2002 quality report presented to the board of trustees march 2003
TRANSCRIPT
2002 Quality ReportPresented to the Board of Trustees
March 2003
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Highlights from 2002
• Clinical• Financial• Operational
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Suicide prevention intervention
Observation and Questions• Frequent notices of Critical Incident reviews-->
• Is our rate of incident reports increasing?
• Is this real, a function of reporting, or increased patient volume?
• Are the rates of suicide attempts and completion higher than expected?
• How can we do better?
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Suicide prevention intervention
What is the expected suicide rate in this population?
• 10-12/100,000 IN = U.S. OVERALL• Lifetime risk in Psychiatry patients is 6-12X higher• 3.5%-7% in major psych disorders-->• Rate of 75-100/100,000 per year • Extrapolation with UIC’s 7550 unique patients-->
predict 6-8 suicides and 20-40 attempts
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Project Aims:• Educate teachers about depressive
symptoms and suicide risk
• Encourage community activism among UIC residents
• Create a bridge between Department of Psychiatry and community
School Intervention For Depressed Latino Youth: A Model of Community Education
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
School Intervention For Depressed Latino Youth: A Model of Community Education
• Develop culturally relevant assessment and training tools for detection of depressive symptoms among Latino youth
• Development of training video and training model
• Cultural and gender specificity
• Expansion of material, school sites
• Develop proposal for wider dissemination, evaluation
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Critical Incident Data
Rate of Suicide Attempts per 1000Number of Unique Patients
0.00
1.00
2.00
3.00
4.00
5.00
FY95 FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03
0
1000
2000
3000
4000
5000
6000
7000
8000
FY95 FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Cash collections: FY 2000-2003
Collections Fiscal Year 2000-2003
42
47
52
57
62
67
72
1Q 2
000
2Q 2
000
3Q 2
000
4Q 2
000
1Q 2
001
2Q 2
001
3Q 2
001
4Q 2
001
1Q 2
002
2Q 2
002
3Q 2
002
4Q 2
002
1Q 2
003
2Q 2
003
Period
Am
ou
nt
in m
illio
ns
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Health Information Management: charts not received
$0
$500,000
$1,000,000
$1,500,000
$2,000,000
$2,500,000
$3,000,000Ja
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# o
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University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
2002 - 2003 initiatives
•Patient Safety•NetLearning•HIPAA
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
Patient Safety
The JCAHO Patient Safety Standard requires proactive identification of patient safety risks
• Safety Committee is implementing JCAHO 2003 National patient safety recommendations
• Sentinel event process has been expanded to include root cause analysis of near misses
• Employee Safety Survey is now online
• UHC online occurrence reporting system piloted
• New employee orientation includes Safety
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
NetLearning
• Computer based learning makes basic training & tracking more efficient
• 20 JCAHO modules + online library
• Used to track completion of confidentiality agreements & performance evaluations
• Expanding use to residents & physicians for easy completion of mandatory requirements
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
HIPAA: Health Insurance Portability & Accountability Act
• Privacy Rule: protect individually identifiable health information
• Security Rule: confidential transmission & storage of health care information
• Transactions Standards Rule: aimed at reducing administrative costs; requires use of standardized, electronic transmission of administrative & financial data.
University of Illinois Medical CenterUniversity of Illinois Medical Center at Chicagoat Chicago
HIPAA continued Health Insurance Portability & Accountability Act
• Entire workforce must have basic training by April 13, 2003
• Late February, the Medical Center is launching job specific training via NetLearning
• The Medical Center has offered support to other University entities to meet requirements
• HIPAA Channel website & newsletter established to provide on-going information