Employees were encouraged to complete the post-meeting online survey and be eligible for a Sodexho gift certificate drawing. May drawing winners were Andrea Govan, Heat Transplant data coordinator and Amanda Ledford, EMG coordinator.  

  Service – Serving the public with compassion, respect and excellence

In FY 2012, the medical center met the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) goal of “9-10” responses (HCAHPS overall rating) 80 percent (goal: 78 percent); Outpatient clinics also provided positive patient experiences by reaching a mean score of 93.08 (goal: 92.7). For FY 2012, the hospital will focus on HCAHPS Composites at/or above the 75^th percentile (current result: 3 of 10, goal 7 of 10).

People – Fostering employee pride and loyalty

Employee Partnership mean score fell behind at 72.1 (goal: 73.6); Physician Satisfaction mean score surpassed its goal with a score of 74.6 (goal: 74.3).  

Quality – Providing quality patient care in a safe environment

The hospital’s mortality percentile rankings was 70^th (goal: 80^th), while hand hygiene audits surpassed with 80.8 percent (goal: 75 percent). For FY2012, employees will continue to focus on hand hygiene compliance (current result: 84.2, stretch goal: 90 percentile). In addition, in FY 2012 “Ideal Care” is included as a quality goal and is a composite of patient care outcomes and processes.

Finance – Providing the highest value to patients while ensuring financial stability

The hospital’s days cash on hand or emergency fund did not meet its goal and achieved 12.1 days (goal: 25 days). Year-end net income reported 22.6 M (goal: 25.5 M). For FY 2012, goal remains the same (current result: 2.7 M which, if annualized, puts us on course to reach goal of 25.5 M).

Growth – Growing to meet the needs of those we serve

Inpatient patient admissions and outpatient visits were short of goal. Patient volume increase by 1.8 percent (goal: 3 percent). The economy is effecting physician office visits nationwide and here at MUSC (goal: 5 percent, current: -0.14 percent).  For FY 2012, the goal is to increase inpatient admissions (current result: 2.8 percent, goal: 2 percent) and to maintain outpatient visits (current result: +0.6 percent).

Rankings

From October 2009 to September 2010, MUSC’s overall HCAHPS result was 79 percent (78 percent in the current quarterly report period) compared to other local hospitals, Bon Secours-St. Francis (84 percent) and Roper Hospital (77 percent).

 Among comparable academic medical centers, MUSC’s 79 score is the second highest behind UNC-Chapel Hill (81 percent). MUSC remains ahead of other nationally recognized hospitals such as the University of Alabama-Birmingham, Johns Hopkins, University of Wisconsin and Duke.

Units achieving goals

Four units were recognized for currently reaching the goal of having 7 or more HCAHPS composites at or above the 75^th percentile nationally. These include 10 West (7), ART 5 West (7), 9 East (8) and 5 West (met all 10 composites). Children’s Hospital’s inpatient (99^th percentile) and emergency department (93^rd percentile) continues to provide exceptional service as reported on surveys by patients and their families.

Hand hygiene

The medical center has seen a 28 percent increase in compliance for hand hygiene during the fourth quarter. The blended rate (secret shopper and unit survey rates) were greater than 80 percent compliant compared to the national average (50 percent).

Occupational, physical and respiratory therapists, physician assistants, X-ray technologists and lab personnel achieved the highest hand hygiene compliance rates.

Awards, abolerecognition

MUSC was one of the only 140 hospitals to be ranked nationally in at least one specialty by U.S. News & World Report. MUSC was nationally ranked in three specialties and rated as high performing in 13 additional specialties. Additionally, the Children's Hospital was among 76 facilities ranked in one or more in pediatric specialties during the Best Children's Hospital report.

MUHA received the 2010 Safety Program's commendation of excellence award by the South Carolina Chamber of Commerce. The award recognizes employee safety, especially days lost from work due to injuries.

Employee of the Year, award winners

MUHA 2011 Employee of the Year, Brenda Fauteux, PharmD, Rutledge Tower Outpatient Pharmacy, was recognized.

The current Medical Director of the Quarter award went to Stephen McLeod-Bryant, M.D., Mental Health Service Line medical director. McLeod-Bryant was recognized for his leadership in the effectiveness domain of quality.

MUHA Physicians of the Month – Chris Streck, M.D., Department of Surgery, in May and Imran Chaudry, M.D., Department of Radiology/Neuro Interventional were also recognized.

Looking ahead

Results from the 2011 Culture of Safety and Employee Partnership surveys were reviewed. For Culture of Safety, the key findings reflect consistent opportunities across work groups in the areas of "communication openness" (61 percent) and "non-punitive response to error" (43 percent). Under section mean scores, the area that showed improvement was "systems and leadership" (65 percent), with leaders really listen to employees.

For employee partnership, "leaders really listen to employees" was among the top three opportunities to improve employee partnership for the third consecutive year despite increases in the mean score.

2011 Medical center action plan

Employee Partnership Survey -- Medical center action plan will focus on “leaders really listen to employees;” the focus will be to hardwire existing tools such as rounding with employees and using  Stop Light Reports to communicate follow-up status. Additionally, a mechanism to receive and report on employee suggestions and ideas is being investigated.

 Culture of Safety Survey – medical center action plan will focus on “Non-punitive response to errors.” The focus will be to educate leaders, develop internal experts and create a “just culture” resource library. All are being asked to include these two priorities in their work group action plans this year.

 Plans will be submitted to “one up” supervisor by Oct. 15. The status of medical center organizational action plans will be reviewed at least quarterly by the operations group and in upcoming medical center town hall meetings.

Connect to purpose

Dawn Salem, R.N., ART 6E/6W assistant nurse manager, wrote a letter praising staff for their interdisciplinary care and professionalism in response to her dying mother who was patient at 9W. The staff was attentive and empathetic in providing her end-of-life care. “I feel strongly that my experience with my mother’s end of life was a WIN,” she said. “It made one of the most difficult moments of my life easier.”