Quality Initiatives

Custom protocols with automated monitoring & alerts

Active Initiatives

8

2 critical priority

Avg Performance

92.4%

+3.2% this month

Targets Met

5/8

62.5% achievement

Active Alerts

12

3 need attention

Critical PriorityLast updated: 2 min ago
Sepsis Bundle Compliance
Real-time monitoring of SEP-1 bundle elements with automated alerts
91.2%
Current Performance
Target: 95%

Bundle Element Performance

Blood Culture Collection
96%/ 95%
Lactate Measurement2
94%/ 95%
Antibiotic Administration (3hr)8
88%/ 95%
Fluid Resuscitation (3hr)1
92%/ 90%
Vasopressor Administration
98%/ 95%

Active Cases

MRN: 45821

12 min ago

4/5 elements

on-track

MRN: 38942

1 hour ago

2/5 elements

delayed

MRN: 51203

2 hours ago

5/5 elements

complete

All Quality Initiatives
Monitor performance across all active initiatives
HighQuality Measure

30-Day Readmission Reduction

Reduce unplanned 30-day hospital readmissions

12.3%

Target: 15%

Below Target3 alerts
HighPatient Safety

Surgical Site Infection Prevention

Monitor and reduce surgical site infections

98.2%

Target: 98%

Met
MediumMedication Safety

Medication Reconciliation

Complete med rec at all care transitions

94.1%

Target: 100%

Below Target12 alerts
CriticalInfection Control

Hand Hygiene Compliance

Monitor hand hygiene compliance

89.7%

Target: 95%

Below Target18 alerts
MediumPatient Safety

VTE Prophylaxis

Venous thromboembolism prevention

96.5%

Target: 95%

Met2 alerts
HighInfection Control

CAUTI Prevention

Catheter-associated UTI prevention bundle

92.8%

Target: 95%

Below Target5 alerts
Performance Trends
Month-over-month initiative performance comparison

Sepsis Bundle Compliance

Last month: 87.3%This month: 91.2%
+3.9%
Improving

30-Day Readmission Rate

Last month: 14.8%This month: 12.3%
-2.5%
Improving

Hand Hygiene Compliance

Last month: 92.1%This month: 89.7%
-2.4%
Declining

Medication Reconciliation

Last month: 91.5%This month: 94.1%
+2.6%
Improving