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MHA/ONL Patientcarelink Nursing-Sensitive Measure Report
MHA/ONL PatientCareLink Nursing-Sensitive Measure Report Statistical Appendix April 2016 April 2016 Statistical Appendix Contents Explanation of Analysis of the Statistical Significance of Hospital Measure Rates Acute Care Hospitals Bed-size Group Category Listing Specialty Hospital Listing Acute Care Hospitals o NSC-2 Pressure Ulcer Prevalence . Acute Care Hospital Bed-size Group Measure Data Graphs o NSC-3 Patient Falls . Acute Care Hospital Bed-size Group Measure Data Graphs o NSC-4 Falls with Injury . Acute Care Hospital Bed-size Group Measure Data Graphs Specialty Hospitals o NSC-2 Pressure Ulcer Prevalence . Rehabilitation Hospitals Group Measure Data Graphs . Long-term Acute Care Hospitals Group Measure Data Graphs o NSC-3 Patient Falls . Rehabilitation Hospitals Group Measure Data Graphs . Long-term Acute Care Hospitals Group Measure Data Graphs o NSC-4 Falls with Injury . Rehabilitation Hospitals Group Measure Data Graphs . Long-term Acute Care Hospitals Group Measure Data Graphs April 2016 MHA OCT 2007 Analysis of the Statistical Significance of Hospital Measure Rates Because the measure rates for the hospitals are for a specific period of time, and because there is variability in performance over time because of chance and other factors, there is a degree of uncertainty about the extent to which a hospital’s measure rate may reflect its true underlying performance. Without taking this uncertainty into account, we cannot conclude that a hospital with a measure rate that is higher or lower than the group rate is truly performing at a worse or better rate than the group. Statisticians use confidence intervals to account for this uncertainty. -
Umass Memorial Health Care's Anchor Mission Project
PH9-010 2019 Anchoring Health beyond Clinical Care: UMass Memorial Health Care’s Anchor Mission Project “What did I get myself into?” Douglas Brown wondered to himself as he walked out of the September 2018 board meeting. He had just received unanimous and enthusiastic approval to pursue his “Anchor Mission” project at UMass Memorial Health Care (UMMHC) in Worcester, Massachusetts. He was extremely excited by the board’s support, but also quite apprehensive about how to make the Anchor Mission a reality. As the Chief Administrative Officer of UMMHC and president of UMass Memorial (UMM) Community Hospitals, Doug had spearheaded the Anchor Mission from its earliest exploratory efforts. The goal of the health system’s Anchor Mission—an idea developed by the Democracy Collaborative, an economic think tank—was to address the social determinants of health in its community beyond the traditional approach of providing excellent clinical care. He had argued that UMMHC had an obligation as the largest employer and economic force in Central Massachusetts to consider the broader development of the community and to address non- clinical factors, like homelessness and social inequality that made people unhealthy. To achieve this goal, UMMHC’s Anchor Mission would undertake three types of interventions: local hiring, local sourcing/purchasing, and place-based community investment projects. While the board’s enthusiasm was palpable and inspiring, Doug knew that sustaining it would require concrete accomplishments and a positive return on any investments the health system made in the project. The approval was just the first step. Innovation and new ways of thinking would be necessary. -
Emergency Behavioral Health Services
