The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.

Full Abstract

BACKGROUND:
In 2002 Ascension Health, a 67-hospital not-for-profit health care system, articulated a call to action to provide excellent clinical care with no preventable injuries or deaths by July 2008. It embarked on a journey of clinical transformation. Transformational change implies a much greater pace of change than that reflected in traditional, incremental change processes.

THE JOURNEY BEGINS:
Progressing from vision to action plan required setting the clinical transformation agenda, identifying challenges to this agenda, and establishing measurements of progress. Environmental changes that must be addressed to successfully implement a transformational change process include culture, making the business case, infrastructure investments, standardization, and how we work together.

TAKING ACTION:
Improvement activities focused on eight priorities for action, including preventable mortality and areas such as adverse drug events, falls, and surgical complications. "Alpha" sites would develop the best clinical and implementation practices for eliminating the preventable adverse events related to these areas.

EARLY RESULTS:
The observed decrease in the mortality rate among non-end-of-life-care patients was 21% (p < .001), exceeding the 15% goal set for July 2008 and corresponding to 1,200 deaths prevented across the system. The alpha sites reported initial results in June 2004, with more than 50% reductions in adverse events for all the priorities for action areas.

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Author information

Author/s: Pryor, David B (DB); Tolchin, Sanford F (SF); Hendrich, Ann (A); Thomas, Clarence S (CS); Tersigni, Anthony R (AR);

Affiliation: Clinical Excellence, Ascension Health, St Louis, USA. dpryor(-atsign-)acensionhealth.org

Journal and publication information

Publication Type: Journal Article

Journal: Joint Commission journal on quality and patient safety / Joint Commission Resources (Jt Comm J Qual Patient Saf), published in United States. (Language: eng)

Reference: 2006-Jun; vol 32 (issue 6) : pp 299-308

Dates: Created 2006/06/16; Completed 2006/10/24;

PMID: 16776384, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Delivery of Health Care, Integrated - organization & administration; standards
Hospital Mortality
Humans
Interprofessional Relations
Organizational Culture

Organizational Objectives
Program Development
Quality Assurance, Health Care - organization & administration; standards
Safety - standards
Wounds and Injuries - prevention & control

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