Our goal with this section of our website is to provide both measures for which external agencies hold us accountable as well as measures that show how we are performing in key components of quality: patient survival, quality of care, patient safety, efficient care and patient centeredness.
We are presenting this information as accurately as possible: We are not creating any new measures or changing the scale, format or target to make ourselves look better or worse. And we’ll be clear about what’s good and what isn’t.
Why make this information public? Because we believe that our patients have the right to understand the quality of care we provide, what we are doing well and where we need to do better. We may not always look good, but it is our belief that honesty, and an honest effort to improve when and where we need to, makes for better care.
UK HealthCare is committed to the pillars of academic health care—research, education and clinical care. Dedicated to the health of the people of Kentucky, we will provide the most advanced patient care and serve as an information resource. We will strengthen local health care and improve the delivery system by partnering with community hospitals and physicians. We will support the organization’s education and research needs by offering cutting edge services on par with the nation’s best providers.
The vision of UK HealthCare is to achieve national recognition as a Top 20 public academic health center, providing optimal multidisciplinary health care and developing advanced medical therapeutics for the people of Kentucky and surrounding regions.
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UK HealthCare is firmly and unequivocally committed to providing
high quality, safe, patient-centered care to each and every patient. We are
also advocates for transparency in health care and, to that end, we launched a UK HealthCare quality website in February of 2013. Because
of your hard work and commitment, we have made great strides in this area. From
the website, you can see that we are leaders among our peer group, other major
academic medical centers as noted by our mortality index (observed deaths over
expected deaths) of 0.73 which places us as 11th out of 108 university health
systems. All of the data on this site are based on large numbers and have been
appropriately risk adjusted and benchmarked against other medical centers.
Recently, some questions have been raised publicly about our Pediatric
Cardiothoracic Surgery program. We have been hesitant to release data as we do
not want to compromise our approach to aggressive quality improvement or
compromise patient privacy.
Today we are responding as fully as we can within what we believe federal law
allows. Our overall
mortality rate in the Pediatric Cardiothoracic Surgery program was 5.8 percent
for the period of 2008 through 2012. During this period, the
mortality rates ranged from 4.5 percent to 7.1 percent.
For the individual years, the rates were:
● 2008 − 4.5 percent● 2009 − 6.2 percent● 2010 − 5.2 percent● 2011 − 5.7 percent● 2012 − 7.1 percent
These ranges are comparable to national mortality rates averaging 5.3 percent for programs of similar size to ours.
Additionally, in order to sustain a culture of excellence, we are all committed
to aggressive quality improvement. Anytime a question is raised about a
clinical program or a patient’s care, we bring all involved parties together
and review the situation and circumstances in a ‘no holds barred’ manner.
Sometimes we even choose to put a program ‘on hold,’ until we are certain that
we are doing everything necessary to provide the highest level of care. This is
what we did with our Pediatric Cardiothoracic Surgery program.
In fact, a federal law, the Patient Safety and Quality Improvement Act, created
a broad privilege for the medical peer review process. When health care
providers engage in self-critical examinations designed to improve patient
safety, enhance patient quality, and promote better health care outcomes, the
statute prohibits disclosure. This process is the only way we can assure that
health care will continuously improve
We are committed to fulfilling our Kentucky Promise – to assure that Kentuckians can get the best
of care right here in Kentucky regardless of the issue or complexity of the
care required. We have a promise to keep – and we will.
Michael D. Karpf, MDExecutive VP for Health Affairs
Please note that the numbers shown do not take into account that different hospitals treat different sorts of patients. A community hospital such as UK Good Samaritan, for instance, tends to treat patients who are less sick, while academic medical centers such as UK Albert B. Chandler Hospital treat the most severely ill and injured patients. For this reason, these numbers should not be used to compare one hospital to another.
Please feel free to contact us if you have questions about any of the information you find here.
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