ALERT #24 ___________________ October 5, 2007 EMERGENCY BEHAVIORAL HEALTH SERVICES POLICIES AND PROCEDURES FOR EMERGENCY SERVICES PROGRAMS AND HOSPITAL EMERGENCY DEPARTMENTS FOR MBHP MEMBERS AND UNINSURED CONSUMERS The following information should be communicated immediately to other appropriate staff in your organization. The Massachusetts Behavioral Health Partnership (MBHP) is the company that manages behavioral health (mental health and substance abuse) services for MassHealth’s Primary Care Clinician (PCC) Plan Members*. Additionally, MBHP is contracted with the Department of Mental Health to manage most of the Emergency Services Programs (ESPs) across the Commonwealth. In that role, MBHP is issuing this Alert to hospital Emergency Departments (EDs), MBHP network providers, and other interested stakeholders in order to provide clarification and guidance relative to the management of behavioral health emergencies in the ED setting. More specifically, this Alert delineates the roles and responsibilities of the Emergency Services Programs (ESPs) and describes an individual’s progression through this system, with a goal of expediting his or her movement through the hospital ED and into acute behavioral health services, as medically necessary. ESPs function as a “safety net” for all citizens of the Commonwealth regardless of age, payer, or ability to pay. It is important to note that the policies and procedures in this Alert applies to those populations for whom the ESPs are contracted with MBHP to serve, which includes MBHP members, MassHealth (non-MCO enrolled) Members, uninsured consumers, and DMH consumers. However, it is also important to note that MassHealth also requires the four Managed Care Organizations (MCOs) contracted with MassHealth to utilize the ESP system for emergency behavioral health services for MassHealth MCO enrolled Members. -
Baystate Health
Baystate Health Baystate Teaching Hospital Wing Community-High Public Payer Physician Organization Baystate Franklin Health Plan Images are sized based on Baystate Medical Center Health New England the entity's portion of operating revenue within their health system. Image size is not comparable between systems. Baystate Medical Practice Operating Net Assets in Profit (Loss) Operating Revenue in Total Margin Millions in Millions Margin Millions Hospital Health System* Baystate Health $2,381.6 $1,101.8 $68.1 2.2% 2.8% Acute Hospital Baystate Franklin Medical Center $102.7 $53.2 $0.6 0.4% 0.6% Baystate Medical Center $1,296.2 $827.7 $99.8 6.6% 7.6% Baystate Noble Hospital $58.4 $16.8 $1.2 2.0% 2.0% Baystate Wing Hospital $85.6 $50.2 ($4.4) -5.7% -5.1% Physician Organization Baystate Medical Practice $307.4 ($43.6) -14.2% -14.2% Baystate Westfield Medical Corporation $12.5 ($5.4) -43.4% -43.4% Health Plan Health New England $833.9 $12.3 1.6% 1.5% * Table includes only the system's affiliated acute hospitals, physician organizations, and health plans. System totals may also include non-acute hospitals, other health care providers, other owned organizations, and consolidating eliminations. www.chiamass.gov CENTER FOR HEALTH INFORMATION AND ANALYSIS | www.chiamass.gov CHIA Berkshire Health Systems Community-High Public Payer Physician Organization Images are sized based on the entity's portion of Berkshire Medical Center Fairview Hospital operating revenue within their health system. Image size is not comparable between systems. Berkshire Faculty -
Introduction
15 Introduction The Neonatal (newborn) Intensive Care Unit (NICU) of the Floating Hospital for Children is a 40-bed unit designed to provide highly specialized and technically advanced care to ill, premature, or high-risk babies. Skilled nurses, physicians, nurse practitioners and respiratory therapists staff the unit. This team of health care providers function together to provide the finest and most comprehensive care possible for your newborn. Some of the babies admitted to the NICU are born here at Tufts Medical Center, and some are born in community hospitals and then transported to us by members of our Neonatal Transport Team. Babies are admitted to the NICU for many reasons. Whatever the reason for admission, a wide range of pediatric subspecialty services is readily available for your newborn if necessary. Some of our specialty services include newborn medicine, pediatric cardiology, pediatric surgery, pediatric neurology, pediatric otolaryngology, pediatric urology and many others, all available 24-hours/day. Soon after admission, your baby will be assigned a primary nurse and will be assigned to a team of physicians on the newborn medicine service. Tufts Medical Center is the principal teaching hospital for Tufts University School of Medicine; there are many doctors at various levels of specialty training who will be involved with your baby’s care. At all times, the attending physician is ultimately responsible for the medical care your baby receives. If you have already chosen a pediatrician, please give his or her name to your baby’s nurse. Once identified, the pediatrician will receive routine updates, about once a week, while your baby is in the NICU. -
