Commitment to Quality
It is our mission to provide, in a community-based setting, the highest quality health care to Boston’s northern suburbs. By doing so we strive to become the health care system of choice in the region for you and your family. By openly sharing the recognition we receive and our quality rankings, we hope it demonstrates to you our commitment to quality care. We take the recognition we receive and our quality rankings very seriously. Constantly monitoring our results and using them as a guide for how we can improve the services we provide to you and your family.
Becoming an Informed Healthcare Consumer
Where you decide to receive your health care is an important decision. Often times you consider many factors including: location, convenience and access to the latest technology and highly trained physicians. One thing that you and your doctor should always consider carefully is the quality of care provided -- selecting providers that repeatedly demonstrate their commitment to quality. Does your choice have a proven record of providing the most appropriate and effective care? Is the care accessible to you when you need it? Are they focused on your particular needs? Now, with the wide array of information available on quality care, it is Hallmark Health System’s commitment to help you determine which are the most reliable sources of information and help you understand this information so you can become an informed healthcare consumer.
Quality Initiative: In the Spotlight
Studies have shown that falls are a leading cause of injury and death among people age 65 years and older; and additional data show that hospitalization increases a person's risk of falling. In 2009, the incidence of falls among patients on the medical-surgical units at Hallmark Health System hospitals was slightly above the nation average of 3.76 total falls per 1,000 patient days. An interdisciplinary fall prevention team was charged with reducing patient falls across the organization. The team assessed data and developed ongoing action plans to reduce the number of falls. Many process improvements along with increased education for staff, patients and families, and investments in new equipment were made. Action items included:
- • Morning safety huddles to identify patients at higher risk for falls.
- • Hourly rounding by nurses and aides to anticipate patient needs.
- • Increased education for staff and patients including the development of a falls prevention brochure and bedside reports to actively engage families in care plans, which include fall prevention.
- • Technological investments such as a computerized daily fall risk report.
- • Capital improvements that include new patient step-up stools with wider bases, chair alarms and bed alarms.
As a result, the number of falls on the medical-surgical units has been reduced by 134 percent* in the past five years.
*reported as of February 2014
Jennifer S. Wu, MD
Dr. Wu, a longtime member of the Hallmark Health System Medical Staff, has delivered thousands of babies at Melrose-Wakefield Hospital, tirelessly advocates for patients and is a generous financial philanthropist. She is lauded by patients for her informative and comforting approach and works and gives with a compassionate and joyful attitude every day.
Our Publicly Reported
This healthcare collaborative of Massachusetts hospitals, nursing leaders and home care agencies provide transparent quality and safety data updated quarterly on key hospital performance issues: pressure ulcers, patient falls, heart attack and heart failure, pneumonia, surgical care, and blood clot prevention and treatment.
Quality data available here for:
Hallmark Health is committed to quality care and patient safety. Staff and administration are focused on promoting and maintaining an integrated culture of safety to provide the highest quality care to the patients we serve. We are proud that our performance meets or exceeds other hospitals in the Commonwealth and the nation in several core measures. However, we know there is always more that we can do. We continuously work to make improvements and to achieve quality excellence.
Maureen Pierog, RN
Vice President, Quality Improvement & Patient Safety