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QUEST- High Performing Hospitals Collaborative: Nationwide hospital collaborative seeking to reduce mortality by 17 percent, improve reliability of care by nearly 13 percent

Premier healthcare alliance QUEST initiative also tests healthcare innovations to reduce HAIs and emergency response times, improve doctor-nurse communications

Washington, DC (December 3, 2008) – Patient mortality could be reduced by 17 percent and reliability of care could improve by nearly 13 percent if the not-for-profit hospitals participating in a nationwide collaborative attained the project’s quality goals, according to an analysis released today.

Of the approximately 2.3 million patients treated annually by hospitals participating in the project, achieving these top performance goals translates to 8,628 lives saved and 22,364 additional patients receiving all appropriate evidence-based care measures each year.

QUEST is a voluntary, three-year project with 166 not-for-profit hospitals across 31 states designed to springboard hospitals to new levels of performance. Using benchmarked data from the Premier healthcare alliance’s clinical database, Premier and the Institute for Healthcare Improvement (IHI) identified the main factors that lead to deaths, errors and excessive costs. Using this information, hospitals are able to share best practices and systematically initiate efforts proven to dramatically improve quality and patient outcomes. QUEST’s three-year performance improvement targets are to:

“Through QUEST, we have developed a holistic process to achieve the quality improvement gains that American patients expect and deserve,” said Richard Norling, Premier president and CEO. “QUEST is the most ambitious national collaborative effort undertaken in healthcare. By setting aggressive goals, identifying next-generation technologies and creating a forum for experts to share best practices, we have found a formula for improvement that is working to create a future of exceptional care.”

“QUEST is defining a new, higher standard for healthcare safety, quality and cost-effectiveness,” said Don Berwick, MD, MPP, FRCP, president and CEO, Institute for Healthcare Improvement (IHI). “We look forward to working with QUEST hospitals and other experts to create a quality blueprint building upon IHI’s 5 Million Lives campaign to lead a positive shift in our nation’s healthcare.”

The goals of QUEST are consistent with those of the National Priorities Partnership, convened by the National Quality Forum (NQF) to improve the overall health of the patient population through:

At the conclusion of the QUEST program, Premier will share information about how QUEST hospitals were able to achieve progress in these areas with the National Priorities Partnership and the larger healthcare community. In addition, hospitals that are able to achieve the performance targets set by QUEST to realize improvements in quality, safety and cost of care will be eligible to receive a financial reward.

“The reality of healthcare today is that we live in a culture of low expectations. Rather than developing new solutions to provide high reliability care, we pile on to an existing, broken chassis,” said Jerod M. Loeb, PhD, executive vice president, Division of Quality Measurement and Research, The Joint Commission. “We need to focus on proven, practical solutions. The hospitals participating in QUEST have been using a rigorous approach to performance measurement in order to turn data into useable evidence-based information to guide improved patient care and clinical outcomes.”

QUEST Comparative Innovation Program (CIP)
Premier also announced six finalists from the QUEST Comparative Innovation Program (CIP), which tests the effectiveness of new healthcare products and technologies through QUEST. These solutions show evidence of effectiveness in decreasing hospital-associated conditions, such as catheter-associated urinary tract infections (UTIs), methicillin-resistant staph aureus (MRSA) and ventilator-associated pneumonia (VAP), as well as improving doctor-nurse communications and reducing emergency response times.

Innovations selected as part of the CIP were evaluated by clinicians and selected based on their potential to help hospitals achieve the goals of QUEST. These solutions will be tested in the real world by QUEST hospitals and measured to determine their effectiveness in improving the quality, reliability, safety and cost-effectiveness of care.

The six technologies identified by CIP are:

“QUEST is a collaborative effort among care providers, not a competition. Together, manufacturers and healthcare experts are working to improve the quality of care while safely reducing costs,” said Susan DeVore, chief operating officer at Premier. “Through the Comparative Innovation Program, we will be able to put innovative solutions in the hands of clinicians as soon as possible so they can begin using them to care for patients in the safest, most efficacious manner.”

 

About the Premier healthcare alliance, Malcolm Baldrige National Quality Award recipient
Premier is a performance improvement alliance of more than 2,400 U.S. hospitals and nearly 70,000 other healthcare sites working together to achieve high quality, cost-effective care. Owned by not-for-profit hospitals, Premier maintains the nation's most comprehensive repository of clinical, financial and outcomes information and operates a leading healthcare purchasing network. A world leader in helping deliver measurable improvements in care, Premier works with the Centers for Medicare & Medicaid Services and the United Kingdom's National Health Service North West to improve hospital performance. Headquartered in Charlotte, N.C., Premier also has offices in San Diego, Philadelphia and Washington. http://www.premierinc.com

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