Long Term Acute Care Benchmark Database

The SPMS Long Term Acute Care database was created to meet the explicit needs of LTAC facilities. Although these facilities deliver acute care, the patients have an average length of stay (LOS) of at least 25 days. The LOS differentiates these patients from those in an acute care facility, with different outcomes and complications due to the extended LOS.  

Mission

To provide meaningful comparative data through a Total Quality Management system which promotes quality, benchmarking, and best practices for Medicare certified Long Term Acute Care Hospitals. 

Vision

To be the premier system utilized by Medicare certified Long Term Acute Care Hospitals in benchmarking against similar healthcare entities, to share best practices leading to superior patient outcomes.

 Current Indicators

These indicators are collected by the facility and submitted to Mellott & Associates quarterly.  The facility can choose any number of these indicators to submit.  The following indicators are currently available for use:

 * Measures having been accepted by the Joint Commission for accreditation purposes in connection with the ORYX initiative

CASE MIX INDEX

  • Case Mix Index (mandatory indicator for SPMS partaicipants)

  • Medicare Case Index

DISCHARGES

  • Discharge to Acute Care Facility *

  • Death

  • Discharge to Inpatient Rehabilitation Hospital *

  • Medicare Discharge from Host

  • Readmission from Acute Care Host Facility

  • Readmission from SNF/Swing Bed, Inpatient Rehabilitation or Psychiatric Host
    Facility

     FALLS

  • Falls in patients aged 00-44

  • Falls in patients aged 45-64

  • Falls in patients aged 65-80

  • Falls in patients aged 81+

  • Falls on 7-3 shift

  • Falls on 3-11 shift

  • Falls on 11-7 shift

  • Falls with injury

  • Falls without injury

  • Total fall *

FINANCIAL

  • Direct Cost per Patient Day

  • Direct Nursing Hours per Patient Day

  • Supply Cost per Patient Day

  • Total Labor Cost per Direct Cost

  • Total Labor Cost per Patient Day

  • Total Nursing Hours per Patient Day

 

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INFECTIONS

  • Lower Respiratory Infections in Patients on a Ventilator

  • Primary Bloodstream Infections in Patients with Central Lines*

  • Urinary Tract Infection in Patients with a Foley Catheter * 

MEDICATION ERRORS

  • Medication Error Rate *

 NUTRITION

  • Tube Feeding Progression to Oral Feeding *

  • Tube Feeding Prevalence *

  • Length of TPN Use *

  • TPN Progression to Tube and/or Oral Feeding *

 PAIN

  • Assessment of Pain *

  • Pain Education *

  • Pain Intervention

  • Pain Rating Scale *

  • Reassessment of Pain *

RESTRAINTS

  • Length of Restraint Use

  • Restraint Utilization Rate *

  VENTILATOR WEANING

  • Death While On Ventilator

  • Partial Ventilator Dependent

  • Re-Ventilation after Weaning *

  • Weaned With or Without Decannulation *

WOUND

  • Nosocomial Decubitus Rate *

  • Pressure Wound Healing Rate

Facility's Other Indicators

 Each facility may also add to the software any other indicators that they monitor.  The SPMS software can be utilized to assist with the analysis of these additional indicators.  These indicators, however, will not be utilized by Mellott & Associates and thus cannot be benchmarked with other facilities through the system. 

Advisory Board Activities

 There is an Advisory Board  consisting of Long Term Acute Care practitioners from the database.  The Advisory Board assists Mellott & Associates with the development, implementation and evaluation of all indicators utilized by this software.  Each database participant facility may submit indicators to the Advisory Board for possible inclusion in the benchmarking portion of the software.

 If you would like to receive more information regarding this database software, as well as a demo disk, please click here.  

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