At Bay Area Hospital, we care about your health, and the treatment you receive. For that reason, we continuously improve service and review patient outcomes, to ensure that we deliver the best care possible. We regularly review patient satisfaction scores in the areas of inpatient, outpatient, ambulatory care, emergency department and home health services. The quarterly scores are available in the administrative office.
Bay Area Hospital participates in the Center for Medicare and Medicaid Services Quality Core Measures. The Core Measures show performance relative to outcomes for AMI, Heart Failure, Pneumonia care, and Surgical Care Improvement process. The outcome measures are compared to the State of Oregon and National performance. To see the latest result (9 month old data) follow this link: http://www.hospitalcompare.hhs.gov.
At Bay Area Hospital, patient safety is top of mind. That’s why we aim to comply with national patient safety goals, including “hand offs” between shifts, engaging the patient in their care and appropriate hand hygiene.
We use focused surveillance to monitor infection control and are required to report these findings to the state of Oregon. This includes Central Line Associated Bloodstream Infections; Surgical Site Infections by procedure and Surgical Care Improvement measures. These are collected by the office of Oregon Health Policy and Research. Follow this link to see the performance measures: http://www.oregon.gov/OHA/OHPR/HAI_Report.shtml.
Patient safety is a major issue facing hospitals nationwide. Physicians at Bay Area Hospital want Oregon’s South Coast residents to know how seriously they and the hospital take their responsibility to provide patients with the best and safest care possible. Here’s how two Bay Area Hospital Internal Medicine physicians—see the issue.
Dr. Moriarty: Patient safety has been a growing focus over the past 10 years—and it should be. The public has a right to expect safe care. Several major studies have pointed out the need to focus more strongly on patient safety. More recently, the Medicare program via the Centers for Medicare & Medicaid Services has been setting best-practice standards and measuring and reporting the results. Other organizations such as Leapfrog and Consumer Reports have been doing the same. This is very new, and hospitals—including Bay Area Hospital—are adapting to this new level of transparency.
Dr. Pittenger: We strive to put safe practices in place. Even with these efforts, care does not always go perfectly. What is most important, in my opinion, is that when care does not go according to plan, we have a commitment to look critically at what happened, learn from mistakes, and improve. This is what a culture of safety is all about.
Dr. Moriarty: We have a very strong commitment to patient safety. The good news is our recent data from 2010 and 2011 look better than the older data that was used for the Consumer Reports rating. I’m not saying we don’t need to improve—we want to get all these scores right. I think the medical staff is taking this seriously. You have to be open to the possibility that things need to change.
Dr. Pittenger: Part of the problem is that in Coos County we have a high rate of diabetes, cardiac disease, cancer, and obesity. Out of 36 Oregon counties, we rate either last or second-to-last in these measures. We also have a higher rate of poverty, which correlates with higher rates of disease. At Bay Area Hospital, we take excellent care of our patients, but in the past we weren’t as good with documenting just how sick patients were when they entered the hospital. That affected our reported mortality rate.
Dr. Pittenger: Physicians play a central role in overseeing quality and patient safety. This happens via the organized medical staff, which has the authority and the responsibility to oversee the quality of clinical care provided and, specifically to provide oversight of physicians providing care at Bay Area Hospital. As chief of staff, my principal focus is to make sure that care is provided safely and that physicians providing that care are competent.
Dr. Pittenger: I definitely would put my parents here. We’re a really great hospital. My daughter was born here.
Dr. Moriarty: And I came here for my own neck surgery.
Dr. Pittenger: The way I see it, we’re not only a great hospital but also a great resource to the community. We have an excellent mental health program with 12 beds. You can’t find one in another hospital on the Oregon Coast. We lose money on this, but we believe it’s important. And we’re a Level III Trauma Center—the only one on the Oregon Coast. We do a lot of things for the community that we don’t get credit for.
Dr. Bill Moriarty received an MS degree in theological studies from Harvard Divinity School before earning his MD degree from the University of Pennsylvania School of Medicine. He completed his medical internship and residency at the University of San Francisco. He is certified by the American Medical Directors Association with a specialty in long-term care. In 2004 he joined North Bend Medical Center, where he practices internal medicine.
Dr. Basil Pittenger received his MD degree from the University of Washington, where he also completed his internship and residency in internal medicine. He joined North Bend Medical Center in 2005. His practice focuses on internal medicine, with a specialty in cardiology and gastroenterology.
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