Treatment Outcomes

Cleveland Clinic is striving to become a High Reliability Organization. In addition to measuring serious safety event rates, all leaders and caregivers within the organization receive High Reliability principal training. A common outcome of an increased focus on High Reliability is an increase in safety event reporting.

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. SIRs less than 1.0 indicate better than expected performance.

Cleveland Clinic’s Standardized Infection Ratio (SIR) continues to reflect better-than-expected outcomes per CDC guidelines, though continued efforts are needed to meet our internal performance goals. 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. We also implemented Non-ICU CLABSI review meetings.

We continue to educate our caregivers on best practices for CLABSI reduction.

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The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. Lower numbers are better. SIRs less than 1.0 indicate better than expected performance.

Cleveland Clinic is actively working to improve and meet our internal target for Catheter-Associated Urinary Tract Infections (CAUTI).

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. Lower numbers are better. SIRs less than 1.0 indicate better than expected performance.

Several strategies have been implemented including early screening, detection and treatment of Clostridioides difficile infections in an effort to improve infection rates and reduce unnecessary antibiotic use. Additionally, new cleaning and lab testing procedures have been established to aid in reducing infection rates.

The frequency with which patient falls result in injury. Excludes In Hospice, Moved out of Country, Deceased, or non-traditional Medicare.

There is a higher risk for patients to fall in the healthcare setting. Cleveland Clinic is utilizing multiple processes and technology to work to 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. Patient mobility is also a key strategy to reducing falls and improving health of our patients.

Patients acuity and complexity of treatment impacts the risk of pressure injuries while in the hospital.

Cleveland Clinic continues to innovate through the use of equipment, supplies, technology, and expert resources to reduce pressure injuries.

A Plan of Care Visit (POCV) brings together the provider, nurse and patient at the bedside to communicate the patient's daily plan of care. This discussion standardizes how patients and caregivers collaboratively develop treatment plans that provide the highest quality of care.

Benefits of Plan of Care Visits:

• It is the right thing to do for patients and each other.
• It improves patient safety, satisfaction and health outcomes.
• It uses our patient-centered, team of teams approach which increases engagement and communication scores.

Patients respond to the question, “How helpful were these visits in understanding your plan of care?” Response options include very good, good, fair, poor, very poor.

A Plan of Care Visit (POCV) brings together the provider, nurse and patient at the bedside to communicate the patient's daily plan of care. This discussion standardizes how patients and caregivers collaboratively develop treatment plans that provide the highest quality of care.

Patients answer the question, “How often did a provider and nurse visit with you together to talk about your daily plan of care?” Response options include always, usually, sometimes or never.

The POCV Frequency survey question has been eliminated from official HCAHPS surveys as of 1/1/2025 due to CMS changes. The question remains on the "unofficial" HCAHPS survey, but it significantly reduces the number of responses for this specific question.

Ratios less than 1.0 indicate mortality performance “better than expected” in Vizient’s risk adjustment model. 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 2024 risk model.