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ACE Inhibitor - Medication that lowers blood pressure

Average length of stay - Total number of inpatient days divided by total number of patients for the selected procedure. (Patients discharged on the same day they were admitted are considered to have stayed in the hospital one day.) Average length of stay reflects, in part, the medical complexity of the patients a hospital serves. Patients with more severe symptoms or complications will generally require longer hospital stays.

Average charges - Total charges divided by the number of patients for the selected service. Average charges can be significantly affected by a few unusually high or low charges.

Average payments - Total payments divided by the number of patients for the selected service. The average Medicare payment includes the base payment, diagnosis-related-group (DRG) for inpatient or Ambulatory Payment Classification for outpatient and, where applicable, additional payments for graduate medical education, indirect medical education, disproportionate share, and capital in accordance with Medicare payment policies.

Beta blocker - Medicine used to treat high blood pressure and other heart conditions by reducing the heart rate and the heart's output of blood.

Chronic condition - Always present or reoccurring medical condition usually lasting three months or more.

Computerized axial tomography (CAT or CT) Scanner - A machine that uses a 360-degree X-ray beam and computer production of images, which shows a cross-sectional view of body organs and tissues.

Critical access hospitals - Rural hospitals that have 25 beds or less. A critical access hospital (CAH) is a hospital that is certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures.

Complication - An additional problem that arises following a procedure, treatment or illness and is secondary to it.

Diagnosis-related grouping (DRG) - A DRG is one of 559 currently valid groups that classify patients into clinically cohesive groups that demonstrate similar consumption of hospital resources and length-of-stay patterns.

Inpatient procedure - A procedure that requires a patient to be admitted to a hospital for treatment and to stay at least one night.

Intensity-modulated radiation therapy (IMRT) - Type of three-dimensional radiation therapy using computer images to show the size and shape of a tumor.

Intensive care unit (ICU) - A separate, clearly designated treatment area maintained within the facility solely for the care and treatment of patients who are critically ill.

Joint replacement or reattachment - Surgical replacement of a joint such as knee or hip.

Left ventricular function (LVF) - The pumping function of the heart chamber supplying body circulation.

Left ventricular systolic dysfunction (LVSD) - Abnormal activity of the left chamber of the heart often occurring following a heart attack and increasing the patient's risk for recurrent heart attacks, heart failure or other fatal events.

Long-term acute-care hospitals (LTACHs) - Specialty care hospitals designed for extended-stay patients with chronic conditions.

Magnetic resonance angiography (MRA) - A machine that uses a large, powerful magnet to create images of blood vessels.

Magnetic resonance imaging (MRI) - A noninvasive procedure using a large, powerful magnet that produces a two-dimensional view of an internal organ or structure.

Major diagnostic category (MDC) - There are 25 major diagnostic categories that are mutually exclusive groups based on principal diagnosis. The majority of MDCs are organized by major body system and/or are associated with a particular medical specialty.

Medicare cost reports - An annual report required of all institutions participating in the Medicare program, which records each institution's total costs and charges associated with providing services, the portion of those costs and charges allocated to Medicare patients, and the Medicare payments received.

MedPAR - Medicare Provider Analysis and Review (MedPAR) data is information abstracted from the Medicare claims record.

Outpatient procedure – A procedure that allows the patient to go home the same day he or she was treated; also referred to as ambulatory.

Oxygenation assessment - Measuring the oxygen level in the blood.

PCI-percutaneous coronary interventions (previously called Angioplasty, Percutaneous Transluminal Coronary [PTCA], or Balloon Angioplasty) - Encompasses a variety of procedures used to treat patients with diseased arteries of the heart.

Pneumococcal vaccination - A shot to prevent pneumonia.

Positron emission tomography (PET) - A specialized imaging method that generates three-dimensional colored images of the body.

Single photon emission computerized tomography (SPECT) - An imaging technique measuring blood flow within the brain.

Thrombolytic Medication - Medication used during a heart attack to dissolve clots that may block blood flow in the coronary arteries.

Dec. 4, 2014
MHA Keystone HEN Honored for Efforts to Improve Patient Safety
On December 4, 2014, the Centers for Medicare and Medicaid Services (CMS) acknowledged the participation of the MHA Keystone Hospital Engagement Network, or “HEN” for their participation in the national Partnership for Patients (PfP) initiative. The HEN consisted of nearly 100 hospitals across the state. Nationwide, more than 3,700 hospitals participated in this important three year national initiative to improve patient safety. The PfP had the ambitious goals of reducing hospital-acquired conditions by 40% and readmissions by 20% by the end of the 2014.

This acknowledgement was received as part of CMS’ “QualityNet: The CMS Healthcare Quality Conference”. The MHA Keystone HEN and its member hospitals remain committed to improving patient care and outcomes into the future.
Dec. 3, 2014
MHA Keystone Center Intro Video
Since 2003, Michigan hospitals have voluntarily implemented evidence-based best practices that save lives, reduce costs and improve the quality of care delivered to patients throughout the state. This brief video provides an introduction to these efforts, which are coordinated through the MHA Keystone Center and MHA PSO. We encourage you to share this video with your colleagues and new hospital employees.

Jan. 28, 2015
MHA Keystone: ICU Registration Open
Registration is now open for the MHA Keystone: ICU Workshop, scheduled Jan. 28 at the JW Marriott Grand Rapids. Presentation topics include patient and family engagement, ICU survivorship, early mobility, data review and application of the ABCDE bundle at the bedside.

Hospitals participating in MHA Keystone: ICU are strongly encouraged to attend. Each ICU may register up to three individuals at no charge. All members of the ICU interdisciplinary team are invited, including nurses, nurse and physician leaders, respiratory therapists, physical therapists, infection preventionists and quality improvement specialists.

Registration is available online or by completing the registration form and returning to Janice Jones. Please contact Janice at (517) 886-8433 if you have questions about registration. Registration will close Jan. 21 and all registrations received after this deadline will be taken on a first-come, first-served basis. Questions about the workshop can be directed to Phyllis McLellan.
  • Annual Symposium

    Annual Symposium

    The MHA Patient Safety & Quality Symposium offers an opportunity to explore innovative patient safety techniques and dialogue with others about how to enhance patient safety across the continuum. Learn new strategies and ideas from faculty who are game-changes in the healthcare and business world.

  • Patient and Family Engagement

    Patient and Family Engagement

    Michigan hospitals and the MHA Keystone Center are committed to including patients and families in improving care and focusing improvement efforts with a patient-centric approach. To that end, the MHA Keystone Center is a proud Pinwheel Sponsor of the Institute for Patient- and Family-Centered Care.

  • MHA Keystone HEN

    The MHA Keystone Center HEN works with hospitals to identify, share and implement best practices aimed at reducing the number of adverse drug events, catheter-associated urinary tract infections, central-line-associated bloodstream infections, injuries from falls and immobility, obstetrical adverse events, pressure ulcers, surgical-site infections, venous thromboembolisms, ventilator-associated pneumonia and preventable readmissions.