only about 2% OF hospitals perform at the prestigious 100 safecare hospitals level
"Medical Center, Navicent Health - along with all Navicent Health entities - bases its processes and procedures on the triple aim. We focus on quality, safety and efficiency in order to provide our patients with the right care at the right cost. To be selected to The SafeCare Group's 100 SafeCare Hospitals for the second consecutive year confirms that we are doing the right thing for our patients," - Dr. Ninfa Saunders, President and CEO, Navicent Health
Exerpt, SafeCare Magazine, 3rd Quarter 2016 Interviewer: In all your years working in patient safety, what has surprised you most? Yisrael Safeek, MD, MBA: The biggest coming to mind is an inspection visit to a “world renowned” hospital when I was with The Joint Commission. When I say “world renowned” I’m referring to a top 10 rating in the nation…rated by others of course. The hospital’s leadership constantly kept reminding the inspection team of these ratings. That all sounds fine until you know that the hospital had over 250 findings after a five day inspection. They had patient safety lapses like using concentrated heparin to flush central lines, lack of two person handoff from the blood bank, blood administration without staff present in the initial moment, pharmacy not reviewing pre-procedure orders for medications, no post-procedure retrospective review, medications drawn up and mixed in a syringe and stored for later use without the strength of the dose on the label, lack of defined processes for prompt resolution of patient grievances, just to name a few. I can tell you of another occasion when we …the inspection team…arrived at this great Midwestern health system and was asked to go home. Days earlier ahead of Joint Commission survey, the health system was visited by the Centers of Medicare and Medicaid and had over 1,000 findings. Some involved rape of a patient in a psych ward. Truly sad.
To produce a meaningful ranking of US hospitals, The SafeCare Group® looked to existing law for guidance of a comprehensive framework for the 100 SafeCare Hospitals®. The distinguished medical and legal experts who designed, developed, and implemented The Deficit Reduction Act (DRA) of 2005 and The Affordable Care Act believed that a listing of high performing hospitals in the areas of low rates of infections, complications, and readmissions would promote strong incentives to improve health care. These metrics subsequently became part of the Centers of Medicare and Medicaid (CMS) hospitals pay-for-performance programs. The SafeCare Group® adopted this framework for the 100 SafeCare Hospitals® methodology, as it represented holistic, evidence-based metrics and reflect a Balanced Scorecard of low rates of infections, complications, and readmissions. Hospitals that performed poorly on these evidence-based metrics receive a financial penalty from the CMS. We believe that these listings would incentivize hospital leadership to improve care and reduce unnecessary errors that harm patients.