Straight TalkA weekly update from management on the issues that matter most. Sep 7, 2017 A picture is worth a thousand words, or as General Patton of WWII fame stated, One view is worth a hundred reports, comes to mind as we share our most recent metrics on low infection rates in the NCH system. Appendectomy, Cholecystectomy, Knee and Hip Replacement, Pacemaker Insertion, Cesarean Section, Hysterectomy, Spinal Fusion, Laminectomy Continuous Process Improvement Measures 1. Correct pre-op bathing twice 2. Improved pre-op class attendance 3. Antibiotic stewardship 4. Physician champions 5. Interdisciplinary improvement committee 6. Performance feedback to surgical team and surgeons 7. Use of silver impregnated surgical dressings Please note the drop over the years of an already low rate of infections for patients undergoing surgery at NCH. The eleven areas of focused improvement shared by Director of Infection Control, RN Georgine Kruedelbach, and adapted by our surgical teams led by RN Barbara Wegener, makes a significant difference for quality and safety. Providing surgical staff and surgeons with feedback on their performance provides information and motivation for improvement. Surgeons, including Drs. Luigi Querusio, David Lamon, Jon Dounchis and Infectious Disease Specialist, Dr. Miguel Madariaga, contributed their expertise to shape these numerous improvements. Our infection rates are significantly lower than the national rates, placing us in the top 25% percent of hospitals and healthcare systems in America. Like all healthcare systems, we are not infection free; but we are trying to reach zero infections. NCH has also been recognized this year by U. S. News and World Report as 12thoverall in Florida among about 250 hospitals and rated “High Performing” for seven of nine common conditions. We are rated Four Star out of a possible Five Star by the Centers for Medicare and Medicaid Services. This ranking is the highest by far in Southwest Florida and places NCH among the top 12% in the nation. The journey will never end toward infection control, quality, and safety as we help everyone live longer, happier, and healthier lives.