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October 18, 2005 Peter Phelps
(269) 966-8131

Two-Year Project Improves Patient Safety
in Michigan Hospital ICUs; BCHS Among the Leaders

Dr. Tammy Gleeson
Battle Creek Health System was recently honored as one of the leaders in the Michigan Keystone ICU Project for reducing medical errors and improving patient safety. Leading the BCHS Keystone program are (L-R) Joe McBride, Annette Berning, Carole Harman, and Dr. Raakesh Bhan, medical director of Critical Care.
 
Michigan hospital intensive care units (ICUs) are safer today following a two-year project to reduce medical errors and improve patient safety directed by the state’s hospital association and The Johns Hopkins University Quality & Safety Research Group. Battle Creek Health System is one of the state’s leaders in safety.

Results of the project were announced recently by leaders of the Michigan Health & Hospital Association’s (MHA) Keystone Center for Patient Safety & Quality and patient safety experts from Johns Hopkins. Keystone: ICU is believed to be the largest patient safety collaborative of its kind anywhere in the world, with more than 120 Michigan ICUs and 70 Michigan hospitals participating of which Battle Creek Health System is part.

The results were shared at a conference for Michigan business leaders, state lawmakers, and hospitals leaders. Using a predictive model and data collected from project participants between March 2004 and June 2005, the total savings in the 15-month span were:

  • Patient Lives Saved - 1,578*
  • Hospital Days Saved - 81,020*
  • Health Care Dollars Saved - $165,534,736*

“As a result of Keystone: ICU, medical errors are being avoided, and lives and health care costs are being saved,” said Dr. Raakesh Bhan, medical director of Critical Care at Battle Creek Health System and leader of the local project. “Improving health care safety at the bedside benefits all patients and the governments, employers, and workers that pay for health care services. Battle Creek Health System along with other Michigan hospitals is proud to be at the forefront of patient safety and health care quality improvement initiatives.”

Keystone: ICU is already changing the benchmarks of health care quality, dramatically reducing complications once regarded as nearly impossible to eliminate. Central intravenous (IV) lines can be a major source of infections in ICUs that harm patients and increase lengths of stay, which drive up costs. Participating hospitals in Keystone: ICU have reduced central IV line infections by nearly 50 percent—BCHS has done even better. In 2003, BCHS averaged only 3.7 blood stream infections per thousand days. In 2005, that average is now zero.

Prior to MHA Keystone, Michigan’s rate of central line infections ranked average in the nation. Today, Michigan’s performance ranks among the best in the nation.

Overall ventilator-associated pneumonia rates in the Keystone: ICU project continue to decrease as well. Each prevented infection reduces costs, reduces the time a patient must stay in the ICU, and often saves a life. The BCHS rate for pneumonia while on a ventilator dropped from an average of 6.2 per thousand patient days in 2004 to only 1.4 patient days in 2005.

The Society of Critical Care Medicine, Johns Hopkins University Hospital, and the Michigan Hospital Association created the Keystone ICU project in March 2003.

Battle Creek Health System is the recipient of the 2005 HealthGrades* Distinguished Hospital Award for Patient SafetyTM. BCHS is one of only eight hospitals in Michigan, and the only hospital in Southwest Michigan to receive this national recognition, ranking it among the top 3% of hospitals in the nation. HealthGrades is a leading health care information company that provides objective ‘report card’ ratings nationwide.

Battle Creek Health System is accredited by the Joint Commission on the Accreditation of Healthcare Organizations and has earned the Joint Commission’s ‘Gold Seal of Approval.’ BCHS provides excellent health care for the community and promotes wellness for the whole person with access and compassion for all. For the latest medical information, visit the BCHS web site at www.bchealth.com or call the BCHS Marketing Department at (269) 966-8132.

* These impact estimates are based on projections from the Johns Hopkins Opportunity Calculator. This model applies estimates of the prevention of deaths and decreased hospital stay as extrapolated from published empirical studies. The estimated dollar savings is based on an average cost of a hospital day and an ICU day in Michigan from a sample of Michigan hospitals.

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 Battle Creek, Michigan 49017
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