Accelerating Best Care in Pennsylvania: the Hazleton General Hospital experience.
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.
Andrews
Andrea
A
Greater Hazleton Health Alliance, Hazleton, Pennsylvania, USA.
Valente
Anthony
A
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
D000900:Anti-Bacterial Agents; D022242:Pneumococcal Vaccines