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Related Experiment Videos

Reducing potentially preventable complications at the multi hospital level.

Ronald J Lagoe¹, Gert P Westert, Anne Marie Czyz

¹Hospital Executive Council, Syracuse, New York, USA. hospexcl@cnymail.com.

BMC Research Notes

|August 2, 2011

Summary

Community hospitals reduced potentially preventable complications (PPCs) and associated costs through collaborative interventions. Two hospitals saw significant declines, while one experienced no improvement, highlighting varied outcomes in healthcare cost containment efforts.

Related Experiment Videos

Area of Science:

Health Services Research
Quality Improvement in Healthcare
Hospital Management

Background:

Continuation of a program to constrain healthcare costs by limiting inpatient hospital programs.
Community demonstration project to identify components of hospital programs for complication reduction.

Purpose of the Study:

To assess the impact of interventions on the frequency and rates of potentially preventable complications (PPCs).
To evaluate collaborative efforts among competing hospitals to reduce adverse patient outcomes and costs.

Main Methods:

Implementation of interventions using the Potentially Preventable Complications (PPCs) System by 3M™ Health Information Systems.
Three competing hospitals in Syracuse, New York, participated in the community demonstration project.
Analysis of complication frequency, rates, and severity-adjusted rates over a three-year period.

Main Results:

Statistically significant reductions in high and low volume complication frequency at two hospitals.
Aggregate complication rates and differences between actual and severity-adjusted rates declined at two hospitals.
No significant reduction in complication rates observed at the third hospital.

Conclusions:

Reducing complications involves different experiences across healthcare settings.
Administrative and clinical staff management outside quality assurance led to significant reductions at hospitals with higher initial rates.
Quality assurance staff management had minimal effect on reducing PPCs at a hospital with lower initial rates.