Schneck Medical Center (Seymour, IN) posts Baldrige Application Documents

As required by all Baldrige Award winners, Schneck Medical Center has made portions of its Baldrige Application available to the public. Although the full application is not yet posted on the NIST website, most* of it can be found on the Schneck baldrige website.
Schneck Category 1 - Leadership
Schneck Category 2 - Strategic Planning
Schneck Category 3 - Focus on Patients
Schneck Category 4 - Measurement, Analysis, and Knowledge Management
Schneck Category 5 - Workforce Focus
Schneck Category 6 - Process Management

*As of April 28, 2012, the Organizational Profile and Category 7 (Results) have not yet been posted.

Schneck Medical Center (Seymour, IN) Named 2011 Baldrige Award Recipient

Schneck Medical Center of Seymour, Indiana, was named a 2011 Baldrige Award Recipient in the Healthcare Category. Schneck is the first organization from Indiana to receive the Baldrige Award.

Until recently, Indiana did not have a State level Baldrige-based award program. Schneck thus partnered with the Ohio Partnership for Excellence. The Ohio program has since expanded its scope and now covers the State of Indiana (as well as West Virginia). The program has now been renamed The Partnership for Excellence.

The press release announcing the other Baldrige Award winners can be found here.

The profile of Schneck Medical Center released with the announcement can be found here.

Below are excerpts from the profile of Schneck Medical Center outlining its quality performance that may be interesting to the healthcare quality professional. Note that the 50 page Baldrige application from Schneck will become public domain in a few months and thus awailable for public examination and learning. Schneck (as required by all Baldrige award winners) will also be participating in national and regional conferences where they will be sharing thier Baldrige journey.

• SMC consistently demonstrates high levels of performance in relation to patient-focused health care measures. Specifically, on 17 of 22 core measures reported for the Centers for Medicare and Medicaid Services (CMS), SMC scored 100 percent in the second quarter of 2011.
• SMC ranked second among 94 hospitals in its geographic region and outperformed all local competitors when measured for its value-based purchasing (VBP). VBP is a method that holds health care providers accountable for the quality and cost of their services through a system of rewards and consequences. Incentives discourage inappropriate, unnecessary, and costly care.
• Patient satisfaction surveys reflect SMC’s year-to-year favorable performance, meeting or exceeding top 10 percent or top 25 percent levels on nine of 10 Press Ganey (a national consulting firm focused on improving health care performance) measures, including inpatient quality of care, inpatient family support, inpatient coordination of care, and inpatient customer service. On measures of ambulatory care, including timeliness, customer service, and ambulatory education, SMC’s performance exceeds the top 25 percent level.
• SMC’s commitment to a “Patient First” culture has led to many innovative health care options. For example, to address its limited treatment options for myocardial infarctions, SMC and its largest competitor, located 25 miles away, created a collaborative initiative for coordinated handoffs of patients needing emergency cardiac catheterizations. Through this effort, “door-to-balloon” times (the critical period for assessing and diagnosing a heart attack and delivering the needed intervention) have been reduced from 120 to as low as 60 minutes, ensuring patients get the best and quickest treatment.
• SMC has achieved high performance levels in all areas measured by the Hospital Consumer Assessment of Healthcare Providers and Systems, with SMC outperforming its Indiana peers from 2008 to 2011 (year-to-date) in the areas related to the ability of nurses and physicians to listen, understand, and provide clear discharge instructions.
• SMC demonstrates role-model performance through its low overall rates of hospital-acquired infections, which have been maintained at or below 1 percent since 2008. There have been no occurrences of postoperative infections from bariatric surgeries, one of SMC’s focus areas. No patient has acquired ventilator-associated pneumonia since 2009, while central line-associated bloodstream infections have remained at low numbers since 2008, with zero cases in 2011 (year-to-date).
• SMC demonstrates excellence in measures of its operating margin, cash flow, and cash position, with its reported results comparing favorably to the Standard & Poor’s (S&P) “A-” and “AA” rated median levels. From 2008 to 2010, SMC’s gross revenue results showed growth in the organization’s strategic focus areas—women’s health, joint replacement, noninvasive cardiac care, cancer care, and bariatric surgery.

