSI.
Accomplishments Orthopedics Use of multimodal PO meds and nerve blocks for pain relief Incorporated pre-op carbohydrate drinks Refer high risk patients to hospitalist prior to admission. Formulated indicators to refer back to PCP for select indicators. Early ambulation Decreased LOS, DVT, falls, SSI
Accomplishments General Surgery Utilize multimodal meds and TAP blocks for all laparoscopic and robotic procedures. Inpatient as well as outpatient. PEC blocks for breast surgery Decreased pain scores and increased patient satisfaction scores. Decreased SSI.
Accomplishments Urology Thoracic epidurals for nephrectomies along with multimodal pain meds. TAP blocks for laparoscopic procedures. Decreased pain scores and LOS
Accomplishments OB/GYN TAP blocks with multimodal for laparoscopic procedures. Thoracic epidurals for open hysterectomies Multimodal meds for all vaginal deliveries Duramorph with multimodal meds for cesarean sections. Dramatic improvement in pain scores.
Accomplishments Anesthesia sees all outpatients before discharge to ensure good pain and nausea control. Patients get called again POD#1. Anesthesia rounds on all post-op inpatients for up to four days. Chair Ortho and Surgery PI committees. Attend CCU and Women's PI committees.
In the Works POUR use of bladder scanners AKI avoidance of ACE/ARBs, rational use of NSAIDs, proper hydration SSI timing of antibiotics, redose of antibiotics, separate wound closure tray, robotic cleaners, education of prep and clipping. Hypotension/orthostasis. Glucose Control