Shaneka Louise Davis Appointed As Associate General Counsel at Umass Memorial Health Care
SHANEKA LOUISE DAVIS APPOINTED AS ASSOCIATE GENERAL COUNSEL AT UMASS MEMORIAL HEALTH CARE June 2020 - Bridge Partners is pleased to announce the appointment of Shaneka Louise Davis as Associate General Counsel at UMass Memorial Health Care UMass Memorial Health Care is the largest health care system in Central Massachusetts and committed to improving the health of the people of the diverse communities of Central New England through culturally sensitive excellence in clinical care, service, teaching, and research. Shaneka Louise Davis joins UMass Memorial Health Care from Boston Children’s Hospital, where she was a Legal Fellow. Previously, she served as Assistant Attorney General- Civil Rights in the Massachusetts Attorney General’s Office. Shaneka recently completed a Master of Public Health at Harvard University’s T.H. Chan School of Public Health. Shaneka brings to the role deep experience in health care law and employment law. As Associate General Counsel, Shaneka will provide counsel on human resources, business operations, and health care regulatory matters. Shaneka Louise Davis ABOUT BRIDGE PARTNERS • Bridge Partners is a retained executive search firm with unique expertise in attracting and retaining senior, diverse executives and nearly 20 years of experience executing global leadership searches. • Our clients include both nonprofit and for-profit organizations. Select for-profit clients include: Freddie Mac, Starbucks, McKesson, Choice Hotels, Estee Lauder, and The Federal Reserve System. Select nonprofit clients include: FairVote, PSI, TechnoServe, Project Concern International, Wikimedia Foundation and Women Deliver. What they have in common is a desire to adapt to a changing global market and diversify their leadership teams, to innovate and reflect their employee base, as well as the customer, communities and constituents they serve. -
Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System
COMMONWEALTH OF MASSACHUSETTS HEALTH POLICY COMMISSION Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System March 2016 About the Health Policy Commission The Health Policy Commission (HPC) is an independent state agency established through Chapter 224 of the Acts of 2012, the Commonwealth’s landmark cost-containment law. The HPC, led by an 11-member board with diverse experience in health care, is charged with developing health policy to reduce overall cost growth while improving the quality of care, and monitoring the health care delivery and payment systems in Massachusetts. The HPC's mission is to advance a more transparent, accountable, and innovative health care system through independent policy leadership and investment programs. The HPC’s goal is better health and better care at a lower cost across the Commonwealth. II | HEALTH POLICY COMMISSION Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System Introduction 2 Executive Summary 5 Section I. Definitions, Data Sources, and Methods 11 Section II. Background: Community Hospitals in Massachusetts 14 Section III. The Value of Community Hospitals to the Massachusetts Health Care System 22 Section IV. Challenges Facing Community Hospitals 35 Section V. From Community Hospitals to Community Health: Building a Path to a Thriving Community-Based Care System 68 COMMUNITY HOSPITALS AT A CROSSROADS | 1 Introduction Massachusetts has been a national leader in ensuring access to high quality health care for its residents and, with the passage of the Commonwealth’s landmark 2012 health care cost containment law, Massachusetts took significant steps to again lead the nation in efforts to slow the growth of health care costs. -
