Page 24 - COPR-Oct 2017

Amazing Patient Care Scorecard

Lima - October 2017

Inpatient & ED Patient Experience 7 Day Follow-Up (high readmission risk PHP) Hospital Acquired Infections
Overall rating Top Box %, higher is better % discharges with 7 day follow-up, higher is better MTD vs. Best Qtr. Monthly Avg. Cases, lower is better
Jodi Pahl Dr. Steven Yamaguchi Ronda Lehman Ruth Myers Cindy Mefferd Dr. Eric Kirschner
90% IP, MTD 90% MTD 1.4 MTD
IP, Rolling-12 Avg
ED, MTD Stretch Target BQMA
ED, Rolling-12 Avg Target 1.2
80%
80% ED Target
IP Target 1
70% 0.8
70% 0.6
60%
0.4
60%
50% 0.2
0
50% 40%
Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep16 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 CAUTI CDIFF CLABSI COLO HYST MRSA

ED Visits per 1,000 Admissions per 1,000 Door to Provider & Admit Order to ED Departure
Lower is better Lower is better Median minutes, lower is better
Ronda Lehman Dr. Ed Tremoulis Ronda Lehman Dr. Ed Tremoulis Jodi Pahl Dr. Steven Yamaguchi
800 MSSP, Annualized 600 MSSP, Annualized 80 To ED Departure
MSSP, Rolling YTD
To Provider
MSSP, Rolling YTD
EHP, Annualized EHP, Annualized
EHP, Rolling YTD 500 EHP, Rolling YTD To ED Departure Target
To Provider Target
600 MSSP Target MSSP Target 60
EHP Target
EHP Target
400
400 300 40
200
200 20
100
0 0 0
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17

Likelihood to Recommend Provider Office MyChart Response Timeliness
Top Box %, higher is better % of questions answered within timeliness criteria, higher is better
Ronda Lehman Dr. Alisa Marzec Ronda Lehman Brendon Hovest

96% MTD 100% Submitted before 4pm
95% Rolling 12 Avg Submitted after 4pm
94% Target 95% Target
93%
92% 90%
91%
90%
89% 85%
88%
87% 80%
86%
85% 75%
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17

24