title: Accelerating Best Care in Pennsylvania: the Hazleton General Hospital experience.
abstract: Hazleton General Hospital (HGH) was 1 of 2 rural area community hospitals selected to participate in Accelerating Best Care in Pennsylvania, a demonstration project conducted by Baylor University and Jefferson Medical College. This paper describes how a project team from HGH succeeded in learning and applying a rapid-cycle QI methodology that was developed for a large, academic health care system. The 5 projects undertaken for the demonstration included: heart failure discharge instructions, surgical antibiotic prophylaxis, care of the stroke patient, pneumonia care-administering antibiotic within 4 hours, and pneumococcal vaccine administration. The project teams achieved 100% compliance by the end of the initial measurement period. The program boosted QI at HGH and has been instrumental in the facility's continued performance improvement on CMS core measures.
authors.affiliation: Greater Hazleton Health Alliance, Hazleton, Pennsylvania, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Andrews
authors.forename: Anthony
authors.initials: A
authors.lastname: Valente
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis / Q000379:methods; D019983:Guideline Adherence / Q000458:organization & administration; D006333:Heart Failure / Q000628:therapy; D006764:Hospitals, Community / Q000458:organization & administration*; D006780:Hospitals, Rural / Q000458:organization & administration*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D010351:Patient Discharge / Q000592:standards; D010353:Patient Education as Topic / Q000592:standards; D010414:Pennsylvania; D022242:Pneumococcal Vaccines / Q000008:administration & dosage; D011014:Pneumonia / Q000188:drug therapy; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D020521:Stroke / Q000628:therapy; D013514:Surgical Procedures, Operative / Q000379:methods; D017749:Total Quality Management / Q000458:organization & administration
chemical_list: D000900:Anti-Bacterial Agents; D022242:Pneumococcal Vaccines