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Vila Health: Mercy Hospital Safety and Quality Dashboard
Legend
M = Meets target
C = Close to target
D = Does not meet target
Physical Therapy
Measure
Purpose
Metric Target Jan Feb March
Operational Early Intervention. PT response to consult within 24 hours. 100% 91%
C
79.5%
D
96%
C
Quality Percentage (%) of patients that meet 75% of their goals upon
discharge.
100% 100%
M
100%
M
100%
M
Endoscopy
Measure
Purpose
Metric Target Jan Feb March
Satisfaction Patient satisfaction with Endoscopy wait time (95% or greater
rated good/excellent).
95% 95%
M
92%
C
88%
D
Infection Control
Measure
Purpose
Metric Target Jan Feb March
Quality CAUTI Rate. <1.1 0.94%
M
1.6%
C
0%
M
Safety % of clinicians who wash hands and use sanitizer appropriately. 98% 96%
C
88%
D
93%
C
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Laboratory
Measure
Purpose
Metric Target Jan Feb March
Quality Critical lab values from RN to PHY within 20 minutes. 100% 76.6%
D
58.5%
D
76.6%
D
Operational CB TAT ER-average minutes receipt to results. 92% 93.6%
M
94.6%
M
93.9%
M
ICU/PCU
Measure
Purpose
Metric Target Jan Feb March
Safety All patients/families will receive discharge education that is
documented in the medical record.
100% 100%
M
100%
M
100%
M
Safety A current list of medications is provided to the patient at time
of discharge.
100% 100%
M
100%
M
100%
M
Safety Pt. fall rate/1,000 pt. days. <2% 1.4%
M
1.7%
M
3.3%
D
Safety MRSA swab collection within 24. 100% 73.5%
D
80%
C
84.4%
C
Emergency Room
Measure
Purpose
Metric Target Jan Feb March
Quality EKG for chest pain <10 mins of arrival. 100% 100%
M
100%
M
17%
D
Quality Patients assessed for pain and appropriate interventions and
reassessments are documented.
100% 85%
D
48%
D
76.00%
D
Risk Management Report
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- Vila Health: Mercy Hospital Safety and Quality Dashboard