Quality Management

Quality Management

The role of quality management at Ridgecrest Regional Hospital is to support the healthcare team as they continue to strive to improve their processes of healthcare delivery. Our quality team monitors and evaluates trends within the hospital and focuses on the needs of our patients, and improving our patients’ experiences. Our team also reviews current systems and processes in order to stay compliant with established standards and guiding principles.

Our quality management department is headed by registered nurse Brenda Diel, MS, RN, and includes representatives from Safety, Compliance, Risk Management, Patient Advocacy, and Infection Prevention.

Medicare & Medicaid Compliant

The Centers for Medicare & Medicaid Services (CMS) implemented quality initiatives such as quality measures, to assure quality health care for Medicare Beneficiaries through accountability and public disclosure. Quality measures are tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational systems that are associated with the ability to provide high-quality health care and that relate to one or more quality goals for health care.

These goals include creating care that is:
  • Effective
  • Safe
  • Efficient
  • Patient-centered
  • Equitable
  • Timely

The two quality measures RRH is focusing on is IMM-2 Influenza Immunization and OP-5 Median Time to ECG.

IMM-2 is measuring the percentage of inpatients assessed and given influenza vaccination. 1 in 5 people in the US get influenza each season. Combined in pneumonia, influenza is the 8th leading cause of death, with two-thirds of those attributable to patients hospitalized during the flu season. Hospitalization is an underutilized opportunity to vaccinate.

OP-5 is measuring the Median number of minutes before outpatients with chest pain or possible heart attack got an ECG. The guidelines recommend patients presenting with chest discomfort or symptom suggestive of STEMI have a 12-lead ECG performed within 10 minutes of ED arrival. Timely ECGs assist in identifying STEMI patients and impact the choice of reperfusion strategy.