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Delirium

Delirium is a significant patient safety concern. Approximately 20% of hospitalized adults suffer delirium during their hospitalization, which is associated with longer LOS and higher mortality.

 

One challenge is recognizing delirium; up to 50% of cases are undiagnosed. Most work in the development of screening tools has been done for intensive care patients; most notably, the development of the confusion assessment method for the ICU (CAM-ICU).  Use of screening tools in the med-surg population has been limited. 

 

MUSC will begin screening for delirium on the adult med-surg floors starting this month.  The Richmond Agitation Sedation Scale will be utilized to trigger a more in depth assessment by a physician, and a delirium treatment protocol was developed to assist practitioners in delirium treatment. 
 
If you have any questions, contact Dr. Ashley Duckett.
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Eric Graham, M.D.

Medical Director, Pediatric Cardiac Intensive Care Unit

 

Eric Graham MD       

 

Read Dr. Graham's full interview.

MUSC Honored for Quality Cardiac Care

   

MUSC was one of ten hospitals in the state to be recognized by BlueCross BlueShield of SC for high quality cardiac care, and one of only four to receive Blue Distinction-plus honors.

 

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August 22, 2013

Our Goals for 2013-2014

Dear MUSC Medical Staff,Dr. Cawley 
 

As we start the new academic year, it is a good time to review the organizational goals we have set for MUSC Health. In the clinical enterprise, when we set goals, we use a balanced scorecard approach selecting goals in each of five pillar areas: Service, People, Quality, Finance, and Growth. Definitions of the pillar areas can be found here. Every employee and medical staff member within MUSC Health has goals this year, and each of your individual goals feed up to these organizational goals. At an individual level, you may not have goals in all five pillars. In addition, because of your particular role in the organization, your goals may not look like any of these, but you should understand how your goal fits with the organizational goal.

 

Each of the pillar areas is weighted 20%. In brief are the following goals by pillars:

 

  • Service - One composite goal called Ideal Service. This is a combination of all our patient satisfaction survey results. This includes inpatient and outpatient surveys.
  • People - Two goals - one for employee engagement and the other for physician engagement.
  • Quality - One composite goal called Ideal Care, which is a combination of several quality processes and outcomes.
  • Finance - Two goals - one goal is focused on unit cost of care delivery and the other is focused on margin. Both are important for maintaining a healthy financial environment in the medical center.
  • Growth - Two goals - one is focused on improving the number of patients in the hospital and the other is focused on access.

 

For additional details on the goals, please refer to this graphic.

 

In addition, because we want to be clear about our goals to improve our standings in two rankings systems, University Health Consortium and USN&WR, we are now including these as part of the goals graphic.

 

For USN&WR, there are 15 adult specialties and 10 pediatric specialties. We are looking to achieve national ranking in 50% of these specialties.

 

For University Health Consortium, the ranking is divided into several sections: mortality, effectiveness, patient safety, patient centeredness, and efficiency. We are aiming to achieve top 25% in each section.

 

Each month as we receive new updates on the goal metrics, we color the goals graphic:

 

  • Red = Not achieving goal
  • Yellow = Close to achieving goal
  • Green = Achieving goal  
 
Thank you for the great care you provide every day!

 

Sincerely,

 

Patrick J. Cawley, MD
Executive Director/CEO, Medical Center
Vice President for Clinical Operations, University

 

Our Mission (The never changing purpose of MUSC. Why it exists.)

We improve health and maximize quality of life through education, research & patient care.

MUSC Health Strategic Plan

Sylvia Wilson POM July 2013Physician of the Month 

 

Congratulations Sylvia Wilson of Anesthesia & Perioperative Medicine - July 2013 Physician of the Month! 

 

 

Nominate Physician of the Month!


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