Quality & Safety

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CalvertHealth is committed to our community, with a focus on patient-centered care. High quality and safe patient care is more than a goal, it is our number one priority. That means delivering the best possible care to every person, every time. We are dedicated to improving the way we do things on a continual basis. Health care inherently poses safety risks that all hospitals across the nation face. CalvertHealth acknowledges those risks and embraces the challenge to mitigate any and all potential safety events. 

Every day the team at CalvertHealth focuses on making a difference in every life we touch. For more than a century, our guiding philosophy has been to ensure the services we provide to our patients are of the highest quality. This commitment to quality and safety is evidenced by the results of our patient outcomes and the recognition received from Centers for Medicare and Medicaid Services (CMS), The Joint Commission, American Heart Association and others.

CalvertHealth's mission, vision and values guide our decision making and shape the culture of our organization. The first “value” that supports our organization is Quality. It is the foundation upon which all of our values are based. CalvertHealth provides responsible, safe, reliable and effective care and services. We take pride in what we do. Click here to learn more about what we believe.





Patient Quality and Safety Measures:

  • CalvertHealth has a 98 percent compliance rate for hand hygiene compliance.
  • According to the HSCRC, CalvertHealth has one of the lowest mortality/highest survivability rates in the state.
  • CalvertHealth is recognized for having one of the lowest readmission rates among hospitals in the state. Although this average changes from quarter to quarter, CalvertHealth has consistently ranked in the top decile for the past five years.
Key Highlights and Achievements:

  • In the last five years, CalvertHealth has spent more than $61 million to upgrade technology, improve facilities and expand services. In 2016, the medical center implemented a new electronic records system – improving access, communication and care.
  • Recognized as a leader in airway safety initiatives by the American Association of Respiratory Care and The Joint Commission’s Leading Practice Library. 
  • Earned the Health Quality Innovator Award for 2017 for our collaborative approach to reduce opioid addiction and prevent opioid-related deaths in our community. Also named a Pioneer in Quality by The Joint Commission for electronic clinical quality measure reporting for our core measures.
  • Received the American Heart Association’s highest honor for outstanding stroke care – the Gold Plus Quality Achievement Award – for the seventh year in a row. CalvertHealth is also a designated Primary Stroke Center by the Maryland Institute for Emergency Medical Services Systems (MIEMSS).
Core Measures

Our Quest for Core Quality program continues to be a source of pride for the organization. Our dedicated, multi-disciplinary team will not rest until we achieve 100% compliance for all our quality metrics. This year, our hard work resulted in exemplary care for our patients. Some of the highlights are as follows:

  • Attainment of benchmarks set by the Maryland Health Care Commission (MHCC) in 13 of 22 metrics
  • Improvement or 100% compliance in 8 of 10 metrics
  • Successfully implemented and reported on our first electronic measures
  • Evaluated and designed processes to increase our compliance with best practice standards for Cesarean sections
  • Implemented further in-depth review with providers for accuracy of documenting severe sepsis and shock
Additionally, to enhance the patient experience, CalvertHealth recently completed Phase I of a $51-million expansion and renovation project offering patients state-of-the-art private patient rooms. We also introduced the Hill-Rom Centrella Smart+ Bed system to our patient rooms. These beds include convenient features such as USB ports and mobile device storage to make accessing those technologies safer and simpler for patients. The new beds also aid in communication by offering verbal safety prompts to the patient and the care team as well as visual notifications that improve patient safety.

Stroke

Similar to our core measures program, our Stroke Team continued to persevere in providing excellent care for our stroke patients and their families. Not only do we have exemplary outcomes, we also have a strong support group for patients and caregivers offering support to patients and families after a stroke. Examples of accomplishments achieved in 2018 include the following:

  • Met or exceeded all benchmarks for quality outcomes related to stroke
  • Improvement or attainment of 100% compliance in 11 out of 15 metrics
  • 100% compliance in seven of those metrics
  • Door to needle tPA time in less than 60 minutes was achieved in 89% of the cases

Readmissions

Calvert Health Medical Center all-payer, intra-hospital, all-cause, non-risk adjusted 30-day readmission rate was 7.8% for 2018, with a skilled nursing facility rate of 14.4% and a Medicare rate of 11.8% during that same time frame.

  • Our CY18 all-payer, inter-hospital, all-cause, risk-adjusted 30-day readmission rate target was ≤ 9.9%, which we met with a final CY18 rate of 9.76%, compared to the State’s readmission rate of 11.22%
  • Our CY18 Medicare inter-hospital, all-cause 30-day, risk-adjusted readmission rate was 10.26%, compared to the State’s readmission rate of 11.94%


Also ranked by CMS Hospital Compare with an overall star rating of 4 out of 5 stars in 2019.

CalvertHealth Medical Center is accredited by The Joint Commission on Accreditation of Healthcare Organizations. Click here to learn more about The Joint Commission.



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