Complete Solution
C815
ID: 011324449
BRITTANY SHORTER
A1:..Initiatives
Fielder..Medical..Center..has..implemented..several..quality..improvement..initiatives..based..on..the..
need..of..their..facility...I..believe..three..of..the..most..important..initiatives..are..Reducing..Avoidable..
Readmissions:..Striving..for..Safe..Transitions,..Rescuing..Patients..with..Severe..Sepsis/Septic..Shock
,..and..Central..Line-Associated..Blood..Stream..Infections..(CLABSI).
Readmissions..for..any..patient..can..be..stressful,..no..matter..how..long..it..has..been..since..th
e..first..admission...Fielder’s..initiative..to..reduce..readmissions..can..be..achieved..with..proper..diagn
osis..and..treatment...To..put..their..plan..in..action,..Fielder..decided..to..focus..on..those..patients..they.
.have..classified..as..“high..risk”...High..risk..by..their..standards..includes..previously..readmitted..pati
ents..and..those..who..were..admitted..for..illnesses..such..as..congestive..heart..failure..or..pneumonia..
.With..these..patients,..the..goal..was..to..provide..an..extra..level..of..care..that..extended..to..their..famil
ies..as..well.
This..extra..level..includes..providing..families..with..information..about..their..illness..and..provides..
education..about..medications..being..given..to..the..patient..to..treat..the..problem...I..believe..this..is..o
ne..of..the..most..important..initiatives..Fielder..is..trying..to..implement...Cutting..down..on..readmissio
ns..is..another..way..to..let..the..patients..know..that..their..concerns,..questions,..comments,..and..illnes
ses..are..being..treated..as..the..top..priority.
Another..initiative..Fielder..has..implemented..is..“Rescuing..Patients..with..Severe..Sepsis/S
, eptic..Shock”.. . Sepsis..is..a..severe..infection..in..the..body..that..usually..is..caused..by..chemicals..bei
ng..released..into..the..bloodstream...Once..in..the..bloodstream,..those..chemicals..travel..to..other..org
ans..in..the..body,..which..results..in..the..bodily..systems..shutting..down..and..could..cause..death...Fi
elder’s..goal..is..to..prevent..mortality..due..to..sepsis..is..important..because..this..truly..puts..patient..c
are..at..the..forefront..of..the..agenda.. . Teams..of..doctors..and..nurses..came..up..with..the..best..practi
ces..to..identify..and..treat..patients..identified..as..having..sepsis...Sepsis..is..a..serious..infection
that..can..anyone..being..treated..in..the..hospital..for..any..given..reason...Treating..and..avoiding..sepsis
..is..a..major..win..for..all..of..healthcare.
A..third..initiative..that..Fielder..has..implemented..is..combatting..blood..stream..infections..a
ssociated..with..central..lines...Central..lines..can..be..a..significant..part..of..patient..care..depending..o
n..the..treatment..plan..for..the..patient...Because..these..types..of..catheters..can..be..used..to..deliver..a..
wide..range..of..things..for..treating..patient,..this..can..potentially..expose..the..patient..to..bacteria...Fi
elder..established..protocols..to..help..combat..this..and..after..implementing..those..protocols,..they..s
aw..a..huge..decrease..in..patients..that..acquired..central..line..infections...Central..lines..are..an..impor
tant..mode..of..delivery..for..many..patients..receiving..a..variety..of..treatments...Being..able..to..reduc
e..the..instances..of..central..line..infections..is..a..huge..step..forward..for..healthcare.
A2:..INTERNAL..PROCESSES
I..believe..each..of..Fielder’s..initiatives..comply..with..their..internal..organizational..process
es...They..have..taken..some..of..the..Center..for..Medicare..&..Medicaid..Services..(CMS)-
endorsed..process..and..have..taken..them..a..step..or..two..further...Fielder..has..a..created..a..system..wh
ere..they..can..access..a
real..time..database..that..has..quality..outcomes..from..more..than..100..academic..medical..cente
rs..which..they..consider..peers...With..this..type..of..access,..they..can..do..benchmarking..in..
real..time.
Fielder..also..has..teams..that..consistently..practice..“bundles”..of..preventive..measures..to.