Massachusetts Hospital Profiles Technical Appendix Data Through Fiscal Year 2014
CENTER FOR HEALTH INFORMATION AND ANALYSIS MASSACHUSETTS HOSPITAL PROFILES TECHNICAL APPENDIX DATA THROUGH FISCAL YEAR 2014 NOVEMBER 2015 CHIA center for health information and analysis Technical Appendix Overview Acute and non-acute hospitals included in Massachusetts Hospital Profiles- Data through Fiscal Year 2014 were profiled on service, payer mix, quality, utilization, revenue, and financial performance. Multi- acute hospital systems were profiled based on financial performance and utilization metrics. Details for each of these metrics are included in this technical appendix. The Center for Health Information and Analysis (CHIA) relied on the following primary data sources to present financial information: the DHCFP-403 Annual Hospital Cost Report (403 Cost Report), the Hospital Discharge Database (HDD), the Hospital Standardized Financial Statement Database, and Audited Financial Statements. Unless otherwise noted, metrics included in this report are based on financial data reported by acute and non-acute hospitals from Fiscal Year (FY) 2010 to FY14. Discharge data from FY14 included in the acute hospital analysis was reported by acute hospitals in the Hospital Discharge Database, unless otherwise noted. Descriptive acute and non-acute hospital information is from FY14. Hospital 403 Cost Report: The 403 Cost Report is submitted each year by acute and non-acute hospitals and it contains data on costs, revenues, and utilization statistics. Acute hospitals are required to complete the 403 Cost Report based on a fiscal year end of September 30 regardless of their actual fiscal year end. Non-acute hospitals complete the 403 Cost Report based on their actual year end. Hospital Discharge Database (HDD): HDD data is submitted quarterly by acute hospitals and it contains patient-level data identifying charges, days, and diagnostic information for all acute inpatient discharges. -
Fallonhealth.Org Find Your Doctor
Your Network Get more choice with Select Care NETW O O M R H K D H A O S E R L B E SC C T H C E A R What you get • Greater choice at a competitive price. • Access to an expansive network that includes physician practices, community-based hospitals and medical facilities across the Commonwealth and southern New Hampshire. • Plus, worldwide emergency coverage! Please see the back of this insert for a full listing of participating Massachusetts, New Hampshire and Vermont hospitals in Select Care. Participating hospitals Select Care service area fallonhealth.org Find your doctor Just visit fallonhealth.org and follow these simple steps: • Click on “Find a doctor” in the members section, or on the home page. • Click on “Search our regional networks.” If you are looking for a specific provider, type his/her last name. Once you start typing, you will be given a list of providers to choose from. Within the search results, you will see if the provider accepts Select Care. • If you don’t have a particular provider in mind, you can use the advanced search option to search by ZIP code to find a provider convenient to you. You can use this advanced search option for specialists as well as for primary care providers. We update the provider listing on fallonhealth.org every day, so you can trust that you are seeing the most up-to-date information. You can also call our Customer Service Department to have a representative help you find the doctor you’re looking for. -
Wayfair Preferred (Narrow) Network Plan Hospitals
