Nexus Health Systems Quality Report

2011
Nexus Health Systems
Quality Report
HealthBridge
C h i l d r e n ’s H o s p i t a l
Nexus
Specialty Hospital
Touchstone
Neurorecovery Center
“your connection to specialty care”
new background photo
to come
“your connection to specialty care”
OUR MISSION
We believe in treating each patient with integrity, dignity, and respect while maximizing the potential
of each patient through the provision of innovative care in a safe home-like environment.
OUR VALUES
Dedication, Integrity, Caring, Efficiency, Conscientiousness and Honesty
Nexus Health Systems has been helping people from all over the country since 1992. Our
interdisciplinary approach to treatment is led by a select group of dedicated physician who are
committed to providing quality care. The staff from each facility works closely with our physicians
to ensure that every patient gets the most personalized, compassionate and effective care possible.
DNV - Det Norske Veritas healthcare
Hospital Accreditation
The Joint Commission
CARF - Commission on
Accreditation of
Rehabilitation Facilities
“committed to assisting children and their families
through medically challenging times”
HealthBridge Children’s Hospital
- Houston, TX
HealthBridge is committed to assisting children
and their care in a home-like setting. Our
mission is to help children from infancy to age
21 reach their optimum level of wellness and
development. Our comprehensive range of
services target not only improving your child’s
health, but also ensuring a safe transition back
home.
HealthBridge is committed to assisting
children and their families in a nurturing
environment. An interdisciplinary team of
specialists, including board-certified physicians,
nurses, dietitians, Child Life specialists,
pediatric neuropsychiatrists, child educators,
social workers, case managers and respiratory
therapists, work together to meet the unique
needs of each child.
HBH: 2011 Customer Satisfaction
Survey Rates - Avg. 4.7
5.0
4.5
4.0
3.5
3.0
4.6
4.6
4.8
4.6
1st Qtr
2nd Qtr
3rd Qtr
4th Qtr
Examples of items from the surveys include: Overall satisfaction of care,
ease of admission process, parent concerns met, sensitivity to patients’ needs,
parents’ recommendation to others. Rate of return: 65%.
HBH - 2011 Patient Ages
11%
17%
35%
24%
13%
<1
1-5
6-10
11-15
>15
Nexus Health Systems • 1
VAPs
Patients on vents are high risk for infections.
People on mechanical ventilation are often
sedated and rarely able to communicate. As such,
many typical symptoms of pneumonia will either
be absent or unable to be obtained. The most
important signs are fever, low body temperature,
new purulent sputum, and hypoxemia/decreasing
amounts of oxygen in the blood. Through research
and a collaborate team effort of pulmonoligists,
RT’s, infection control monitoring and a dedicated
nursing team, HBH Houston is proud to report we
have had zero VAP to date.
(Ventilator-assisted Pneumonia)
3.7
4.0
3.0
2.0
1.0
0.7
0.0
0.0
0.0
0.0
2009
HBH
2010
2011
NHSN Benchmark*
CLABSIs
An estimated 41,000 central line-associated
bloodstream infections (CLABSI) occur in U.S. hospitals
annually. These infections are usually serious, typically
causing a prolongation of hospital stay and increased
cost and risk of mortality. CLABSI can be prevented
through proper management of the central line.
Through evidence based practice, research, education
and increased monitoring, HBH has implemented new
techniques and guidelines for the care of central
lines. There have been zero reported blood stream
infections.
(Central Line-associated Bloodstream Infections)
4.0
2.6
3.0
2.0
1.5
1.1
1.0
0.0
2009
2010
HBH
* The National Healthcare Safety Network (NHSN) is a secure, internet-based surveillance system that integrates
and expands legacy patient and healthcare personnel safety surveillance systems managed by the Division of
Healthcare Quality Promotion (DHQP) at CDC.
2 • Nexus Health Systems
2.8 2.6
2011
NHSN Benchmark*
Waiting for copy.
Waiting for FEM Scores
Waiting for copy.
Waiting for Infection Rates
“our team of physicians, pharmacists, nurses and therapists offers a
comprehensive range of services targeted at improving your child’s health
and ensuring a safe transition home”
Nexus Health Systems • 3
HealthBridge Children’s Hospital
- Orange, CA
“serving the needs of children and their families
throughout the continuum of care including ICU
step-down, coma stimulation, acute rehabilitation,
chronic illness care and outpatient services”
HealthBridge stands out as a leader in pediatric
medical care and rehabilitation because it
take technology and services regularly seen in
traditional acute hospital setting and blends
them into a family-centered, home-like
environment.
HealthBridge specializes in the care of children
from new born infants to age 21 years. Their
comprehensive program of services allows
us to serve the needs of children and their
families throughout the continuum of care
including step-down, coma stimulation,
acute rehabilitation, chronic illness care and
outpatient services. Their mission is to help each
child reach his or her highest potential, while
providing the best quality of life possible.