Study Shows Baldrige Hospitals Perform Better than Non-Baldrige Hospitals

Thomson Reuters recently released a research paper investigating the performance of Baldrige hospitals vs. non-Baldrige hospitals in key outcome measures. In this study, Baldrige hospitals were defined as hospitals that have won the Baldrige award or have publicly disclosed that they have received a site visit. Non-Baldrige hospitals were the remaining hospitals in the 100 Top Hospitals data set.

Of interest to healthcare quality professionals:

• Baldrige hospitals were significantly more likley than their peers to display faster five-year performance improvement.
• Baldrige hospitals performed better than their peers in the CMS core measures by 4.90 percantage points.

Although not statistically significant, the study also showed that Baldrige hospitals performed better on the following measures than their peers:

• risk-adjusted mortality
• patient safety index
• severity-adjusted length of stay.
• adjusted operating profit margin

The research paper can be downloaded from NIST here or from Thompson Reuters here.

The NIST press release associated with this research paper can be found here. For your convenience, excerpts from this press release have been copied and pasted below. Sections of interest to healthcare quality professionals are in red with some emphasis added.

New Study Finds that Baldrige Award Recipient Hospitals Significantly Outperform their Peers

A new report has found that healthcare organizations that have won Baldrige National Quality Awards for performance excellence or been considered for a Baldrige Award site visit outperform other hospitals in nearly every metric used to determine the 100 Top Hospitals, a national recognition given by Thomson Reuters.

Commissioned by the Foundation for the Malcolm Baldrige National Quality Award, a private organization, and conducted by Thomson Reuters, the report found that Baldrige hospitals were six times more likely to be counted among the 100 Top Hospitals, which represent the top 3 percent of hospitals in the United States, and that they statistically outperform the 100 Top Hospitals on core measures established by the U.S. Centers for Medicare & Medicaid Services.

Health care organizations have accounted for more than 50 percent of Baldrige award applicants since 2005.
Baldrige hospitals also were far more likely than their peers to be cited for marked improvement over a span of five years. According to the report, "[m]ore than 27 percent of Baldrige winner hospitals also won a 100 Top Hospitals: Performance Improvement Leaders award, while only 3 percent of their non-Baldrige peers won the award."

"The results of the Thomson Reuters study confirm what we've known for years: using the Baldrige Criteria and the earnest pursuit of the Baldrige evaluation will improve your organization by nearly every measure of success, be it in outcomes, safety, customer and employee satisfaction, or profitability," says Baldrige Performance Excellence Program Director Harry Hertz.

The study, Comparison of Baldrige Award Applicants and Recipients with Peer Hospitals on a National Balanced Scorecard, is available at www.nist.gov/baldrige/upload/baldrige-hospital-research-paper.pdf.

Healthcare Leading the Way in 2010 Baldrige Award Applications

Last month the NIST announced that of 83 Baldrige applicants for 2010, 54 were for the healthcare category.

Excerpts from the press release follows.
(Note: No Indiana based organization has ever won the Baldrige Award.)

Eighty-three organizations are in the running for the 2010 Malcolm Baldrige National Quality Award, the nation’s highest recognition for organizational performance excellence through innovation and improvement. Applicants include three manufacturers, two service companies, seven small businesses, 10 educational organizations, 54 health care organizations and seven nonprofits/governmental organizations. The number of applicants is up 20 percent over 2009 and marks the fifth consecutive year that there have been 70 or more organizations seeking the award. Additionally, the 54 health care applicants are the largest number in that category since it began in 1999.

The 2010 applicants will be evaluated rigorously by an independent board of examiners in seven areas: leadership; strategic planning; customer focus; measurement, analysis and knowledge management; workforce focus; process management; and results. Examiners provide each applicant with 300 to 1,000 hours of review and a detailed report on the organization’s strengths and opportunities for improvement.

Thousands of organizations use the Baldrige Criteria for Performance Excellence to guide their enterprises, improve performance and get sustainable results. This proven improvement and innovation framework offers organizations an integrated approach to key management areas.

“I see the Baldrige process as a powerful set of mechanisms for disciplined people engaged in disciplined thought and taking disciplined action to create great organizations that produce exceptional results,” says Jim Collins, author of Good to Great: Why Some Companies Make the Leap ... and Others Don’t.

To learn more about starting or advancing your organization’s quality journey, go to www.nist.gov/baldrige/publications/criteria.cfm and www.nist.gov/baldrige/enter/self.cfm.