Today's HRO Tip: Attention to Detail Status
Total Page：16
File Type：pdf, Size：1020Kb
Today’s HRO Tip: Attention to Detail Achieving zero harm requires attention to detail to avoid errors and harm. Patients with necessary indwelling urinary catheters are at risk for developing a hospital acquired infections. Best practices include the use of a care bundle to address the consequences related to insertion and maintenance. Paying attention to every detail of the bundle will decrease the risk of harm and ensure consistent, high quality care. The following is an update on Hackensack Meridian Health’s COVID-19 status, recovery and readiness efforts as of October 8, 2020. COVID-19 updates are released on Mondays and Thursdays. Status The following is a breakdown of the number of COVID-19 inpatient positive and those waiting for test results across our network as of October 8, 2020. Hospital & Long Term Care Current Inpatient Total Inpatients Positive Awaiting Test Results Hackensack University Medical Center 19 0 Jersey Shore University Medical Center 38 3 JFK Medical Center 8 1 Ocean Medical Center 11 0 Riverview Medical Center 7 2 Palisades Medical Center 3 0 Raritan Bay Medical Center – Perth Amboy 2 2 Raritan Bay Medical Center – Old Bridge 5 1 Southern Ocean Medical Center 1 1 Bayshore Medical Center 5 1 Mountainside Medical Center 1 6 Pascack Valley Medical Center 2 4 Carrier Clinic 0 0 HMH Long-term Care Facilities 0 0 Total Hospital & Long Term Care 102 21 Ambulatory Practices Current Positive Total Patients Tested HMH Medical Group Practices 666 8,437 HMH Urgent Care Centers 2,835 39,814 Total Ambulatory Practices 3,501 48,251 Homecare Current Positive Total Patients Awaiting Test Results HMH Homecare 48 0 Tuesday’s Situational Analysis (10/6): On Tuesday, COVID-19 volumes at our hospitals increased 2.75% or 3 patients, leaving us with 112 COVID-19 patients in our hospitals. When long-term care facilities are included, our COVID-19 patient volume increased 2.65% or 3 patients, leaving us with 116 patients. Yesterday’s Situational Analysis (10/7): Yesterday, COVID-19 volumes at our hospitals increased 7.8% or 9 patients, leaving us with 121 COVID-19 patients in our hospitals. When long-term care facilities are included, our COVID-19 patient volume increased 5.17% or 6 patients, leaving us with 122 patients. Today’s Situational Analysis (10/8): Since yesterday, COVID-19 volumes at our hospitals increased 1.7% or by 2 patients, leaving us with 123 COVID-19 patients in our hospitals. When long-term care facilities are included, our COVID- 19 patient volume increased .8% or 1 patient, leaving us with 123 patients. Today, Governor Murphy reported that New Jersey has 1,301 new COVID-19 positive test results since yesterday. The last time New Jersey saw numbers in this range was in May. As we continue to see our COVID-19 volumes trend upwards, both in our hospitals and throughout the community, we actively refer to our COVID 2.0 Playbook, and will implement targeted adjustments, as needed, based on the status of local hospitals and communities. We have developed various “trigger points”, such as hospital positivity rate, and are monitoring them closely. As these trigger points signal the need for action, we will activate necessary facets of emergency response, such as visitor restrictions and Command Center activation. To-date, we have not identified the need for emergency response, however we continue to closely monitor the situation. Update: Weekly Activity Level Report The New Jersey Department of Health publishes weekly COVID-19 Activity Level Reports that track COVID status throughout the state. Click here to see the latest report. Update: Travel Advisory There are now 35 states and U.S. jurisdictions on New Jersey’s travel advisory list, where out of state travelers should quarantine for 14 days upon arriving to New Jersey. Since last week, New Mexico was added. No states or territories were removed. See below for the complete list: Alabama Kansas North Dakota Alaska Kentucky Oklahoma Arkansas Louisiana Puerto Rico Colorado Minnesota Rhode Island Delaware Mississippi South Carolina Florida Missouri South Dakota Georgia Montana Tennessee Guam Nebraska Texas Iowa Nevada Utah Illinois New Mexico West Virginia Idaho North Carolina Wisconsin Indiana Kentucky Graphic Source: Connecticut’s Official State Website New: CDI Receives NIH Grant to Continue COVID-19 Work The Hackensack Meridian Center for Discovery and Innovation (CDI) has been awarded $619,850 to continue a key drug-discovery program in pursuit of COVID-19 treatments. The drug discovery program that is focused on the assessment of hundreds of drug candidates in the CDI labs, to find the most promising potential therapies. The funding is aimed at accelerating the partnership at the CDI’s NIH Center of Excellence in Translational Research (CETR), helmed by David S. Perlin, Ph.D., chief scientific officer and senior vice president of the CDI for “rapid