Page 42 - COPR-Oct 2017

Amazing Patient Care Scorecard

Toledo - 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
Brad Bertke Sonya Selhorst Dr. Mark Cockley Shelah Bechtel Charla Ulrich Dr. James Tita
80% IP, MTD 90% MTD 4 MTD
IP, Rolling-12 Avg
ED, MTD Stretch Target BQMA
ED, Rolling-12 Avg Target
80%
75% ED Target
IP Target 3
70%
70% 2
60%
65%
50% 1

60% 40% 0
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
Dr. Mark Cockley Debbie Apple Dr. Michael Hooker Jeff Dempsey Dr. Randy King Jeff Dempsey
800 MSSP, Annualized 400 MSSP, Annualized 80 To ED Departure
To Provider
MSSP, Rolling YTD
MSSP, Rolling YTD
EHP, Annualized EHP, Annualized
EHP, Rolling YTD EHP, Rolling YTD To ED Departure Target
To Provider Target
600 MSSP Target 300 MSSP Target 60
EHP Target
EHP Target
400 200 40
200 100 20

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
Dr. Mark Cockley Jayne Beckstead Dr. Robert Heizelman Debbie Apple

96% MTD 100% Submitted before 4pm
95% Rolling 12 Avg Submitted after 4pm
94% Target Target
93% 90%
92%
91% 80%
90%
89%
88% 70%
87%
86%
85% 60%
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17

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