NR 447 Week 6 Performance Measurement PowerPoint

NR 447 Week 6 Performance Measurement PowerPoint

Student Name

Chamberlain University

NR-447: RN Collaborative Healthcare

Prof. Name

Date

NR 447 Week 6 Performance Measurement PowerPoint

What is Hospital Compare?

Hospital Compare is a public resource developed by the Centers for Medicare & Medicaid Services (CMS) that allows patients, families, and healthcare professionals to review the quality of care delivered at more than 4,000 Medicare-certified hospitals across the United States. It also includes information from over 130 Veterans Administration (VA) hospitals. The website offers ratings, patient experiences, outcome measures, and service details, enabling consumers to make informed decisions about their healthcare choices (Medicare.gov, n.d.).

In this project, Lincoln Hospital and Jacobi Medical Center, both located in the Bronx, New York, will be compared. Although situated in the same borough, these hospitals serve different neighborhoods and populations, which may influence their outcomes and patient satisfaction levels.

Is there a major difference in care?

When analyzing the data between Lincoln Hospital and Jacobi Medical Center, there are only minimal differences in overall care delivery. Both hospitals report similar ratings in terms of readmission, complications, and mortality rates. However, differences emerge in communication scores, colonoscopy care, and patient satisfaction levels.

Is there a difference in patient satisfaction levels regarding the quality of care between the two hospitals?

Yes, there are slight differences. Jacobi Medical Center scored slightly higher in communication and patient satisfaction, with 58% of patients rating it 9 or 10 compared to 51% at Lincoln Hospital. Despite this, both hospitals reported the same percentage (43%) of patients who felt they understood their care upon discharge, suggesting that discharge education is a shared weakness.

Reasons to Recommend Hospital Compare to Consumers/Patients

Reasons to Recommend Hospital Compare to Staff Seeking Employment

Lincoln Hospital Medical and Mental Health Center

Patient Surveys

Lincoln Hospital received an overall one-star rating. Although only one star, 51% of patients still rated the facility a 9 or 10 out of 10. Communication with physicians was comparable to national standards, but nurse communication fell below both state and national averages. Discharge education showed weaknesses, as just 43% of patients fully understood their care, even though 76% confirmed they received written discharge instructions.

Effective Care Data for Two Conditions

• Sepsis Management: Only 31% of the 507 sepsis patients received guideline-based care, significantly lower than the state and national averages.

• Colonoscopy Care: Lincoln performed strongly in this area, with 97% of patients receiving appropriate follow-up care. All patients with a history of polyps adhered to follow-up colonoscopy protocols.

Data on Readmissions, Complications, and Deaths

Lincoln’s unplanned readmission rates for COPD, heart failure, and pneumonia aligned with national averages. However, its overall readmission rate exceeded the national average of 15.3%. Mortality and complication rates were either comparable or too limited for accurate reporting.

Jacobi Medical Center

Patient Surveys

Jacobi Medical Center received a two-star rating, slightly higher than Lincoln. Around 58% of patients gave the facility a rating of 9 or 10. Physician communication scored at 78%, consistent with New York averages, while nurse communication was rated at 69%, slightly better than Lincoln’s 65%. Although 79% of patients were given discharge instructions, only 43% reported fully understanding their care, mirroring Lincoln’s weakness in discharge education.

Effective Care Data for Two Conditions

• Sepsis Management: Approximately 35% of patients received proper care, slightly higher than Lincoln’s 31% but still below averages.

• Colonoscopy Care: Jacobi fell short in this area, with only 67% of patients receiving appropriate treatment, a stark contrast to Lincoln’s 97%. However, 100% of those who did receive treatment followed through with recommended follow-up.

Data on Readmissions, Complications, and Deaths

Readmission rates were comparable to both Lincoln and the national average, suggesting stable performance. Like Lincoln, complication and mortality data were limited or equivalent to national benchmarks.

Recommendations for Improving Data for Lincoln Hospital

Based on professional nursing experience at Lincoln Hospital, several targeted improvements can enhance outcomes:

1. Strengthen Communication: Train physicians and nurses in patient-centered communication to ensure patients understand care plans.

2. Improve Nurse-to-Patient Ratios: Increasing staffing would allow more individualized patient care and reduce errors.

3. Enhance Staffing in High-Demand Areas: Particularly in the emergency department, additional staff would shorten wait times and improve patient flow.

4. Transparent Updates: Regularly update patients in the ER and outpatient settings with estimated wait times to reduce anxiety and feelings of neglect.

Summary of Insights Gained from the Experience

Hospital Compare is an invaluable tool for both healthcare professionals and patients. By reviewing data, I learned that personal assumptions about hospital quality may not always align with reported patient experiences. For instance, I expected Jacobi Medical Center to outperform Lincoln Hospital in most areas, yet both facilities showed very similar weaknesses, especially in patient discharge education.

As a nurse, these findings highlight the critical importance of effective communication. Patients must not only receive discharge instructions but also clearly understand them to ensure continuity of care and reduce readmissions. Improving this area can enhance patient safety, reduce costs, and elevate overall satisfaction.

References

Medicare.gov. (n.d.). Hospital Compare. Centers for Medicare & Medicaid Services. Retrieved from https://www.medicare.gov/hospitalcompare

NR 447 Week 6 Performance Measurement PowerPoint