Page 48 - COPR-Oct 2017

Amazing Patient Care Scorecard

Youngstown - 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
Lori DeNiro Dr. Ed Novosel Nancy Lesniewski Dr. Rudy Krafft Michael Seelman Dr. Ed Novosel
80% IP, MTD 90% MTD 6 MTD
IP, Rolling-12 Avg
ED, MTD Stretch Target BQMA
ED, Rolling-12 Avg 80% Target
75% 5
ED Target
IP Target
70% 4
70%
60% 3
65%
50%
2
60% 40%
1
55% 30% 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
Margaret Giura Dr. Michael Paronish Kim Sefcik Dr. Denise Bobovnyik Mary Bigowski Dr. Vince Vanek
800 MSSP, Annualized 500 MSSP, Annualized 150 To ED Departure
MSSP, Rolling YTD
To Provider
MSSP, Rolling YTD
EHP, Annualized EHP, Annualized
EHP, Rolling YTD EHP, Rolling YTD To ED Departure Target
To Provider Target
600 MSSP Target 400 MSSP Target
EHP Target
EHP Target
100
300
400
200
50
200
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
Kathy Salaka Dr. Harriett Lemberger-Schor Myra Giangardella Dr. Angelina Rodriguez

96% MTD 100% Submitted before 4pm
95% Rolling 12 Avg Submitted after 4pm
94% Target 90% Target
93%
92% 80%
91%
90%
89% 70%
88%
87% 60%
86%
85% 50%
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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