Premier Launches Clinical Initiatives to Improve Heart Attack Care and Spine Surgery

Apr 03, 2001, 01:00 ET from Premier, Inc.

    KANSAS CITY, Mo., April 3 /PRNewswire/ -- More than 200 healthcare
 professionals built strategies to improve the quality of healthcare in chronic
 conditions emerging as threats to the health of an aging America.  This
 conference is a continuation of Premier's commitment to supporting hospitals'
 efforts in improving quality, enhancing safety, and decreasing costs.
     Premier hospitals began a twelve-month process to find best practices in
 acute myocardial infarction (AMI, or heart attack) care and spine surgery.
 These clinical areas were selected, as all clinical focus areas within the
 Clinical Performance Initiatives, due to the high cost, high utilization, and
 high practice variability.
     "At Premier, our focus is to make performance excellence consistent within
 the clinical setting," said Jack Cox, MD, MMM, senior vice president, Premier
 Clinical Innovations.  "As America ages, healthcare professionals are going to
 face an increasing number of serious conditions.  Patient care will improve
 when healthcare professionals find new pathways to enhancing clinical quality,
 safety, and cost."
 
     Details of the new initiatives include:
 
     Heart attack clinical initiative: More than 55 hospitals will be aiming to
 decrease the time required to give aspirin, a balloon angioplasty, a
 cholesterol-lowering statin drug, or a beta blocker to heart-attack patients.
 "Door-to-needle" time -- how long it takes for a patient to receive
 appropriate care after entering the emergency room -- will be no longer than
 30 minutes.
 
     Spine surgery clinical initiative: Between 600,000 and 700,000 spine
 surgical procedures take place each year in the United States.  Post surgical
 infection rates, depending on procedure, impact between one and six percent of
 all patients.  Participating hospitals will aim for providing prophylactic
 antibiotics within one hour prior to incision.
     Collaboration is key to the success of the initiatives.  Over the next 12
 months, hospitals will be sharing milestones, leveraging data derived from
 Premier Healthcare Informatics Perspective data set, the nation's largest
 clinical data warehouse, and learning from top performing hospitals from
 within the Premier network.  This collaborative approach mirrors the
 breakthrough strategy initially deployed by the Institute for Healthcare
 Improvement, a Premier strategic partner.
     Presenting their insights to performance improvement in spine surgery was
 Mission St. Joseph's Hospital, a Premier member from Asheville, NC.
 Highlighted was a blueprint for how two traditionally competing disciplines --
 orthopedics and neurosurgery -- found common ground to create a best practice
 that now treats a growing aging population.
     "Mission St. Joseph's work illustrates the correlation between quality and
 cost," continued Dr. Cox.  "Since they've devoted their efforts to improving
 their systems, the hospital has become a national leader in performing
 surgery."
 
     Other conference highlights
     Premier hospitals continued their work in improving stroke care,
 congestive heart failure treatment, and managing adverse drug events.
     In the stroke initiative, hospitals heard from Stanly Memorial Hospital,
 another North Carolina medical center.  Medical staff created a broad-based
 awareness campaign to educate rural residents about the seriousness of stroke.
 Emergency department staff, neurologists, and family physicians work in
 concert to reduce time to treatment when stroke patients arrive in the
 hospital.  As a result of their process improvement efforts, Stanly has
 increased the number of patients receiving a life-saving clot-busting drug,
 tPA, to 10 percent of their stroke patients.  The documented national average
 is four percent.
     Bedside technology was central to the adverse drug event update hosted for
 the 95 participating hospitals.  A Premier hospital in the Pacific Northwest
 placed four of these computers in the rooms of eight patients who were in a
 cardiac step down unit for seven days last year.  The computer system,
 produced by Premier business partner, Bridge Medical, replaced the patients'
 traditional Medication Administration Record.  As doctors issued orders in
 real time and nurses and pharmacists followed the orders during the week, the
 computers issued 250 warning messages and recorded 105 medical errors.
     Congestive heart failure initiative participants heard from Berkshire
 Medical Center from western Massachusetts, a facility discharges approximately
 300 CHF patients annually.  Using ACE inhibitor and aspirin use, lipid
 management, smoking cessation programs, and beta-blocker use as key measures,
 Berkshire uses a multidisciplinary task force to ensure that processes are
 continuously updated to ensure quality care.  Within seven months,
 demonstrated marked improvement among physicians to make sure lipid (or blood
 fat) levels were checked and managed upon discharge.  Also, the number of
 patients receiving aspirin upon discharge rose nearly 20 percent within an
 eight-month time frame.
     Upcoming focus areas for the Clinical Performance Initiatives include
 community acquired pneumonia, hip and knee replacement, drug utilization, and
 blood product utilization.
 
     About Premier
     Premier, Inc., is a strategic alliance in U. S. healthcare, owned by more
 than 200 of the nation's leading hospital and healthcare systems.
 Aggregately, these systems operate or are affiliated with more than 1,800
 hospital facilities in 50 states and hundreds of other care sites.  Premier
 provides an array of resources supporting health services delivery.  Among
 these resources are comprehensive supply chain management services, including
 group purchasing for more than $12 billion annually in supplies and equipment,
 with e-commerce enablement by medibuy.com.  Other resources offered by Premier
 are insurance programs, performance improvement services of many kinds
 including healthcare informatics, clinical technology services, and physician
 practice management services.  Premier is headquartered in San Diego, Calif.,
 with other major facilities in Chicago, Ill., and Charlotte, N. C.  Advocacy
 and policy offices are located in Washington, D. C.  For more information,
 visit www.premierinc.com.
 
