Patient Health Performance Data

Patient Health & Performance Data

RML has earned The Joint Commission’s Gold Seal of Approval and received accreditation in acute hospital care and laboratory services.

RML has a higher Case Mix Index (CMI) than most LTCHs.  That means our patients are often more complex than those treated at the average LTCH.  RML’s CMI in Second Quarter 2017 was 1.44.  The CMI of other LTCHs in the area was 1.25-1.35 for the same time period.*  The higher the number, the more complex the patient.

RML has a culture of continuous improvement.  This helps us ensure we provide the support, training and environment necessary to help patients achieve goals.

We evaluate our effectiveness by measuring clinical outcomes. We are proud to report our outcomes in key areas associated with excellence in healthcare. They include:

 

 

Patient Falls

Our complex patient population is at high risk for falling during hospitalization due to a variety of contributing factors including:  unfamiliar surroundings, medication, weakness, disorientation, age, cumbersome lines and tubing, and specialty beds and bed surfaces.

We work diligently to keep our patients safe. To protect patients against falling, we employ fall prevention strategies that target high risk areas. Our interventions include:  thorough assessment of patient risks, frequent patient observation and re-orientation, use of protective equipment, bed and chair exit alarms, beds in low position, and placement of call lights within patient reach.

Patient fall rates are reported as the number of falls per 1,000 patient days. A lower number means fewer falls.

Patient Fall Rate 2Q 2017

 

Pressure Ulcers

A pressure ulcer is localized damage to the skin and underlying soft tissue usually over a bony prominence. The tolerance of the soft tissue for pressure may also be affected by microclimate (temperature), nutrition, perfusion, comorbidities and the condition of the soft tissue.

Patients treated at RML are seriously ill and are at very high risk for developing pressure ulcers. Some of our patients may be admitted with pressure ulcers that occurred during their previous hospitalization.

Pressure ulcers can be painful, take a long time to heal, and cause other complications such as skin and bone infections. Our goal is to heal the pressure ulcers patients already have at the time of admission and prevent new ones from developing.

Healthcare Acquired Pressure Ulcers 2Q 2017


 

Patient Infections

Many lifesaving medical treatments carry some degree of risk to the patient. One of these risks is the risk of infection. According to the CDC, nosocomial or hospital-acquired infections affect 5 to 10 percent of hospitalized patients in the U. S. each year. 

Safe ways to treat and care for patients are very important to the staff at RML. We are committed to reducing the incidence of infection.

RML closely monitors the occurrence of four major types of infections: catheter-associated urinary tract infections (CAUTIs), central line infections (CLABSIs), Clostridium Difficile (C. diff) infections and Methicillin-Resistant Staphylococcus Aureus (MRSA) bacteremia infections.

To gauge patient infection performance, RML uses comparative data from the National Healthcare Safety Network (NHSN), the surveillance system database of the Centers for Disease Control (CDC). The most recent comparative data from NHSN is from Second Quarter 2017.

When making comparisons, it should be noted the NHSN data is not “risk-adjusted.” LTCHs like RML treat very complex patient populations. These complex patients are at much greater risk for developing complications and infections because of the very nature of their illnesses. Hospitals that provide care for these more complex patients may or may not have higher (non risk-adjusted) rates of infections than hospitals that do not care for such complex patients.

 
Catheter-associated Urinary Tract Infections (CAUTIs)

Urinary tract infections account for approximately 40 percent of all hospital-acquired infections annually, with 80 percent of these hospital-acquired urinary tract infections attributable to indwelling urinary catheters.  RML uses Institute for Healthcare Improvement (IHI) guidelines to assess infection from a urinary catheter. A CAUTI diagnosis requires a positive urine culture plus one of the following:

          • Fever
          • Urinary frequency
          • Urinary urgency
          • Dysuria

CAUTI rates are reported as the number of infections per 1,000 urinary catheter days. A lower number means fewer infections.

Catheter-associated Urinary Tract Infections (CAUTIs)

 

Central Line-Associated Blood Stream Infections (CLABSIs)

CLABSIs are the most severe of all hospital acquired infections. They occur when bacteria enter the bloodstream through a central line. RML carefully monitors and sustains best practices for central line insertion and maintenance.

RML has a higher than average percentage of dialysis patients.  The CDC reports patients who undergo dialysis treatment have an increased risk for getting an infection.  These patients are at a high risk for infection because the process of hemodialysis requires frequent use of catheters or insertion of needles to access the bloodstream.  Hemodialysis patients have weakened immune systems.  This also increases their risk for infection.

CLABSI rates are reported as the number of infections per 1,000 central-line days. A lower number means fewer infections.

Central Line-Associated Blood Stream Infection (CLABSI) Rate 2Q 2017

 

Clostridium Difficile (C. diff) Infection Rate

When a person takes antibiotics, good bacteria that protect against infection are destroyed for several months.  During this time, patients can get sick from C. diff, bacteria that cause potentially deadly diarrhea, which can be easily spread in healthcare settings.

C. diff rates are reported as the number of infections per 1,000 patient days. A lower number means fewer infections.

Clostridium Difficile (C. diff) Infection Rate 2Q 2017

 

Methicillin Resistant Staphylococcus Aureus (MRSA) Bacteremia Infection Rate

Methicillin-resistant Staphylococcus Aureus is bacteria, that is usually spread by contaminated hands.  In a healthcare setting such as a hospital, MRSA can cause serious bloodstream infections.

MRSA rates are reported as the number of infections per 1,000 patient days. A lower number means fewer infections.

MRSA Bacteremia Infection Rate 2Q 2017

 
Flu Vaccine for Healthcare Workers

The flu vaccine helps prevent the spread of flu virus.  Healthcare workers who are vaccinated against the flu virus are less likely to spread the flu to their colleagues or patients in their care.  The vaccine also protects staff from getting the flu.  The flu vaccine is mandatory for RML employees.

Flu Vaccine Rate for Healthcare Workers: Flu Season Ending March 2017

*Case Mix Index data is based on discharge information reported to Illinois COMPdata.  Pediatric, maternity, psychiatric, and chemical dependency patients are excluded for comparison purposes.