General Information

Success Stories

Hospitals are active in patient care measurement and improvement activities.We have featured hospitals who are proud to share with you their success stories in making hospital care better and safer, leading to improvements in patient outcomes.  The goal of sharing success stories is to educate and increase awareness of safety activities throughout the hospitals and health systems.  CalHEN plans to feature success stories focused on 11 areas of hospital acquired conditions – such as CAUTI and CLABSI reduction, pre-term delivery reduction, preventable readmissions reduction, adversedrug events, surgical site infections preventions and ventilator-associated pneumonia. Our main goal is to work to strive to reduce harm by 40 percent and readmissions by 20 percent by the end of 2013.

We encourage you to tell your own story:
•   Compile your success stories. You can download the suggested format template by clicking here. Please submit your hospital success story to the California Hospital Engagement Network or directly to your Network Facilitator.   
•   Use the success stories as the foundation of your communication efforts – with your staff, community, patients, etc.

CHPSO Annual Meeting

Sacramento, CA, April 2013

Adverse Drug Events (ADE)
 Reducing ADE’s with Harm in the ED 
Hospital:  Coalinga Regional Medical Center — Coalinga 
Contact: Sarah Liz Amoroso, Infection Control
Early Elective Delivery (EED)
Reducing Early Elective Deliveries
Hospital: Desert Valley Hospital — Victorville
Contact: Emily Milliner, PI Director
Falls With and Without Injury
Fall With and Without Injury Reduction
Hospital: Tahoe Forest Hospital District — Truckee
Contact: Kerry Milligan, RN, Med/Surg Supervisor
Hospital Acquired Pressure Ulcers (HAPU)
HAPU Reduction
Hospital: Barton Memorial Hospital — South Lake Tahoe
Contact: Karen Wilson, BS RNC, CWOCN, Wound Care
Preventable Readmissions
All Cause Readmissions Reduction
Hospital: Marshall Medical Center — Placerville
Contact: Jonathan Russell, RN
Surgical Site Infections (SSI)
NHSN Surgery SSI Surveillance
Hospital: Sharp Grossmont Hospital — La Mesa
Contact: JoAnna Mills, RN, MSN, CNS, CIC, Supervisor Infection Prevention & Epidemiology
Ventilator Associated Pneumonia (VAP)
Title: Ventilator Associated Pneumonia Prevention
Hospital: Pacific Hospital of Long Beach — Long Beach
Contact: Marianne Shaw, Director Respiratory Therapy
Venus Thromboembolism 
Reducing VTE Rates
Hospital: Tulare Regional Medical Center — Tulare
Contact: Carol Furgal, VP Quality, Executive Sponsor

 Harm Across the Board Stories


Title: Improving Harm Across the Board
Hospital: Barton Memorial Hospital
Contact: Christine O’Farrell, BSN, CPHQ, CPHRM, Director of Quality Management
Title: Improving Harm Across the Board
Hospital: Cottage Health System
Contact: Sharon  Lutz, PhD, Vice President, Quality Support Services
Title: Improving Harm Across the Board
Hospital: Marshall Medical Center
Contact: Kassie Waters, Manager, Quality Management

Title: Improving Harm Across the Board
Hospital: Desert Regional Medical Center
Contact: Sandra Martin, Director, Quality Services

Title: Improving Harm Across the Board
Hospital: Hi Desert Medical Center
Contact: Avelina Ortiz, Director, Quality Resource Management
Title: Improving Harm Across the Board
Hospital: Long Beach Memorial Medical Center 
Contact: RuthAnne Sammis, Director, Performance Improvement
Title: Improving Harm Across the Board
Hospital: Sharp Chula Vista Medical Center
Contact: Laurie Godfrey, RN, MBA, CPHQ,  Director, Quality/Care Management


San Diego, CA, August 2013

Title: Surgical Site Infection Improvement 
Hospital: Desert Valley Hospital - Victorville, CA
Contact: Emily Milliner, Manager, Performance Improvement
Title: Sustain Excellence with CAUTI
Hospital: Hazel Hawkins Memorial Hospital -  Hollister, CA
Contact: Mindy Trites, Infection Control Coordinator
Title: Readmission Reduction
Hospital: Olympia Medical Center – Los Angeles, CA 
Contact: Jacinth Geoghagen, Administrative Director, Quality Management
Title: Catheter Associated Urinary Tract Prevention 
Hospital: Pacific Hospital of Long Beach – Long Beach, CA 
Contact: Dr. Luke Watson, Chief Medical Officer
Title: FALLS with Injury Reduction 
Hospital: Regional Medical Center of San Jose – San Jose, CA
Contact: Linda Sanfilippo, Director, Risk/Quality Management
Title: Reducing Adverse Drug Events
Hospital: Salinas Valley Memorial Healthcare System – Salinas, CA
Contact: Jenny Li, Clinical Pharmacy Coordinator