HBO - 2011 Patient Ages
10%
10%
34%
18%
28%
<1
1-5
4 • Nexus Health Systems
6-10
11-15
>15
HBO: 2011 Customer Satifaction Survey
Rates - Avg. 4.7
5.0
4.5
4.7
4.8
4.7
2nd Qtr
3rd Qtr
4th Qtr
4.5
4.0
3.5
3.0
1st Qtr
Examples of items from the surveys include: Overall satisfaction of care,
ease of admission process, parent concerns met, sensitivity to patients’ needs,
parents’ recommendation to others. Rate of return: 96%.
waiting for revised VAPs for 2011
Waiting for copy.
waiting for revised CLABSIs for
2011
Waiting for copy.
waiting for revised CAUTIs for 2011
Waiting for copy.
* National Healthcare Safety Network
Nexus Health Systems • 5
Waiting for copy regarding Outpatient Rehab
growth for the past 12 months
Outpatient Rehab growth for 2011 waiting for data
Possible companion of cost per patient day compare
to an acute hospital - waiting for copy.
2011 cost per patient compared to
an acute hospital - waiting for data
“each patient’s individual plan of care is coordinated by a
team of professionals, experienced in guiding children and
adolescents toward achieving positive functional outcomes”
6 • Nexus Health Systems
ABOUT THE NEXUS NEURO CONTINUUM
The Nexus Neuro Continuum is a unique, multi-campus program located just outside of Houston, Texas. We
deliver Neuro Specialty Care across a continuum ranging from the ICU to community-based living. Patient progress
through the continuum is based on medical acuity and individual care needs that enables advancement to the highest
possible functional level. Patients may enter and exit the continuum at any point along their journey toward recovery.
The Nexus Neuro Continuum focuses on delivering the nation’s most comprehensive continuum of care available
for patients with acquired brain injuries. Our commitment to clinical excellence and continuity of care underlies this
tiered interdisciplinary approach to early intervention and optimal results.
FLEXIBLE ENTRY AT ANY POINT FROM ACUTE CARE, HOME, OR OTHER SETTINGS
CARE MAY FLOW BETWEEN CONTINUUM SETTINGS BASED ON PATIENT NEED
NEXUS SPECIALTY HOSPITAL
NEXUS SPECIALTY HOSPITAL
54-bed Shenandoah Campus
Extended Care Inpatient
Nexus Specialty Care with an
extensive array of medical and
diagnostic sources onsite.
21-bed Woodlands Campus
Extended Care Inpatient
or Life Care
A Neuro Speciality Care program
developed for patients with
acquired brain injuries and spinal
cord injuries, offering medical
expertise and family support
within a smaller, more homelike
community of care.
TOUCHSTONE NEUROREOVERY
CENTER
68-bed, 26-acre Campus
Short-term Transitional or
Life Care CARF-accredited
Programming
Residential Neuro Specialty Care
featuring a therapeutic day,
Supported Community-based Living,
Vocational Training/Return to Work,
Day Programming, Outpatient
Program and Respite Care.
Nexus Health Systems • 7
“using an interdisciplinary team approach based upon a comprehensive,
individualized treatment plan designed to meet the medical, rehabilitative,
social and emotional needs of the patient and his or her family”
Nexus Specialty Hospital
Nexus Specialty Hospital has campuses in
Shenandoah and The Woodlands, Texas, that
provides medical and rehabilitative care for
people with medically complex needs resulting
from injury, exacerbations of chronic disease
processes or acute illness.
Their team of specialty trained professionals
delivers a continuum of care in a family-oriented
environment. Nexus Specialty Hospital
believes that each person has a unique potential
and worth that goes beyond disability and
disease. They are dedicated to helping patients
achieve their greatest level of independence and
enhance their quality of life.
NSH: 2011 Customer Satisfaction Survey
Rates - Avg. 4.6
5.0
4.6
4.7
4.6
4.4
4.5
4.0
1st Qtr
2nd Qtr
3rd Qtr
4th Qtr
Examples of items from the surveys include: Overall satisfaction of care,
ease of admission process, parent concerns met, sensitivity to patients’
needs, parents’ recommendation to others. Rate of return: 65%.
Shenandoah Campus
2011 Patient Ages
1
85
254
418
Woodlands Campus
21<
8 • Nexus Health Systems
21-49
50-65
>65
Need photo
of Woodland
Campus
VAPs
(Ventilator-associated Pneumonia)
People on mechanical ventilation are often
sedated and rarely able to communicate. As such,
many typical symptoms of pneumonia will either
be absent or unable to be obtained. The most
important signs are fever, low body temperature,
new purulent sputum, and hypoxemia/decreasing
amounts of oxygen in the blood.
