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Pneumonia Improvement

Product Overview

The Pneumonia Improvement Application is aimed at unit directors and medical directors; operational directors; clinical improvement teams; and outpatient, emergency, intensive care, and inpatient care units engaged in outcomes improvement for pneumonia patients. To help drive efforts to reduce pneumonia mortality, length of stay, readmissions, and cost per case, the application focuses on providing data to improve initial triage/disposition of pneumonia patients, antimicrobial selection and timing, and risk stratification for care transition planning.

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Benefits Include:

  • Improved mortality and length of stay by triaging patients to appropriate treatment venue based on disease severity stratification.
  • Improved mortality outcomes by use of pneumonia order set and appropriate antimicrobial selection and dosing.
  • Reduced readmissions by readmission risk stratification and pre-discharge primary care appointment scheduling by care management.
  • Decreased cost per case and length of stay.

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Data Sources

  • EMR
  • Costing

Pneumonia Improvement: A Deeper View


Community-acquired pneumonia (CAP) affects approximately 4 million Americans each year, accounting for more than 1 million hospital discharges. Accurate severity assessment is pivotal to the initial management of CAP, and is linked closely to the site-of-care decisions: outpatient, hospitalization in a medical ward, or admission to ICU. Despite well-established guidelines addressing this and other phases of care, there remains significant variation in admission rates among hospitals and among individual physicians.

Problem Summary

Health Catalyst finds that community-acquired pneumonia (CAP) it typically within the top 10 care processes representing opportunities for improvement based on case volume, cost per case and care variation. Health systems often struggle to deliver pneumonia care that is consistently aligned with best practices shown to lower mortality, length of stay and readmission rate. These organizations can benefit from analytics that help them focus on performance in key areas such as disease severity stratification, treatment venue selection, and appropriate antimicrobial selection.

Success Measures

Opportunity Identification:

  • Increase rapid care transition from inpatient to primary care providers by risk stratification of pneumonia patients to identify those at high risk of readmission.

Process Improvements:

  • Improve adoption of best practices by measuring and improving order set utilization
  • Improve triage of patients to appropriate treatment venue based on CURB-65 or other stratification tool.
  • Reduce the number of readmitted pneumonia patients receiving the same treatment antibiotic or antibiotic class from their previous admission.

Outcomes Improvement:

  • Lower mortality rate for pneumonia patients.
  • Reduce average length of stay for pneumonia patients.
  • Reduce rate of readmission for pneumonia patients.
  • Lower cost per case.