title: Nursing home-acquired pneumonia: outcomes from a clinical process improvement program.
abstract: At EHS Christ Hospital and Medical Center, an eight-step process improvement model was developed that incorporates continuous quality improvement concepts for monitoring, evaluating and improving patient care. Nursing home residents admitted with pneumonia were identified as the group having the most influence on mortality and costs associated with treatment of pneumonia at our hospital. A multidisciplinary team evaluated clinical resource use and patient care processes, and identified root causes of various influencing treatment. Clinical guidelines were created and outcomes were defined, resulting in significant improvement in the clinical management of these patients. Average length of stay decreased from 8.6 days in 1992 to 7.6 days in 1993, with a charge reduction of $1830 per patient. The methodologic framework of a process improvement program combines epidemiologic, clinical, and quality improvement sciences. This mix is essential in improving patient care and quantifying outcomes.
authors.affiliation: Christ Hospital and Medical Center, Oak Lawn, IL, USA.
authors.forename: C L
authors.initials: CL
authors.lastname: Dempsey
mesh_terms: D002641:Chicago; D002985:Clinical Protocols; D003428:Cross Infection / Q000175:diagnosis* / Q000188:drug therapy*; D005069:Evaluation Studies as Topic; D006746:Hospital Bed Capacity, 500 and over; D006784:Hospitals, Teaching / Q000592:standards*; D006801:Humans; D007902:Length of Stay; D009735:Nursing Homes; D010360:Patient Transfer; D011014:Pneumonia / Q000175:diagnosis* / Q000188:drug therapy*; D012107:Research Design; D017749:Total Quality Management