A five-year collaborative effort among Florida
hospitals spurred a 15 percent drop in the number of patient
readmissions, healthcare leaders announced Tuesday.
The initiative, spearheaded by the Florida Hospital Association,
touted other successes, including a 14.5 percent reduction in
surgical complications, a 41 percent decline in bloodstream
infections and millions of dollars saved at the 160 participating
hospitals.
gWe are proud of the improvements wefve achieved, proud of the
fact that our hospitals are coming together across the state to
ensure that quality patient care is central to all that we do,h said
Steven D. Sonenreich, CEO of Mount Sinai Medical Center in Miami
Beach and chair of the Florida Hospital Association Board of
Trustees.
The association launched its quality campaign in 2008, when
Florida hospitals were shouldering criticism for poor outcomes and
high costs.
gAs a state, we did not rank well on some national [benchmarks],h
Sonenreich said. gWe knew that we could do better.h
Among the associationfs top priorities: reducing hospital
readmissions, or the number of patients who return to the hospital
after receiving care.
More than 100 hospitals took part in the Florida Collaborative on
Reducing Hospital Readmissions. The initiative made Florida the
first state to publicly report its readmissions by hospital, FHA
officials said.
By digging deep into the data and sharing best practices,
participating hospitals were able to prevent more than 1,500 patient
readmissions, according to the report. Whatfs more, their collective
costs dropped by about $25 million.
Despite the progress, 30 hospitals in Miami-Dade and Broward were
identified by the federal government last week for having
excessively high readmission rates. Those hospitals will receive
lowered Medicare reimbursement payments for one year beginning Oct.
1 as part of the governmentfs efforts to reward healthcare providers
for quality and efficiency.
Sonenreich noted that eight Miami-Dade hospitals and a handful of
follow-up care providers were participating in a local collaborative
to further cut readmission rates.
gHospitals used to be places that were silos,h he said. gThere
needs to be the collaboration.h
Beyond readmission rates, the association sought to decrease the
number of surgical complications by creating a Florida Surgical Care
Initiative. It involved 67 hospitals and the insurance giant Florida
Blue.
The effort saved 89 lives, prevented 165 surgical complications,
and cut costs by $6.7 million, according to the report.
Another 35 hospitals participated in a quality assurance program
that yielded a 41 percent drop in bloodstream infections. And 10
were part of an initiative that reduced urinary tract infections by
37 percent.
Healthcare officials said they achieved the results by sharing
techniques. Doctors in Naples, for example, told hospital
administrators elsewhere in Florida about new technology that
monitors for blood infection, said Allen Weiss, the CEO of NCH
Healthcare System in Naples.
gIf you start to look at issues that you can change — surgical
infections, hospital readmissions, bloodstream infections — than you
change the whole culture of the institution,h Weiss said.
The FHA aims to further reduce readmissions by 20 percent over
the next three years, and cut other indicators of patient harm by at
least 40 percent.
Said Mount Sinaifs Sonenreich: gThis is only the beginning.h
Kathleen McGrory can be reached at
kmcgrory@MiamiHerald.com.
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