Commitment to Quality
Calais Regional Hospital is committed to quality patient care. Continuous quality improvement is a priority for all departments of the Calais Regional Hospital and our associated primary care, pediatrics, OBGYN, surgical and orthopedics practices. All departments maintain a “dashboard” to monitor their progress with four main “pillars” of service. They are: finance, customer, quality/safety and learning.
Throughout the year we review patient, family and staff concerns, errors and
| “near misses” (events in which harm did not occur but could have), and the results of our improvement efforts and care processes and outcomes compared to others, all in an effort to critically analyze and continuously improve the care we provide.
Each year a formal review of the Calais Regional Hospital Quality Assurance/ Performance Improvement (QAPI) Plan and Program is conducted to evaluate the strengths and limitations of the improvement efforts conducted throughout the previous year and to provide direction for the upcoming year.
The following is an overview of our performance:
The Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) survey is a set of specific questions that hospitals are required to ask patients regarding the care they received while they were a patient in the hospital. The survey focuses on communication with doctors and nurses, whether the hospital was clean and quiet, communication about medicines, pain management, responsiveness of staff and discharge information. To view our results please click on the link below, enter our hospital name, then click on the Patient Survey Results tab:
The National Quality Forum (NQF) Safe Practices are a set of 34 practices that have been proven to be effective in improving healthcare safety. Calais Regional Hospital is dedicated to following these safe practices as well as The Joint Commission’s (TJC) National Patient Safety Goals for critical access hospitals.
Medication errors are a serious threat to patient safety. Medication safety is a priority of the Calais Regional Hospital. As such we are using healthcare technology to assist us in this effort. The following are some of the safety nets we have put in place:
Computer Physician Order Entry (CPOE) has been in place at Calais Regional Hospital for quite some time. CPOE systems can reduce medical errors and save lives, however, if not implemented or if used incorrectly, CPOE can present its own set of safety issues. To evaluate our system, we participate in a CPOE evaluation provided by The Leapfrog Group. CRH has achieved a score of “Fully Implemented”. This is the highest rating available at this time.
Many intravenous medications are classified as high-alert medications and thus are more likely to cause harm if an error occurs during administration. With guidance from the Institute for Safe Medication Practices (ISMP), we have invested in smartpumps. These pumps contain “smart” technology such as soft and hard stop alerts, a drug library and the ability to provide clinical advisories.
Bar code technology has been adopted by our Pharmacy Department. This technology is an electronic back-up check for pharmacy when filling the machine nurses use to get medications for patients. This will reduce the chance that the wrong medication will be filled, lessening the chance that the wrong medication can be removed by nursing.
Bedside Medication Verification (BMV) is a scanning technology that provides a back-up check for the nurse administering medications, helping him/her to ensure that the right drug in the right dose by the right route is being given to the right patient at the right time. This technology is currently being used on the Inpatient Care Unit and Labor and Delivery Department.
Medication reconciliation is a process by which all of the patient’s home medications are compared to the medications they are prescribed while in the hospital. A comprehensive list indicating which medications they should continue or stop and which have been changed. This list is reviewed with the patient before going home and sent to their next care provider (i.e. their Primary Care Doctor). CRH has invested in electronic technology to make this process more efficient.
Click here to see information on Medication Reconciliation.
Medication Spotlight Survey:
All of the above improvements, along with others, have made it possible for Calais Regional Hospital to achieve a score of “Best” on The Maine Health Management Coalition’s (MHMC) Medication Spotlight Survey. This survey is used to assess the systems hospitals have in place to prevent medication errors and insure the effectiveness of medication therapy. A score of “Best” on the survey means that in this area of quality, we have scores that are in the top ten percent, compared to other hospitals in the US.
Leafrog Hospital Survey:
Across the U.S., hospitals also report information voluntarily to the Leapfrog Group. The Leapfrog Group is an independent not-for-profit organization that collects, analyzes and publicly reports information on the progress of hospitals to meet evidence-based quality and safety standards. Their survey, the Leapfrog Hospital Survey, is based on quality and safety recommendations of the National Quality Forum, The Joint Commission, and the Centers for Medicare and Medicaid Services. Thanks to our staff’s continuous efforts to improve quality and patient safety, and our Administration and Board’s dedication to investing in technology to improve safety, Calais Regional Hospital has achieved a score of “Best” and was recognized as a Leapfrog Top Rural Hospital for quality and safety in December 2012 and December 2013.
Safe patient care requires the engagement (active participation) of patients and his/her family in their care. Calais Regional Hospital strongly encourages patients and their families to become actively involved in their care, both in and outside of the hospital. To assist you, we have made Up To Date, a healthcare resource for healthcare providers and patients, available to you free of charge. Just click on the Up To date widget on our homepage. This resource will provide you with information you and your healthcare providers can trust.
While in the hospital you may be visited by our Patient Safety manager as she does Patient Safety Rounds. This is done to provide our patients with a tool that contains information to help you be an active member of your healthcare team. The following is what she will review with you:
§ How you can play an important role in your treatment
§ How you can help prevent getting an infection while in the hospital
§ How you can protect yourself from injury while in hospital, for example from falling
§ Medication safety
§ Important things to consider when planning your discharge home
To access a pdf of this information in more detail click here.
Infection Control and Prevention
Also in an effort to encourage patient and family engagement, we are providing the following link to a computer based, video simulation training program on infection control practices for clinicians, but also for patient advocates. If you are visiting this webpage, we assume you have a strong interest in quality care and patient safety. If that is true, we trust you will appreciate and enjoy the education offered in the Partnering to Heal: Teaming up against healthcare-associated infectionsvideo simulations provided by the U.S. Department of Health and Human Services. They provide valuable information in a unique way that may benefit you or your loved ones if ever hospitalized. Just click on the button below and follow their instructions.