Quality Outcomes

Quality Improvement Outcomes: 2005-2009

Pay for Performance Quality Outcomes

Frozen Section Accuracy: National Benchmark = 95% or higher

(% of time the reading of a frozen section matches the final pathology read)

	2005	2006	2007	2008	2009
Frozen Section Accuracy	98.7%	99.1%	98.6%

Satisfactory Cytology Correlation: National Benchmark = 90% or higher

(% correlation of cytology smear diagnosis to biopsy diagnosis.)

	2005	2006	2007	2008	2009
Satisfactory Cytology Correlation	94.9%	93.8%	92.2%

Platelet Transfusions Within Guidelines: National Benchmark = 90% or higher

(NYS guidelines located at: http://www.wadsworth.org)

	2005	2006	2007	2008	2009
Platelet Transfusions within Guidelines	95.6%	99.0%	99.1%

PRBC Transfusions Within Guidelines: National Benchmark = 80% or higher

(NYS guidelines located at: http://www.wadsworth.org)

	2005	2006	2007	2008	2009
PRBC Transfusions within Guidelines	92.3%	89.0%	81.8%

The Leapfrog Group Quality Outcomes

Esophagectomy Procedure: National Benchmark = 13 Procedures or more

Evidence shows that hospitals with high volume surgeons performing high risk procedures have better outcomes. (TheLeapfrogGroup)

	2005	2006	2007	2008	2009
Esophagectomies	36	34	33

Pancreatic Resection Procedure: National Benchmark = 11 Procedures or more

Evidence shows that hospitals with high volume surgeons performing high risk procedures have better outcomes. (TheLeapfrogGroup)

	2005	2006	2007	2008	2009
Pancreatectomies	45	58	48

Press Ganey Patient Satisfaction Quality Outcomes

Patient Satisfaction: National Benchmark = 90% or Higher

Question: Did Roswell Park Met or Exceeded Your Expectations?

	2005	2006	2007	2008	2009
Roswell Park Met or Exceeded Expectations	97.0%	98.0%	98.0%

Patient Satisfaction: National Benchmark = 90% or Higher

Question: Would you return to Roswell Park for Treatment?

	2005	2006	2007	2008	2009
Would Return to Roswell Park for Treatment	99.0%	99.0%	98.0%

Patient Satisfaction: National Benchmark = 90% or Higher

Question: Would you be likely to Recommend Roswell Park to Others?

	2005	2006	2007	2008	2009
Likely to Recommend Roswell Park to Others	96.0%	96.0%	97.0%

Institute for Healthcare Improvement (IHI) Quality Outcomes

Ventilator Associated Pneumonia Rate-ICU: National Benchmark = 9.30 or less for Surgical ICU

Number of cases in ICU with Ventilator Associated Pneumonia/Number of Ventilator Days x 1000

	2005	2006	2007	2008	2009
Ventilator Associated Pneumonia in ICU	2.05	1.83	1.01

Central Line Associated Blood Stream Infection Rate-ICU: National Benchmark = 4.60 or less for Surgical ICU

Number of cases in ICU with Central Line Blood Stream Infections/Catheter Line Days x 1000

	2005	2006	2007	2008	2009
Central Line Associated Blood Stream Infections in ICU	N/A	3.38	2.33

Hand Hygiene - National Benchmark = 90% or Higher

Compliance with Center for Disease Control (CDC) current guidelines

	2005	2006	2007	2008	2009
Hand Hygiene	92.4%	93.5%	97.4%