Wayfair Preferred (Narrow) Network Hospitals Hospital Name City State Addison Gilbert Hospital Gloucester MA Anna Jaques Hospital Newburyport MA BayRidge Hospital (acute psychiatric hospital) Lynn MA Beth Israel Deaconess Medical Center—Boston Boston MA Beth Israel Deaconess Hospital—Milton Milton MA Beth Israel Deaconess Hospital—Needham Campus Needham MA Beth Israel Deaconess Hospital—Plymouth Plymouth MA Beverly Hospital Beverly MA Boston Children’s Hospital Boston MA Boston Medical Center Boston MA Brigham and Women’s/Mass General Health Care Center at Patriot Place Foxborough MA Cambridge Health Alliance—Cambridge Campus Cambridge MA Cambridge Health Alliance—Somerville Campus Somerville MA Cambridge Health Alliance—Whidden Campus Everett MA Carney Hospital Dorchester MA Clinton Hospital Clinton MA Cooley Dickinson Hospital Northampton MA Emerson Hospital Concord MA Faulkner Hospital Jamaica Plain MA Good Samaritan Medical Center Brockton MA HealthAlliance Hospitals—Burbank Campus Fitchburg MA HealthAlliance Hospitals—Leominster Campus Leominster MA Heywood Hospital Gardner MA Holyoke Medical Center Holyoke MA Lahey Hospital and Medical Center Burlington MA Hospital Name City State Lahey Medical Center Peabody MA Lawrence General Hospital Lawrence MA Lawrence Memorial Hospital Medford MA Lowell General Hospital (includes the campus Lowell MA formerly known as Saints Medical Center) Massachusetts Eye and Ear®´ Infirmary Boston MA Mass General/North Shore Center for Outpatient Care Danvers MA Melrose-Wakefield Hospital Melrose MA Mercy -
Health Care System ACUTE INPATIENT HOSPITALS
A B C D E 1 ACUTE INPATIENT HOSPITALS PARTICIPATING IN MASSHEALTH (June 2021) Has Inpatient 2 Health Care System Acute Inpatient Hospital Town Psychiatric Unit? 3 Beth Israel Lahey Health Anna Jaques Hospital Newburyport X 4 Heywood Healthcare Athol Hospital Athol 5 Baystate Health Baystate Franklin Medical Center Greenfield X 6 Baystate Health Baystate Medical Center Springfield X 7 Baystate Health Baystate Noble Hospital Westfield X 8 Baystate Health Baystate Wing Hospital Palmer X 9 Berkshire Health Systems Berkshire Fairview Hospital Great Barrington 10 Berkshire Health Systems Berkshire Medical Center Pittsfield X 11 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Milton Milton 12 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Needham Needham 13 Beth Israel Lahey Health Beth Israel Deaconess Hospital - Plymouth Plymouth X 14 Beth Israel Lahey Health Beth Israel Deaconess Medical Center Boston X 15 Beth Israel Lahey Health Beverly Hospital (aka Northeast Health) Beverly X 16 Boston Children's Hospital Boston X 17 Boston Medical Center Boston 18 MassGeneralBrigham Brigham & Women's Hospital Boston 19 MassGeneralBrigham Brigham and Women's Faulkner Hospital Boston X 20 Cambridge Health Alliance Cambridge Hospital Cambridge X 21 Cape Cod Healthcare Cape Cod Hospital Hyannis X 22 Steward Health Care Carney Hospital Boston X 23 MassGeneralBrigham Cooley Dickinson Hospital Northampton X 24 Dana Farber Cancer Institute Boston 25 Emerson Hospital Concord X 26 Cambridge Health Alliance Everett Hospital Everett X 27 Cape -
Boston Stroke Scale
Boston Stroke Scale Facial Droop Patient shows teeth ⁂ One side of face moves less well Arm Drift Patient closes eyes and extends both arms straight forward for 10 seconds ⁂ One arm drifts, drops, or is weaker Speech Patient repeats short phrase ⁂ First attempt is slurred, wrong, or mute All local ERs are stroke centers except BMC E. Newton, Children's Hospital Boston, and West Roxbury VA Glasgow Coma Scale Adult Burn Estimation Eye Opening Spontaneous (A) · 4 To voice (V) · 3 To pain (P) · 2 Eyes do not open (U) · 1 Verbal Response Oriented · 5 Confused or disoriented · 4 Inappropriate words · 3 Meaningless sounds · 2 No speech · 1 Motor Response Obeys commands · 6 Localizes pain · 5 Withdraws from pain · 4 Decorticate flexion · 3 Decerebrate extension · 2 Burn Centers No movement · 1 ⁂ Brigham and Womens ⁂ Children's Hospital Boston ⁂ Massachusetts General Hospital Pediatric Burn Estimation APGAR Appearance Entire body pink · 2 Torso pink with limbs cyanotic · 1 Entire body cyanotic · 0 Pulse Over 100 · 2 Under 100 · 1 Pulseless · 0 Grimace Coughs/withdraws/sneezes · 2 when stimulated Facial response only · 1 when stimulated No response to stimulation · 0 Activity Active movement · 2 Some muscle flexion · 1 Muscles completely flaccid · 0 Respiration Strong, normal cry · 2 Weak, slow, or irregular cry · 1 Apneic · 0 Pediatric Vitals Trauma Centers RR HR BP KG Adult Trauma Centers Newborn 30–60 100–160 60–80 3–5 ⁂ Beth Israel Deaconess • I 6 mos 25–40 90–120 80–100 7 ⁂ BMC Menino • I 1 yr 20–30 90–120 80–100 10 ⁂ Brigham and Women's •