For Patient Safety
Reduce adverse drug events (ADEs) in critical care by 75 percent within 1 year.

Improve medication reconciliation at transition points by 75 percent within 1 year.

Reduce high-hazard ADEs by 75 percent within 1 year. For example, reduction of 75 percent in one of the following:

• Overdoses from benzodiazepines and narcotics
• Percentage of patients with incidence of bleeding in patients being treated with anticoagulant medications
• Percentage of patients on insulin with any blood sugar <50

Increase the number of surgical cases between cases with a surgical site infection by 50 percent within 1 year.

Achieve > 95 percent compliance with on-time prophylactic antibiotic administration within 1 year.

For Clinic Access
Reduce waiting time to see a urologist by 50 percent within 9 months.

Offer all patients same-day access to their primary care physician within 9 months.

Reduce waiting time to see a physician to less than 15 minutes within 9 months.

For Flow (all goals to be achieved within 9 months)
Transfer every patient from the Emergency Department to an inpatient bed within 1 hour of the decision to admit.

Transfer every patient from the Post-Anesthesia Care Unit (PACU) to an inpatient bed within 1 hour from the time patient is deemed ready to move from the PACU.

Transfer every patient from the Intensive Care Unit (ICU) to an inpatient bed within 4 hours from the time the patient is deemed ready to move from the ICU.

Transfer every patients from the inpatient facility to a long-term care facility within 24 hours after the patient is deemed ready to transfer.

For Critical Care
Reduce ICU mortality by 20 percent within 9 months.

• Reduce incidence of ventilator-associated pneumonia by 25 percent.
• Reduce average ventilator days by 2 to 4 days per discharge.
• Reduce adverse drug events (ADEs) per ICU day by 75 percent (or absolute number of less than 0.10 ADE per ICU day).
• Reduce incidence of oversedation or too lengthy sedation by 40 percent.
• Reduce complications of ICU stay by 40 percent:
  • Development of deep vein thrombosis
  • Gastrointestinal bleeding from stress ulcers
  • Line infections

Reduce the average length of stay for Medical ICU patients by 50 percent within 9 months.