The awards, sponsored by OMPRO, OAHHS, and the Office of Rural Health,
recognize performance improvement in one of four clinical areas: acute
myocardial infarction, surgical-site infection prevention, heart failure, or
pneumonia. The awards will be presented to
-- Silverton Hospital for its work on surgical-site infection prevention
-- Adventist Medical Center for its work on acute myocardial infarction
-- Legacy Emanuel Hospital & Health Center for its work on acute myocardial
-- Legacy Good Samaritan Hospital & Medical Center for its work on heart
-- Legacy Meridian Park Hospital for its work on heart failure
-- Legacy Mount Hood Medical Center for its work on heart failure
"It's my pleasure to shine a spotlight on the quality improvement work of
these hospitals," said Mitchell. "The hospital leadership and quality
improvement staff should be congratulated for their commitment to quality."
Hospitals were required to provide a description of the performance
improvement actions implemented and demonstrate their success with data
"Our hope is that these awards will create a forum for sharing quality
improvement successes statewide," said Mitchell.
OMPRO is a nonprofit organization dedicated to improving the quality and
effectiveness of healthcare. Since 1984, OMPRO has contracted with Medicare
to support effective, evidence-based healthcare for Medicare patients in
Oregon. Additionally, OMPRO contracts with state agencies and private
organizations to conduct quality assurance and quality improvement healthcare
projects. OMPRO's work spans the continuum of care, reaching all age and
economic levels, and all delivery settings.
To be eligible for the award, the hospital must focus on all of the quality measures in
at least one of the Centers for Medicare & Medicaid Services (CMS) clinical
topics (acute myocardial infarction, surgical-site infection prevention, heart
failure, or pneumonia).
Hospitals must satisfy one of the two criteria for each measure:
-- Demonstrate a 10 percentage-point improvement from the baseline
measurement to the final measurement at the end of the re-measurement
-- Achieve and sustain a 90 percent or higher performance rate for three
-- The hospital must provide a description of the performance improvement
actions taken, barriers encountered, systems changes, and future
improvement actions as well as samples of its interventions (e.g.,
standing orders, care protocols, flow sheets, or physician reminders).
-- The sample size for each quality measure must be 20 charts per month,
or 100 percent of the charts if there are fewer than 20 charts for any
given diagnosis under the clinical topic.
-- The baseline measurement must include data from discharges in at least
one quarter of 2002 or 2003.
-- The re-measurement period may include any three consecutive quarters
from January 1, 2003, through March 31, 2004.