 

SOURCE Premier, Inc.
    KANSAS CITY, Mo., April 3 /PRNewswire/ -- More than 200 healthcare
 professionals built strategies to improve the quality of healthcare in chronic
 conditions emerging as threats to the health of an aging America.  This
 conference is a continuation of Premier's commitment to supporting hospitals'
 efforts in improving quality, enhancing safety, and decreasing costs.
     Premier hospitals began a twelve-month process to find best practices in
 acute myocardial infarction (AMI, or heart attack) care and spine surgery.
 These clinical areas were selected, as all clinical focus areas within the
 Clinical Performance Initiatives, due to the high cost, high utilization, and
 high practice variability.
     "At Premier, our focus is to make performance excellence consistent within
 the clinical setting," said Jack Cox, MD, MMM, senior vice president, Premier
 Clinical Innovations.  "As America ages, healthcare professionals are going to
 face an increasing number of serious conditions.  Patient care will improve
 when healthcare professionals find new pathways to enhancing clinical quality,
 safety, and cost."
 
     Details of the new initiatives include:
 
     Heart attack clinical initiative: More than 55 hospitals will be aiming to
 decrease the time required to give aspirin, a balloon angioplasty, a
 cholesterol-lowering statin drug, or a beta blocker to heart-attack patients.
 "Door-to-needle" time -- how long it takes for a patient to receive
 appropriate care after entering the emergency room -- will be no longer than
 30 minutes.
 
     Spine surgery clinical initiative: Between 600,000 and 700,000 spine
 surgical procedures take place each year in the United States.  Post surgical
 infection rates, depending on procedure, impact between one and six percent of
 all patients.  Participating hospitals will aim for providing prophylactic
 antibiotics within one hour prior to incision.
     Collaboration is key to the success of the initiatives.  Over the next 12
 months, hospitals will be sharing milestones, leveraging data derived from
 Premier Healthcare Informatics Perspective data set, the nation's largest
 clinical data warehouse, and learning from top performing hospitals from
 within the Premier network.  This collaborative approach mirrors the
 breakthrough strategy initially deployed by the Institute for Healthcare
 Improvement, a Premier strategic partner.
     Presenting their insights to performance improvement in spine surgery was
 Mission St. Joseph's Hospital, a Premier member from Asheville, NC.
 Highlighted was a blueprint for how two traditionally competing disciplines --
 orthopedics and neurosurgery -- found common ground to create a best practice
 that now treats a growing aging population.
     "Mission St. Joseph's work illustrates the correlation between quality and
 cost," continued Dr. Cox.  "Since they've devoted their efforts to improving
 their systems, the hospital has become a national leader in performing
 surgery."
 
     Other conference highlights
     Premier hospitals continued their work in improving stroke care,
 congestive heart failure treatment, and managing adverse drug events.
     In the stroke initiative, hospitals heard from Stanly Memorial Hospital,
 another North Carolina medical center.  Medical staff created a broad-based
 awareness campaign to educate rural residents about the seriousness of stroke.
 Emergency department staff, neurologists, and family physicians work in
 concert to reduce time to treatment when stroke patients arrive in the
 hospital.  As a result of their process improvement efforts, Stanly has
 increased the number of patients receiving a life-saving clot-busting drug,
 tPA, to 10 percent of their stroke patients.  The documented national average
 is four percent.
     Bedside technology was central to the adverse drug event update hosted for
 the 95 participating hospitals.  A Premier hospital in the Pacific Northwest
 placed four of these computers in the rooms of eight patients who were in a
 cardiac step down unit for seven days last year.  The computer system,
 produced by Premier business partner, Bridge Medical, replaced the patients'
 traditional Medication Administration Record.  As doctors issued orders in
 real time and nurses and pharmacists followed the orders during the week, the
 computers issued 250 warning messages and recorded 105 medical errors.
     Congestive heart failure initiative participants heard from Berkshire
 Medical Center from western Massachusetts, a facility discharges approximately
 300 CHF patients annually.  Using ACE inhibitor and aspirin use, lipid
 management, smoking cessation programs, and beta-blocker use as key measures,
 Berkshire uses a multidisciplinary task force to ensure that processes are
 continuously updated to ensure quality care.  Within seven months,
 demonstrated marked improvement among physicians to make sure lipid (or blood
 fat) levels were checked and managed upon discharge.  Also, the number of
 patients receiving aspirin upon discharge rose nearly 20 percent within an
 eight-month time frame.
     Upcoming focus areas for the Clinical Performance Initiatives include
 community acquired pneumonia, hip and knee replacement, drug utilization, and
 blood product utilization.
 
     About Premier
     Premier, Inc., is a strategic alliance in U. S. healthcare, owned by more
 than 200 of the nation's leading hospital and healthcare systems.
 Aggregately, these systems operate or are affiliated with more than 1,800
 hospital facilities in 50 states and hundreds of other care sites.  Premier
 provides an array of resources supporting health services delivery.  Among
 these resources are comprehensive supply chain management services, including
 group purchasing for more than $12 billion annually in supplies and equipment,
 with e-commerce enablement by medibuy.com.  Other resources offered by Premier
 are insurance programs, performance improvement services of many kinds
 including healthcare informatics, clinical technology services, and physician
 practice management services.  Premier is headquartered in San Diego, Calif.,
 with other major facilities in Chicago, Ill., and Charlotte, N. C.  Advocacy
 and policy offices are located in Washington, D. C.  For more information,
 visit www.premierinc.com.
 
 SOURCE  Premier, Inc.