Improving Experience of Care

Cleveland Clinic is striving to become a High Reliability Organization. In addition to measuring serious safety event rates, all leaders and caregivers within the organization receive High Reliability principal training. A common outcome of an increased focus on High Reliability is an increase in safety event reporting.

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. SIRs less than 1.0 indicate better than expected performance.

Cleveland Clinic’s standardized infection ratio (SIR) saw overall improvement in 2023 and 2024. Lower numbers are better.

Cleveland Clinic has implemented several strategies to reduce central line-associated bloodstream infections (CLABSI), including a best practice central-line bundle of insertion, maintenance, and removal. Focused reviews for every CLABSI occurrence support reductions in CLABSI rates in the high-risk critical care population. We also implemented Non-ICU CLABSI review meetings.

We continue to educate our caregivers on best practices for CLABSI reduction.

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The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. Lower numbers are better. SIRs less than 1.0 indicate better than expected performance.

Cleveland Clinic’s standardized infection ratio is currently outperforming its internal target for Catheter Associated Urinary Tract Infections (CAUTI).

The SIR is a ratio of observed infections to expected infections as defined by the Center for Disease Control. Lower numbers are better. SIRs less than 1.0 indicate better than expected performance.

Early screening, detection and treatment of Clostridioides difficile infections have helped to improve infection rates and reduce unnecessary antibiotic use. Additionally, new cleaning and lab testing procedures have contributed to this reduction.

The frequency with which patient falls result in injury. Excludes In Hospice, Moved out of Country, Deceased or non-traditional Medicare.

There is a higher risk for patients to fall in the healthcare setting. Cleveland Clinic utilizes multiple processes and technology to help reduce the rate at which patients fall. The majority of the focus around falls is to prevent and assist patients so that there are no injuries.

Patients acuity and complexity of treatment impacts the risk of pressure injuries while in the hospital.

Cleveland Clinic continues to innovate through the use of equipment, supplies, technology, and expert resources to reduce pressure injuries.

A Plan of Care Visit (POCV) brings together the provider, nurse and patient at the bedside to communicate the patient's daily plan of care. This discussion standardizes how patients and caregivers collaboratively develop treatment plans that provide the highest quality of care.

Benefits of Plan of Care Visits:

• It is the right thing to do for patients and each other.
• It improves patient safety, satisfaction and health outcomes.
• It uses our patient-centered, team of teams approach which increases engagement and communication scores.

Patients respond to the question, “How helpful were these visits in understanding your plan of care?” Response options include very good, good, fair, poor, very poor.

A Plan of Care Visit (POCV) brings together the provider, nurse and patient at the bedside to communicate the patient's daily plan of care. This discussion standardizes how patients and caregivers collaboratively develop treatment plans that provide the highest quality of care.

Patients answer the question, “How often did a provider and nurse visit with you together to talk about your daily plan of care?” Response options include always, usually, sometimes or never.

Ratios less than 1.0 indicate mortality performance “better than expected” in Vizient’s risk adjustment model. Cleveland Clinic’s observed/expected (O/E) mortality ratio continues to improve and is on track to achieve our health system target as derived from the Vizient 2023 risk model.