Center for Clinical Effectiveness

1


2
Mission Statement

• To improve the quality and efficiency of care
  provided to patients by the Grady Health System
  leading to enhanced cost-effective healthcare
  outcomes

3
Project Focus Areas

• Quality of care and clinical performance
  improvement initiatives
• Health systems and Heath outcomes evaluation
• Collaborative initiatives on evaluation and
  provision of healthcare for the under-served and
  the indigent
• Collaborative initiatives to eliminate health
  disparities

4
Inpatient Discharges by Race-Ethnicity, Grady
Health System, 2004
N29,575
Source UHC database 2004 Q1-4
5
Inpatient Discharges by Age Group, Grady Health
System, 2004
N 30,318
Source UHC database 2004 Q1-4
6
Inpatient Discharges by Gender, Grady Health
System, 2004
N 30,318
Source UHC database 2004 Q1-4
7
2004 Grady Health System Payer Mix
N 27,708
Source GHS Fiscal Service Division
8
Inpatient Admissions by Year, Grady Health
System,1996 - 2004
Source GHS Fiscal Services Division
9
Total Outpatient Visits By Year, Grady Health
System, 1996 - 2004
Source GHS Fiscal Services Division
10
Emergency Care Center Visits, Grady Memorial
Hospital, 1996 - 2004
Source GHS Fiscal Services Division
11
Urgent Care Visits By Year, Grady Memorial
Hospital, 1996 - 2004
Source GHS Fiscal Services Division
12
Grady Health System Expenses vs County Funding,
1992-2004
Source GHS Fiscal Services Division
13
2004 Top 15 Inpatient Principal Diagnoses, Grady
Health System
Source UHC database 2004 Q1-4
14
2004 Top 15 Inpatient DRG Codes, Grady Health
System
Source UHC database 2002 Q1-4
15
Source GHS Pharmacy Division
16
The Center is involved in over 25 projects
including

• APACHE III ICU Severity and Outcomes Prediction
  Tool
• ICU Medical Directors and ADT Criteria Initiative
• Clinical Data Warehouse Development
• Commonwealth Fund - NAPH Diabetes Consortium
• Chronic Ventilator Unit Initiative
• Expansion of critical care bed capacity
• NIH P60 Grant titled, Grady Center for Health
  Disparities

• Clinical Pathways
• Acute Coronary Syndrome
• Congestive Heart Failure
• Community Acquired Pneumonia
• Diabetic Keto-acidosis
• Stroke
• Sepsis - Early Intervention Protocol
• Ventilator Weaning Protocol
• Diabetes Resource Nurse Collaborative
• VAP and BSI Prevention
• Grant development

17
Inpatient Discharges by Primary Payer Grady
Health System, 2004
N 30,948
Source UHC database 2004 Q1-4
18
Top 10 Admission Diagnoses, Grady Health System,
2004
Source UHC database 2004Q1-4
19
(No Transcript)