Melior Consulting Group - Diagnosis/Treatment/Results
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Patient Safety Results
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What Clients say about Melior Consulting Group...
I want to acknowledge how incredibly important your expertise, consultation and hard work have been to our efforts over the past three years. It is doubtful that our work would have ever reached the level that we did without your work with us. You should feel justifiably proud of your contributions to improving the safety of our hospitals and, quite literally, saving lives.
--Jeanette Clough, President
Mt. Auburn Hospital
Your contribution was key, and a real boost to our mission. I look forward with pleasure to seeing you frequently....
--Donald Berwick, MD, MPP, President and CEO
Institute for Healthcare Improvement
I am pleased you will be presenting at the IHI Forum. The work you and the others are doing at CareGroup is pathbreaking, and crucially important to demonstrating that this kind of redesign is feasible. Please keep me abreast of your progress.
--Dr. Lucian Leape, Adjunct Professor
Harvard School of Public Health
Thank you for the training and support you gave us over the past year. We attribute our success during the JCAHO visit and at the many hospital-wide presentations to both the CQI 101 course and your hands-on consultation at our monthly meetings. Your guidance for our patient flow, patient satisfaction, discharge planning and Project ASSERT teams will be missed.
--Edward Bernstein, MD, Chairperson Emergency Dept.
QI Committee, Boston City Hospital
Many kudos from the Board....The product was excellent.
--James Schlosser, MD, MBA
President, Somerville Hospital
I would like to take this opportunity to personally thank you for your contributions to the Model Unit development. The integration of a primary care focus with our strength as an academic institution is an important step in our continuous quality improvement process.
--Chet Veal, FACHE, Chief Operating Officer
Boston Department of Health & Hospitals
Congratulations on winning a 1996 City Excellence Award. The Strategic Planning and Community Mobilization Project is an exemplary example of creatively applying learning and collaboration to implement a citywide strategic plan. Your efforts have contributed much toward making Boston a safer city in which to live and work.
--Thomas M. Menino
Mayor of Boston
Quantitative results in clinical care
Medication Ordering
- Reduced the time to therapeutic range of blood anti-coagulation–the fraction of patients who achieved a therapeutic level within the first three days of heparin use more than doubled, from 44% to 93%--at a mid-sized hospital
- Reduced heparin incidents more than three-fold at a community hospital, coinciding with the use of a weight-based heparin protocol
- Reduced to zero the need for intubation and ICU care for patients withdrawing from acute alcohol withdrawal at a community hospital, through a protocol
- Reduced time to therapeutic range for blood anti-coagulation by 70% for patients on heparin at a mid-sized hospital
Medication Dispensing
- Reduced by more than 50% the number of incidents due to omitted medications at a community hospital. The rate has fallen from one every 6,000 doses (every 3 days) to one every 13,000 doses (every 6.5 days)
- Reduced by 46% the number of doses not available for medication administration at a mid-sized hospital
Medication Administering
- Reduced adverse events concerning Patient-Controlled Analgesia by 77% at a large medical center
- Greatly reduced missing coumadin doses at a community hospital
- Set up consistent color coding of OR syringes for 15 medications to prevent errors at a teaching hospital
- Reduced medication errors in a pediatric intensive care unit (PICU).
- Reduced the number of Emergency Department patients whose blood had to be redrawn due to hemolysis by 70%.
- Documented a reduction of 2000% in aspiration pneumonia
Coordination/continuity of care
- Substantial increase in the Emergency Department patients who were linked into primary care.
- Substantial increase in the Emergency Department patients who were linked into treatment for alcohol/substance abuse.
- Raised the number of correctly identified primary care providers by 40%.
- Faster Discharge Notes to Visiting Nurse Associations for home care after hospitalization.
Reducing Costs and Raising Revenues
- Raised revenues by $340,000 in a a multigroup dental practice with annual gross revenues of $10M through faster claims processing.
- Reduced the annual cost of supplies at a small hospital by $60,000.
Timeliness
- More prompt treatment of Emergency Department patients through reducing hemolysis of blood.
- Reduced the waiting time for surgical consultations for breast masses by 13%
- Reduced the average age of Accounts Receivable from 170 days to 42 days for a dental program.
- Medical charts of discharged inpatients are now completed 67% faster, and the number of delinquent charts has fallen by more than 70%.
- Reduced the turnaround time for Visual Field testing by 11%, and tripled the number of available eye clinic appointments.
- Halved the mean completion time of autopsy reports, from 74 days to 37 days.
Respect and Caring
- Doubled the fraction of patients who described the food as good or very good.
Award-winning projects for clients
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MELIOR wins
$25,000 award!
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We're delighted to announce that with our help, CareGroup won the First Annual Premier Award for Quality in Medication Safety. Premier, which represents 1,600 hospitals across the U.S., generously provided a $25,000 award, a press conference, a gorgeous crystal trophy, a full-page announcement in USA Today, and an opportunity to present the lessons learned at a conference in San Diego.
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- Liberty Mutual Group Customer Service Award from the City of Boston, for linking Emergency Department patients at Boston City Hospital into primary care and alcohol and substance abuse treatment. See E. Bernstein et al, Annals of Emergency Medicine, 1997 See E. Bernstein, J. Bernstein, S. Levenson, Annals of Emergency Medicine, "Project ASSERT: An ED-Based Intervention to Increase Access to Primary Care, Preventive Services, and the Substance Abuse Treatment System, August 1997, Vol. 30, No. 2, p. 181.
- Finalist in nationwide competition by Coopers & Lybrand/Sloan Management Review, for raising revenue and reducing bad debt through faster claims processing at Harvard Community Health Plan.
- Results of our analysis of home heating bills were published in 25 major city newspapers and the Nightly NBC News.
- Reports that Ken Farbstein drafted on the innovative practices of middle managers at "Chipco" and "Utico" became chapters in the best-selling book The Change Masters.