Overview

Improving Patient Experience of Care Quality and Satisfaction

Cleveland Clinic Overall Mortality Observed/Expected Ratio

2017 – 2019

Data from the VIZIENT Clinical Data Base/Resource Manager™ used by permission of VIZIENT. All rights reserved.

Cleveland Clinic’s observed/expected (O/E) mortality ratio continues to improve and is on track to achieve our health system target as derived from the Vizient 2018 risk model. Ratios less than 1.0 indicate mortality performance “better than expected” in Vizient’s risk adjustment model.

Cleveland Clinic Central Line-Associated Bloodstream Infection, reported as Standardized Infection Ratio (SIR)

2017 – 2019

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control.

While not yet at target, Cleveland Clinic’s standardized infection ratio (SIR) continues to improve. Lower numbers are better.

Cleveland Clinic has implemented several strategies to reduce central line-associated bloodstream infections (CLABSI), including a best practice central-line bundle of insertion, maintenance, and removal. Focused reviews for every CLABSI occurrence support reductions in CLABSI rates in the high-risk critical care population.

Cleveland Clinic Catheter-Associated Urinary Tract Infection reported as Standardized Infection Ratio (SIR)

2017 – 2019

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. Lower numbers are better.

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. Cleveland Clinic’s standardized infection ratio is now outperforming its internal target for Catheter Associated Urinary Tract Infections (CAUTI). SIRs less than 1.0 indicate better than expected performance.

Cleveland Clinic Clostridioides difficile reported as Standardized Infection Ratio (SIR)

2017 – 2019

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. Lower numbers are better.

Early screening, detection and treatment of Clostridioides difficile infections have helped to improve infection rates and reduce unnecessary antibiotic use. Additionally, new cleaning and lab testing procedures have contributed to this reduction.

Falls with Injury

2017 – 2019

Due to multiple reasons, there is a higher risk for patients to fall in the healthcare setting. Cleveland Clinic utilizers multiple processes and technology to help reduce the rate at which patients fall. The majority of the focus around falls is to prevent and assist patients so that there are no injuries. Cleveland Clinic has shown recent success in reducing the rate at which patients are getting injured during a fall.

Hospital Acquired Pressure Injuries Prevalence

2017 – 2019

Due to the acuity of the patients, complexity of treatment, and impact to the skin from multiple factors, there is the risk of pressure injuries while in the hospital. Cleveland Clinic has invested in equipment, products and uses expert resources to reduce the chances of a pressure injury.

Prescribed Outpatient Equivalent of 5 mg Percocet Tablets

2017-2019

In 2017, Cleveland Clinic began an initiative to improve opioid prescribing practices. Cleveland Clinic health system providers have reduced opioid prescriptions by over 25% while also working to improve care for patients suffering with addiction.