A LOOK TO FY18 PRIORITIES
A LOOK TO FY18 PRIORITIES
MEASURE FY17 FINAL FY18 GOAL TARGET PERFORMANCE
CLABSI ( excluding MBI ) 65 52
CAUTI 64 51
MRSA 40 32
20 % reduction from FY17 performance
CDiff 153 123
O / E Sepsis Mortality |
1.13 |
1.00 |
Pressure ulcers |
1,979 |
1,781 |
Unplanned All Cause 30-Day Readmissions |
15.0 % |
13.5 % |
O / E Length of Stay |
1.04 |
0.90 |
Reduce to at or below 1.0 for observed-to-expected mortality
10 % reduction from FY17 performance
10 % reduction from FY17 performance
Reduce to at or below 0.9 for observed-to-expected LOS
BMI Documentation 70 % 75 % 5 % above Academic Median
Patient Flu Vaccine 36 % 70 % Academic Median
Endorsed test results in ambulatory setting ( 7 days ) 84 % 90 %
90 % of test results endorsed within 7 days
42 UAB Quality and Safety Annual Report