Bayfront Health Seven Rivers is committed to providing safe, quality care for every patient. We are disappointed by our 1-star rating and we are dedicated to improvement. Our physicians, nurses and clinicians work to continuously strengthen care, and measurement helps us identify progress as well as opportunities to enhance our clinical and service practices. Our Quality, Infection Prevention and Safety Teams continually review our processes and will make revisions, when necessary, to ensure best practices are being used.
We strive to make effective communication the focal point for each patient interaction during their stay. One of the ways our nurses achieve this is by completing Bedside Shift Report (BSSR) with each patient twice daily, reviewing the patient’s questions, goals for the day, and any new or pending tests or procedures. This helps ensure the patient’s overall understanding of their care. Our patients’ families are also encouraged to be part of this process. The BSSR includes a safety component to ensure each patient is receiving the highest level of care and safety.
Our nurses are also visiting (rounding on) each of their patients hourly during the day and every two hours at night to anticipate patients’ needs before they utilize their call bell to ask for help (i.e. the restroom, pain meds). Department leaders also round to validate and verify the care patients receive from our nursing team and provide real-time coaching for any opportunities observed that will improve patient care.
We take patient feedback seriously. The Director of Quality provides verbatim patient experience comments and unit based patient experience scores to each inpatient nursing unit on a weekly basis. The Chief Nursing Officer (CNO) conducts a weekly patient experience meeting in which each nursing unit focuses on two top drivers of patient experience for the week following.
We are working to improve our patient flow from the time patients arrive in the ED until the care is complete. Recent changes include a highly engaged group of new Emergency Department (ED) physicians and nursing directors dedicated to improving our patient flow from the time of arrival through any needed admission. We now have 24/7 Nursing Supervision to support and control the flow of our admitted patients, especially from the ED. This assists in identifying confirmed and potential discharges; timely discharge of inpatients affects our ability to move patients from the ED to the applicable nursing unit.
Regarding mortality for COPD and pneumonia, our clinicians are providing care for patients with COPD and pneumonia based on evidence-based practices. The key to COPD and pneumonia treatment is early recognition and treatment, regular follow up treatment and medication management. Each mortality is reviewed by the quality and departmental leaders and findings are discussed during the regular Clinical Outcomes Meeting. Our current internal data is demonstrating improvement on both of these mortality rates based on favorable observed/expected ratios; metrics on Hospital Compare which are used to generate the Medicare 5-Star Rating reflect data from July 1, 2014 to June 30, 2017.
Leadership of our hospital – administration, medical staff and Board of Trustees – is engaged to monitor progress and identify opportunities. Our hospital is on a path of continued improvement, and we are confident that we will continue making progress in the future.