4.0
3.0
2.0
1.0
0.6
0.1
0.0
0.6
0.0
0.6
0.0
2009
Nexus
2010
2011
NHSN Benchmark*
Urinary tract infections (CAUTIs) are the most
common type of healthcare-associated infections,
accounting for more than 30% of healthcareassociated infections reported by acute care
hospitals. Virtually all CAUTIs are caused by for
example, insertion of catheters. Infections are
prevented through the combined use of solid
infection control practices and using evidence-based
practice in caring for the catheter.
CAUTIs
(Central Line-associated Bloodstream Infections)
4.0
3.5
2.6
3.0
1.5
2.0
1.2
1.0
0.0
2009
* National Healthcare Safety Network
2.6
2010
Nexus
2011
NHSN Benchmark*
Nexus Health Systems • 9
CAUTIs
(Urinary Tract Infections)
4.0
3.5
2.6
3.0
2.6
1.5
2.0
2.6
1.2
An estimated 41,000 central line-associated
bloodstream infections (CLABSI) occur in U.S.
hospitals annually. These infections are usually
serious, typically causing a prolongation of hospital
stay and increased cost and risk of mortality. CLABSI
can be prevented through proper management of
the central line.
1.0
0.0
2009
2010
Nexus
2011
NHSN Benchmark*
* National Healthcare Safety Network
Return to work - waiting for copy.
Return to Work - waiting for data
“providing individualized, holistic, compassionate post-acute brain injury
rehabilitation in a safe and comfortable environment”
10 • Nexus Health Systems
“dedicated to providing individualized, holistic,
compassionate post-acute brain injury rehabilitation in
a safe, comfortable environment to patients with brain
injuries or other neurological impairments”
Add 20-year
logo
Touchstone Neurorecovery
Center
new background photo
to come
Touchstone Neurorecovery Center provides
neurological rehabilitation to enhance each
individual’s maximum potential and quality
of life.
Touchstone is dedicated to providing
individualized, holistic, compassionate postacute brain injury rehabilitation in a safe and
comfortable environment to patens with brain
injuries or other neurological impairments.
Our specially trained medical and healthcare
professionals deliver a full continuum of care
in family-oriented surroundings.
Touchstone physician led team includes
physicians board-certified in neurology,
physical medicine and rehabilitation, and
psychiatry who partner with a variety of
physician sub specialties to provide seamless
care.
Emphasis on practical treatment
programs are designed to meet the medical,
physical, behavioral, and vocational and
community re-entry needs of our residents.
Touchstone: 2011 Customer Satisfaction
Survey Rates - Avg. 4.6
5.0
4.5
4.7
4.6
4.6
2nd Qtr
3rd Qtr
4th Qtr
4.5
4.0
3.5
3.0
1st Qtr
Examples of items from the surveys include: Overall satisfaction of care,
ease of admission process, parent concerns met, sensitivity to patients’ needs,
parents’ recommendation to others. Rate of return: 83%.
Touchstone - 2011 Patient Ages
5%
10%
33%
52%
21<
21-49
50-65
>65
Nexus Health Systems • 11
Touchstone CAUTIs
(Urinary Tract Infections)
3.2
3.2
4.0
Urinary tract infections (CAUTIs) are the most common
type of healthcare-associated infections, accounting
for more than 30% of healthcare-associated
infections reported by acute care hospitals. Virtually
all CAUTIs are caused by for example, insertion
of catheters. Infections are prevented through the
combined use of solid infection control practices
and using evidence-based practice in caring for the
catheter.
3.0
2.0
1.0
0.0
0.0
0.0
2009
2010
Avg.
NHSN Benchmark*
* National Healthcare Safety Network
Wound Rate
Data reflects the rate of hospital-acquired pressure
ulcer wounds.
4.0
3.0
2.0
1.0
1.4
0.5
1.0
0.0
2009
12 • Nexus Health Systems
2010
2011
Named One of the Top 100 Best Places to Work
- the Houston Chronicle
Largest Houston-area Hospital System
- the Houston Chronicle
new background photo
to come
Nexus Health Systems
Human Resources
Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable
accommodation to the application and/or interview process should notify a representative of the Human Resources
Department. We do not discriminate against any person based on race, color, national origin or on the basis of
disability or age during the admissions or treatment process or participation in our programs, services, activities and
employment.
Nexus Hope Foundation
Mission Statement
 To provide charity care to individuals who meet eligibility criteria for medical equipment and supplies
 To promote and sponsor education programs to the general public and the medical community on matters
concerning TBI (traumatic brain injury) and neurological disorders
 To promote basic research regarding early intervention as it relates to brain injury recovery
20-Year Anniversary logo to come
Physician Led. Patient-centered. Family Focused.
Nexus Health Systems
Corporate Office
One Riverway, Suite 600
Houston, TX 77056
www.nhsltd.com
Copyright © 2012. Nexus Health Systems