Quality indicators and measures at NewYork-Presbyterian Hospital

Quality and Data-Based Management

NewYork-Presbyterian Hospital

The purpose of this paper is to examine the organization of NewYork- Presbyterian Hospital in relation to the hospital's quality indicators and measures that are currently in place. Further to identify quality indicators and goal measurements used in the organization plan and also to review the mission statement and vision.

Rigorous standards are used in ranking healthcare institutions particularly when ranking is applied to hospitals. There are approximately 6,012 hospitals in the United States not including military and veteran facilities and out of all of those "only 177 or fewer than 1 in 30 were of high enough quality to be ranked in even a single specialty this year."(Souroujon, 2004)

The first category applied in consideration of a hospital's ranking is that of the hospital's "reputation." (Souroujon, 2004) The second category is that of "mortality ratio" (Souroujon, 2004) and the last is a miscellaneous category of "other care-related" factors. (Souroujon, 2004) Among the hospitals that were in the ranking as being one of the country's "Best Hospitals" is the "NewYork-Presbyterian Hospital." (Souroujon, 2004)

Overview of the NewYork Presbyterian Hospital (NYPH)

The New York Presbyterian Healthcare System is stated to be a "federation of top-quality hospitals, specialty institutes, and continuing care centers throughout New York, New Jersey, and Connecticut."

All members in the NYPH System are "academic affiliates of the two Ivy League Medical Institutions of Weill Medical College of Cornell University and Columbia University College of Physicians and Surgeons."

Five centers comprise the New York Presbyterian Hospital, which are stated to be: "NewYork- Presbyterian/Columbia University Medical Center; the Allen Pavilion of NewYork-Presbyterian Hospital; the Westchester Division; and Children's Hospital of NewYork-Presbyterian."

According to the online website the New York Presbyterian Hospital is not only "one of the largest" but also one of the most "comprehensive university hospitals in the world."

Cornell and Columbia Universities' primary teaching sites are on the campuses of the NewYork Presbyterian Hospital campus. The NYP Hospital Centers of Excellence are those of: "cardiac care, pediatrics, burn care, reproductive medicine and infertility, cancer care, trauma, women's health liver disease and transplant as well as psychiatry."

The patients come from locations worldwide to receive care from the hospital. Three Medicaid managed care plans (PHSPs) are operated by the NYP Hospital namely the Community Premier Plus, New York Hospital Community Health Plan, and NewYork Presbyterian Healthcare System SelectHealth. The NYP Hospital is active in the development of clinical, academic and research programs at the System member institutions.

Quality Indicators

Quality indicators are stated by the National Healthcare Quality Report to be that of the following:

"Reduction of medical errors with research, improving reporting systems for errors and adverse events, increasing the appropriate use of effective healthcare services by medical providers; increasing consumer and patient use of valid, reliable health care quality information, improving consumer and patient protections; and accelerating the development and use of an electronic health information infrastructure. (National Health Care Quality Report, 2005)

Each of these quality indicators is evidenced at the NewYork Presbyterian Hospital in the initiatives, research and programs of the facility.

Vision

The Vision of the NYPH is to be "recognized as one of the nation's top academic medical centers, noted for clinical service excellence and for the care" that are given patients. The hospitals states the following will be done to realize the vision that is inclusive of the following:

Provide the highest standards of care in all our clinical areas

Make the well-being and safety of our patients our highest priority

Recruit and retain the finest health care practitioners

Be at the forefront of medical innovation, developing new cures, treatments, and technologies

Work closely with our affiliated medical schools, Columbia and Weill Cornell, to advance medical science and train the finest physicians

Practice fiscal discipline and efficient management and maximize revenues from our core services

Create opportunities by generating alternative revenues through investments, fundraising, grants, and technology transfer

Commit to a strong NewYork-Presbyterian Healthcare System that fosters clinical quality, research and education over a wide geographic region and benefits its members and their communities.

The Office of External Relations is responsible for Serving as an internal resource to facilitate sharing of innovations across a wide array of service lines and clinical operations. The Health Collaborative Network (HCN) is an initiative of a group of healthcare providers, public health agencies and government agencies that intend to demonstrate how electronic standards-based communications can improve care given to patients and reduce errors. Initial participants are NewYork-Presbyterian Hospital, Vanderbilt University Medical Center, Wishard Memorial Hospital, and the Centers for Disease Control and Prevention, Center for Medicare and Medicaid Services and the Food and Drug Administration. (Connor, 2003)

The following table labeled Figure 1.0 shows the Facts and Statistics projected for the year 2005.

Figure 1.0

Summary & Conclusion

The research, electronic records, patient care, specialization units, Centers of Excellence are all part of what makes NewYork Presbyterian Hospital one of the Best Hospitals in the Country and is an excellent model for patient care in the hospital industry.