CROUSE HOSPITAL QUALITY IMPROVEMENT PLAN 2013
2012Family of Measures
Important Functions
Dimension of Performance
Indicator
Frequency
Vision1
Vision 2
Vision 3
Vision 4
Vision 5
Clinical
Service
Safety
Efficiency
SAFETY
Patient Falls per 1000 Pt Days
Monthly
√
√
√
√
Staff Lost Work Day Injuries
Monthly
√
√
√
√
√
Med Errors per 1000 Pt Days
Monthly
√
√
√
√
Overall Absenteeism Rate
Monthly
√
√
√
√
Rookie Departure Rate
Monthly
√
√
√
√
Overall Vacancy Rate
Monthly
√
√
√
√
Overall Staff Termination Rate
Monthly
√
√
√
√
CLINICAL
Inpatient Mortalities
Monthly
√
√
√
Restraints
Monthly
√
√
√
√
Nosocomial Resistant Organisms
Monthly
√
√
√
Central Line Infections
Monthly
√
√
√
Case Mix Index
Monthly
√
√
√
√
√
Unplanned Readmissions within
Monthly
√
√
√
√
√
√
30 Days (Adult Medical &
Surgical)
18