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eDocTalk article

Legacy physicians lead award-winning quality effort

July 2016

Legacy’s annual quality awards are designed to recognize outstanding efforts that demonstrate innovation, savings and improved care. There was a record number of submissions this year, and it is a team of physicians with Legacy Inpatient Medicine Services who received the John G. King Process Improvement Award. This effort decreased inpatient lab costs by 20 percent, far surpassing the goal of 2 percent.

How was it done?

Changing physician behavior was key. To do this, the team put together a widespread education campaign and a feedback process that allowed standard work with a daily checklist. This effort lowered costs, improved the patient experience (by preventing unnecessary needle sticks) and promoted evidence-based practices.

This team’s project produced three main results:
  • Successfully shifted the ordering practices of physicians towards high-value, low-cost lab tests
  • Physicians ordered 14,104 fewer lab tests (13.8 percent reduction) in the post-intervention period, compared with baseline — even though patients visits increased by 8,332. Annualized direct lab costs were reduced by $314,629.
  • When accounting for increased patient census, the total cost per unit of service was reduced by 20.1 percent.

Three other award-winning projects

  • The Local Innovation Award went to the Legacy Pain Management Center at Legacy Good Samaritan Medical Center. This group was recognized for integrating opiate addictions treatment into the Legacy Pain Management Center, addressing a major public health issue. 
  • The Roger G. Larson Service Quality Award went to Legacy Emanuel Medical Center for leader rounding effort that helped to improve patient experience and put Legacy Emanuel as high as the 83rd percentile for “overall rating of hospital.” 
  • The John G. King Clinical Quality Award went to Randall Children’s Hospital for the impact of standard work and high reliability on CLABSI (central line-associated bloodstream infections) prevention. As a result of this effort, the standardized infection ratio dropped from 0.66 in August 2015 to 0.38 in December 2015.

For more information and to see all of the submissions, visit the 2016 Award Winners and Applicants page on MyLegacy (Legacy login required).

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