Heart QAPI Insights - Fiscal Year 2019
This content provides an overview of various aspects related to heart referrals, evaluations, listings, transplants, outcomes, and mortality data from different time periods up to November 2018. It includes visual representations and statistics regarding adult heart referrals, evaluations, listings, transplants, graft survival rates, and waitlist mortalities. The dashboard review covers performance metrics and transplant data from 2017 to 2018.
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Presentation Transcript
HEART QAPI November 27, 2018
REFERRALS, EVALUATIONS, LISTINGS & TRANSPLANTS Fiscal Year 2019
One Year Outcomes Data current as of 11/15/18
Three Year Outcomes Data current as of 11/6/18
Mortalities and Graft Failures Since previous QAPI on 8/7/18 Date of Date of Transplant Transplant Date of Date of Death / GF Death / GF Days Post Days Post- - Transplant Transplant Cause of Cause of Death / GF Death / GF Patient Patient Reviewed? Reviewed?
Waitlist Mortality 2018 adult deaths on the waitlist None since last QAPI!
DASHBOARD REVIEW July October 2018
Transplant Metrics 2017 2017 July July August August September September October October YTD YTD Bench Bench- - mark mark Metric Metric OR ABO Verification LOS Median (days) ICU LOS Median (days) Return to OR CRRT PGD D/C Summary Sent to Referring PHS Consent
Post-Transplant Metrics 2017 2017 July July August August September September October October YTD YTD Bench Bench- - mark mark Metric Metric Readmission < 30 days Readmission < 90 days Rejection (2R) < 30 days Infection < 30 days Sternal Wound Infection < 90 days = incomplete follow-up period
Reported Events August & September 2018
Hospital Patient Safety Indicators Quarter Quarter 3: July 3: July - - September September Metric Metric CVICU Total Transplant Total Transplant Total Transplant CAUTI CAUTI C. DIFF C. DIFF CLABSI CLABSI FALLS FALLS HAND HYGIENE HAND HYGIENE
POLICIES AND REGULATIONS
Compliance Dashboard October 2018
PROCESS IMPROVEMENT PROJECTS
ACTION ITEMS & UPCOMING EVENTS
Action Items & Upcoming Events Action Items Action Items Upcoming Events Upcoming Events