Greatest_Hits_Book_2019

Best Quality continued

• AtlantiCare Cape May Surgery Center – Department of Health / Centers for Medicare and Medicaid Services (CMS) – March 2019. • AtlantiCare Behavioral Health – Joint Commission triennial survey – April 2019. • ARMC Residency Program – The Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER) visit – April 2019. • Maternal Fetal Medicine obtained American Institute of Ultrasound in Medicine (AIUM) accreditation for the Mainland Campus and William L. Gormley AtlantiCare HealthPlex. • NJ Department of Health – Division of Mental Health and Addiction Services – Short Term Care Facility (1Pines) – May 2019. • Cancer Care Institute – American College of Surgeons – Commission on Cancer (CoC) Accreditation Program – May 2019. • Health Services and Resources Administration (HRSA) Operational Site Visit - Compliance Audit – Federally Qualified Health Center (FQHC) – June 2019. Advancements • Achieved a record high AtlantiCare employee vaccination rate (96%) for seasonal influenza. • Outperformed Centers for Medicare and Medicaid Services achievement threshold for clostridium difficile (c-diff ) infections for four straight quarters. • Improved stroke treatment times for mechanical thrombectomy (door-to revascularization) from 143 minutes (December 2018) to 83 minutes (February 2019). • Achieved 100% referral rate for potential organ donors. • Implemented multi-factor authentication, an additional layer of security when accessing the AtlantiCare network remotely. • Launched Sexual Assault Examination Center at the Mainland Campus Emergency Department. • Implemented Proven Recovery models of care for Bariatric, Hysterectomy, Coronary Artery Bypass Grafting (CABG) & Same Day Surgery for optimal patient care. • Implemented new polymerase chain reaction (PCR) testing for clostridium difficile (c-diff ), methicillin-resistant staphylococcus aureus (MRSA), and flu / respiratory syncytial virus (RSV) to improve turn-around times. • Decreased stroke readmission rate from 0.96 observed/expected in 1st quarter FY 2019 to 0.22 observed/expected in 2nd Quarter FY 2019. • Fully deployed diabetic retinal imaging to 500 patients, increasing annual eye screening compliance by 25%. • Partnered with Horizon Blue Cross Blue Shield to improve health of patients and reduce the cost of care through the work of a Population Health Pharmacist within AtlantiCare Health System. • Provided education to Skilled Nursing Facility (SNF) staff on advanced care planning and the importance of completing advance directives and physician orders for life-sustaining treatment (POLST) in the long-term care population. • Advanced Illness Management decreased Intensive Care Unit length of stay post-palliative care consult from 5.46 days in FY 2018 to 2.19 days in FY 2019. • City campus Emergency Department exceeded goal in two quarters for wait time measure, “Care Complete to Depart Time” (Goal =< 140 min). • Center for Childbirth successfully launched Donor Breastmilk program, supporting exclusive breastfeeding through the use of donor breast milk for moms requiring supplementation. • Successfully launched Transition of Care Discharge Hotline at Mainland Campus. • Launched Physician Services SNFist Program at Royal Suites Skilled Nursing Facility (SNF) in May 2019 to reduce unnecessary ED visits.

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