drug development targeting SARS-CoV-2” – and also potential therapies for all coronaviruses (“pan-coronavirus” treatments). Learn more in the full press release. Recovery Update: Patient Volume The HMH team continues to rebuild its patient volumes following the height of the pandemic. Here’s a look at how our hospitals are doing: Our admissions remain steady at 95% across the network, compared to our pre-COVID volume. Our elective surgeries and invasive procedures are at 93%, compared to our pre-COVID volume. Our outpatient volume average for MRIs, chemotherapy, CT scans and PET scans is at 86% compared to our pre-COVID average. Our Emergency Department volume is at 72%, compared to our pre-COVID volume. All volumes remained flat since last week, except outpatient volume average for MRIs, chemotherapy, CT scans and PET scans saw a slight increase. Here’s a look at how our ambulatory services* are doing: Trends of high ambulatory volume continue, and we recently hit a few milestones in the recovery process. This week we had our highest combined daily visits since reporting began in mid-March and our 30-day average eclipsed 100% for the first time since reporting began. October calendar daily average is 99% of baseline and 30 day rolling average is Hackensack Meridian Medical 101% of baseline. Group team members do their part to social distance! *This data is reflective of Epic offices only. New: New Jersey School Age Tuition Assistance Program – Increase in Annual Income Cap The COVID Child Care Initiative, part of NJ’s allocation of the federal Coronavirus Relief Fund, is providing subsidies assistance to help families with child care costs due to remote learning schedules. The program offers full or partial tuition assistance to New Jersey families who need assistance, and covers child care costs for students between ages five and 13 attending schools that are remote learning due to the coronavirus pandemic every day or part time. This program is now available for families with household income of up to $150,000, up from the previous cap of $75,000, meaning that more team members may now be eligible for assistance. To apply, please visit https://www.childcarenj.gov/. Note that applicants will be asked to provide proof of their income, such as pay stubs and tax forms, and a copy of their school’s remote learning schedule when they apply. Readiness New: 5 Questions with… To highlight the steps HMH is taking to prepare for a potential second wave of COVID-19, we are interviewing leaders who are helping plan and implement HMH’s preparedness efforts. Today, we are sharing our 5 Questions with Donald Ellis, senior vice president of facilities management and real estate. 1. What is your role at HMH? What was your role during the COVID-19 pandemic? I’m the senior vice president of facilities management and real estate and am responsible for the maintenance operations and construction of all facilities across the network as well as all real estate facilities. During the pandemic, my team had to make sure we created a safe and optimal facility environment for everyone. This encompassed a lot, but some specifics were: Creating negative pressure rooms as needed Transitioning space, such as the cafeteria at Hackensack University Medical Center, into ICU space Partnering with local hotels and colleges to provide rooms for staff as needed Increasing morgue capacity as needed Ensuring all safety parameters could effectively be Above: 8 surge tents, like the one put into place, such as social distancing, disinfecting, pictured here, were purchased temperature screening with thermal scanners, and deployed at hospitals across installing Plexiglas / plastic shields HMH. Purchasing and erecting COVID testing and surge tents in various locations 2. What was your biggest challenge during the COVID-19 pandemic? Our biggest challenge was dealing with the high quantity of activities that needed to be addressed throughout the network in such a short amount of time. 3. What have you done to prepare for COVID 2.0? We participated in the development of the COVID 2.0 Playbook, and are well underway with many of our preparedness efforts, including: Stockpiled important materials and equipment, such as exhaust fans, hepa filters and Plexiglas Received approval to purchase and install nearly 500 vision panels, 700 wall pass-throughs and 320 emergency outlets for hospital corridors so team members can monitor infected patients from the hallways, helping to preserve PPE and reduce unnecessary exposure Secured increased morgue capacity to have on-hand if needed Installed important safety signage across the network so everyone is aware of infection prevention best practices and they can be enforced with limited issues Above: Plastic shields were 4. How is your department preparing for COVID installed in front of patient 2.0 today? registration desks to help protect We are working on installing the vision panels, pass- team members, and patients.