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Quality Care

Measuring Quality

One of the ways we constantly improve is by measuring ourselves, so we can find out how we’re doing compared to other, similar institutions. In addition, we are advocates and participate in initiatives to improve the quality and safety of patient care, in collaboration with leading quality organizations such as the Institute for Healthcare Improvement (IHI), the Agency for Healthcare Research and Quality (AHRQ), and National Quality Forum (NQF).

What do we mean by quality?

“Quality” in patient care means something very specific: it refers to clinical outcomes. That can range from the new treatments, procedures, or medications that you can find at Davis Hospital and Medical Center, to making continuous improvements in procedures and processes so we can always be as safe as possible.

What do we mean by service?

“Service” in hospitals means something different from quality: it’s about all the little things we do to make your experience with us a good one. That can range from how we communicate with you, to how quickly we respond to your concerns, to the kinds of amenities you find in your room.

What are we doing to improve?

In line with the HMMQP infrastructure, Davis Hospital and Medical Center has a robust safety event reporting system, and our leadership encourages all members of the hospital’s staff to report adverse events and close calls. All hospital staff and employees have access to computer terminals and are encouraged to report events so that investigations can be conducted and improvements can be made. We want our employees to feel comfortable reporting events, and understand that reporting and learning from our events leads to a culture supportive of patient safety. All events that fall in the category of serious adverse events are extensively reviewed and analyzed as part of our ongoing and comprehensive safety reporting system.

What are we doing to be transparent?

Davis Hospital and Medical Center’s commitment to “transparency” includes providing the most current quality data available, and that is what this Quality Dashboard Report will show you. On an ongoing basis, the Dashboard will be updated as new data becomes available.

The Quality Dashboard Report shows how Davis Hospital and Medical Center has been doing at providing the right care for some common conditions. Information about surgery, certain types of infections, and how patients view their experiences at Davis Hospital and Medical Center is also included. Do you want to tell us something?

We can’t make improvements alone, we need your feedback, whether that is through patient surveys, letters, emails, or telephone calls. We encourage you to be involved in resolving issues regarding your own care, treatment and services. To express concerns, complaints and/or a grievance you can contact us via mail, e-mail, or telephone.

Davis Hospital and Medical Center
1600 W Antelope Dr.
Layton, UT 84041
Switchboard: (801) 807-1000
Email: [email protected]

Quality Watch

The following contains links to organizations that monitor (watch) quality in healthcare nationally and in the State of Utah.

Agency for Healthcare Research and Quality (AHRQ)
AHRQ Quality Indicators (QIs) are measures of health care quality that make use of readily available hospital inpatient administrative data.
www.qualityindicators.ahrq.gov

IHI – Institute for Healthcare Improvement
IHI is a not-for-profit organization dedicated to the improvement of health care throughout the world. Davis Hospital and Medical Center actively participates in many IHI initiatives.
www.ihi.org/IHI

NQF – National Quality Forum
The National Quality Forum is a private, not-for-profit membership organization created to develop and implement a national strategy for healthcare quality measurement and reporting.
www.qualityforum.org

Utah Department of Health (UDOH)
Information about healthcare providers and services in the State of Utah.
http://health.utah.gov

Det Norske Veritas (DNV)
DNV Healthcare offers hospital accreditation approved by the Centers for Medicare and Medicaid Services (CMS). Annual deemed status surveys are an essential component of hospital accreditation through DNV.avis Hospital and Medical Center has been accredited by DNV since July 2009.
www.dnvaccreditation.com

HealthInsight – Medicare’s Quality Improvement Organization (QIO)
HealthInsight serves as the Medicare Quality Improvement Organization (QIO) in Utah and Nevada improving the quality, effectiveness, efficiency and economy of healthcare services provided to people insured by Medicare. Davis Hospital and Medical Center actively participates in quality initiatives sponsored by HealthInsight.
www.healthinsight.org