The Delmarva Foundation Quality Improvement Report

For the 10th Scope of Work, from August 2011 through July 2014, Delmarva Foundation collaborated with health care providers and other stakeholders to address a set of priorities established by the Centers for Medicare & Medicaid Services. These priorities aligned Delmarva’s local QIO responsibilities with a bold national plan for making dramatic improvements in health care quality and decreasing health care costs for all Americans.

Significant outcomes were achieved across the District of Columbia, including the following:

Reducing Health Care-Associated Hospital Infections
70% relative rate of improvement in reduced central line-associated blood stream infections
47% reduction in the Standardized Infection Ratio (SIR) for Catheter Associated Urinary Tract Infections

Improving Cardiac Population Health
20 clinical offices recruited as part of the Million Hearts™ national initiative and the DC ASTHO™ Million Hearts Learning Collaborative. Healthcare professionals from across the continuum assisted with reducing cardiac risk factors as part of the collaborative.

Improving Community Transitions of Care
Delmarva developed and assisted two community coalitions across the District. In these two communities, re-hospitalization rates showed an 18% relative improvement.

Reducing Potential for Adverse Drug Events
Delmarva brought together seven teams across the District of Columbia comprised of providers who care for older patients with multiple chronic conditions to work on reducing adverse drug events. These providers included clinical pharmacists, anticoagulation clinics, and nursing homes. The project focused on areas such as improving time in therapeutic range for patients on warfarin and reduction in the number of patients on antipsychotic medications

Minimizing the Use of Physical Restraints and Preventing or Healing Pressure Ulcers in Nursing Homes
Delmarva worked with 85% of the nursing homes in the District and the homes were able to achieve significant improvements including:
75% relative improvement in the use of physical restraints with the District homes achieving a physical restraint rate of 0.4% District-wide.
15% relative improvement in Pressure Ulcer rates nursing homes.

Improved Health for Populations and Communities
20 clinicians were assisted with PQRS Electronic Health Record reporting