Kaweah Delta Medical Center
Visalia, CA

Success story Lindsay K. Mann, CEO

Estimated patient harm events prevented (Jan 2012-Dec 2013): 259

Estimated cost savings: $2,814,750

Kaweah Delta Medial Center achieved and maintained excellent harm across the board (HAB) reduction rates, including zero harm for Catheter-Associated Urinary Tract Infections (CAUTI), Central Line-Associated Bloodstream Infections (CLABSI), Pressure Ulcers and Ventilator-Acquired Pneumonia (VAP) from January 2012 to December 2013, compared to 2010 baseline rates.

A capstone of success includes the 40 percent reduction in Surgical Site Infections (SSI). Kaweah Delta attributes this specific success to collaboration between the Surgical Manager, Staff, Anesthesia, Surgeons, Performance Improvement and Infection Control. Information is disseminated at daily morning surgical huddles, staff meetings, anesthesia and surgery department meetings, education meetings and annual unit-specific competency fair.

The Surgical Medical Director and Chief of Anesthesia engage the surgeons in harm elimination processes, as “Surgical Services is a team and each member counts”. Articles on evidence-based practices are distributed as needed and physicians are included in meetings. Programs such as Comprehensive Unit-based Safety Program (CUSP), Surgical Unit-based Safety Program (SUSP) and American College of Surgeons National Surgical Quality Improvement Program are being implemented to support culture change. In addition, SSI reduction is a result of Kaweah Delta staff being encouraged to:

  • emphasize safe patient outcomes using CUSP and Team STEPPS;
  • emphasize SSI awareness at morning huddles/staff-Anesthesia-Surgeon department meetings;
  • review antibiotic timing, utilizing the correct antibiotics and proper surgical attire;
  • present poster boards exchanging evidence-based practice knowledge; and
  • focus on Surgical Suite cleaning education as everyone can help efficiently turn rooms over.

HQI commends CEO Lindsay K. Mann and the entire staff at Kaweah Delta in achieving zero harm in four areas,reducing SSI by 40 percent, and maintaining at or below target rates for other focused harm areas.

Kaweah Delta Medical Center is a 403-bed hospital in Visalia, CA