Page 6 - COPR-Oct 2017

Amazing Patient Care Scorecard

System - 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
Phyllis Doulaveris Cathy Follmer Dr. Jim Kravec
80% IP, MTD 90% MTD 30 MTD
IP, Rolling-12 Avg
ED, MTD Stretch Target BQMA
ED, Rolling-12 Avg Target
80% 25
75% ED Target
IP Target
20
70%
70% 15
60%
10
65%
50% 5
0
60% 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
Dr. Bernadette Deguzman Dr. Amy Frankowski Cheryl Dalton-Norman
600 MSSP, Annualized 400 MSSP, Annualized 100 To ED Departure
MSSP, Rolling YTD
To Provider
MSSP, Rolling YTD
EHP, Annualized EHP, Annualized To ED Departure Target
500 EHP, Rolling YTD EHP, Rolling YTD To Provider Target
MSSP Target MSSP Target 80
EHP Target 300 EHP Target
400
60
300 200
40
200
100
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. Erin Fries Anita Mattingly

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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