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Background
Monongahela Valley Hospital is a 210 bed hospital, located in the metropolitan area of Pittsburgh. Located at the crossroads of Pennsylvania’s interstates, patients have no shortage of options in where to receive their healthcare. In an effort to differentiate their joint replacement program and establish themselves as a leader in Orthopedics, they partnered with Stryker’s Performance Solutions to implement a Destination Center of Superior Performance for Total Joint Replacement in 2012. Leveraging the model developed by Dr. Marshall Steele, Stryker helped Monongahela Valley implement The Orthopedic Institute at Monongahela Valley. The patient-centric program offers a unique experience to help guide patients and their family through the entire continuum.
Results
The Orthopedic Institute at Monongahela Valley Hospital continues to experience continuous improvements across many key operational and clinical metrics.
• Length of stay declined by one full day, resulting in a cost savings of $178,715.
• Blood transfusions decreased by 81%, resulting in a cost savings of $56,300.
• Patient ambulation has increased by 86% for the number of patients that walk over 300 feet prior to discharge.
• Discharge to home rate increased to 87%.
Together on a quarterly basis, Monongahela Valley and Stryker analyze the joint replacement data to identify areas for ongoing performance improvement and opportunity. Using outcomes data to create and implement strategic action plans, adhering to industry best practices and embracing a culture of continuous improvement, has allowed Monongahela Valley to differentiate themselves as a leader in orthopaedic care.
increase in patient volume
14%Monongahela Valley Hospital
Pittsburgh, PA
Region: Northeast
Case study Monongahela Valley HospitalDestination Center of Superior Performance
“What I like best about the structure we have in place is that it empowers everyone (housekeeping, physicians, nursing, OR, PT, pharmacy, etc.) to make valuable contributions to the episode of care for our total joint patients.”
– Dr. Thomas F. Brockmeyer orthopedic surgeon
3.63.8
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28.0%
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8.0%
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80%
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55%
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201420132012 2015
201420132012 2015
3.63.8
3.43.2
32.82.62.42.2
201420132012 2015
28.0%
23.0%
18.0%
13.0%
8.0%
3.0%
70%
75%
80%
85%
90%
65%
60%
55%
50%
201420132012 2015
201420132012 2015
3.63.8
3.43.2
32.82.62.42.2
201420132012 2015
28.0%
23.0%
18.0%
13.0%
8.0%
3.0%
70%
75%
80%
85%
90%
65%
60%
55%
50%
201420132012 2015
201420132012 2015
Length of stay (days)
Blood transfusion rate
Patients discharged to home
Methods
With the help of Stryker’s program management team, key staff and physicians from Monongahela Valley utilized the proprietary 4 A’s Methodology to build and implement a customized service line program that was based on the hospital’s unique strengths and opportunities.
©2016 Stryker’s Performance Solutions. Reproduction or distribution is prohibited without the express written consent of Stryker’s Performance Solutions. This material and/or example is provided for illustration and/or guidance purposes only and should not be construed as a guarantee of future results or a substitution for legal advice.
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Op
erative treatment
Post-hospital care
Hospitalcare
Operative care Pre-
operative care
Specialistoffice
Hospitalreportedoutcomes (HRO)
Patientreportedoutcomes(PRO)
Outcomes management
Community education/access
Primary care physician
Perfo
rmance intelligence
The program drives the metrics
The metrics drive the program
No
n-operative treatment
Continuum of care delivery model
Assess Architect Assemble Assure
Assess | Together Stryker and Monongahela Valley assessed and benchmarked current service line programs, processes and outcomes to help understand their potential opportunities.
Architect | Based on the assessment findings, Stryker helped Monongahela Valley architect a project plan to achieve service line goals and objectives.
Assemble | Stryker and Monongahela Valley assembled a dedicated performance improvement team to help implement the necessary processes and protocols for the service line program success.
Assure | Stryker benchmarked and reported the clinical, operational and patient performance data Monongahela Valley needed to assure their service line program was on the pathway to sustainable success.
Why Stryker?
Stryker’s Performance Solutions partners with hospitals and physician practices to help improve quality outcomes, patient satisfaction and profitability. We work closely with you to strengthen your orthopedic and surgical service lines, turn performance data into effective plans and implement the most suitable alignment and risk strategies. Together, we help identify, measure and optimize your performance objectives. We make recommendations and implement the lasting changes you need. We’re with you every step of the way.