Hospital: Tri-City Medical Center – Oceanside, CA
Contact: Michelle Dodson, Nursing Quality and Outcomes Coordinator

Title: Reducing Harm Across the Board
Hospital: Sharp Chula Vista Medical Center 
Contact: Laurie Godfrey RN, MBA,CPHQ, Director of Quality Improvement & Care Management

CARS: California Readmission Summit – October 2013

South San Francisco, CA, October 2013

Title: Readmission Reduction
Hospital: Chino Valley Medical Center
Contact: Donna Young, RN, PI Director
Contact: Sue Montoya-Bell, LCSW, Director, Project Champion, Case Management
Title: Readmission Reduction
Hospital: Garfield Medical Center
Contact: Kathleen Connors, PT, MHA, Director of Patient Experience
Title: Utilizing a Discharge “Time Out” to Reduce 30-Day All-Cause Readmission
Hospital: Hazel Hawkins Memorial Hospital
Contact: Marilouise Salsiccia, RN, CPHQ, HACP, Director, Quality Resource, Team Leader
Title: Managing Medications to Reduce 30-Day All-Cause Readmissions
Hospital: Mammoth Hospital
Contact: Natalie Sanders, RN, BSN, Case Manager, Team Leader
Title: Reducing Readmission
Hospital: Henry Mayo Newhall Hospital Medical Center
Contact: Elizabeth Cravitz, MSN, Director, Case Management
Title: Harm Reduction Across the Board
Hospital: Marshall  Medical Center
Contact: Kassie Waters, Director, Quality Management
Title: Harm Reduction Across the Board
Hospital: MemorialCare Health System
Contact: Helen Macfie, Senior Vice President, Performance Improvement

CSHP: Driving the future of healthcare

Anaheim, CA November 2013

Title: The Case for Staying the Course: Adverse Drug Event Gap Analysis Survey and California Success Stories
Organization: California Hospital Engagement Network
Contact: Ms. Michele Davenport Lambert, Project Director
Title: Reduction of Adverse Drug Events With Harm: Using the CalHEN NCC MERP Measurement Tool
Hospital: Doctors Hospital of Manteca
Contact: katy.marconi@tenethealth.comMs. Katy Marconi, PharmD, Director of Pharmacy and Director of Clinical Quality
Title: Glycemic Control Initiative (Patients on Insulin)
Hospital: Salinas Valley Memorial Healthcare System
Contact: Mr. Larry Dolph, PharmD, Director of Pharmacy

Beacon Exchange

South San Francisco, CA, November 2013

Title:  Harm Reduction Across the Board
Hospital: Hi Desert Medical Center - Joshua Tree, CA
Contact: Avelina Ortiz, MA, CPHQ, Director, Quality Resource Management
Title:  Early Elective Delivery Sustainability Plan
Hospital:  Kern Medical Center - Bakersfield, CA
Contact: Jonathan Aquino,
Chief Quality Officer
Contact: Juan M. Lopez, MD
Interim Director of Ob/GYN
Title:  Ventilator Associated Pneumonia  (VAP) & IVAC Sustainability
Hospital: Kern Medical Center – Bakersfield, CA
Contact: Cynthia Norville, BSN, RNC, Clinical Director Acute Care Services
Contact: Toni Smith, RN, MSN, Director Inpatient Care Operations
Title:  Pressure Ulcer Reduction Rate
Hospital: Kindred San Francisco/ Bay Area, San Francisco, CA
Contact: Aileen De Mucha Flores, RN, MSN, PCCN, Director of Quality Management
Title:  CLABSI
Hospital: Palmdale Regional Medical Center - Palmdale, CA
Contact: Mary Siemantel, RN, Clinical Quality Analyst
Title:  Falls with Injury Rate Reduction
Hospital: Palmdale Regional Medical Center - Palmdale, CA
Contact: Suzette Creighton, MA, CPHRM, CPHQ, HACP, Director, Quality
Title:  Adverse Drug Events Prevention
Hospital: San Gorgonio Memorial Hospital - Banning, CA
Contact: Prince Nnah, Pharm.D, Director Pharmacy
Title:  Harm Reduction Across the Board
Hospital: Sharp Chula Vista Medical Center - Chula Vista, CA
Contact: Laurie Godfrey, RN, MBA, CPHQ, Director Quality Improvement & Care Management
Title:  Flash Sterilization Reduction
Hospital: Sharp Coronado Hospital - Coronado, CA
Contact: Kerry Forde, Director, Quality Assurance
Title:  Antenatal Steroids – A Systematic Process for Reporting PC-03
Hospital: Sharp Healthcare: Sharp Chula Vista Medical Center, Sharp Grossmont Hospital, Sharp Mary Birch Hospital for Women & Newborns
Contact: Bernadette Martinez MSN, RNC-OB, CNS, C-EFM, Perinatal Clinical Nurse Specialist
Title:  Catheter Associated Urinary Tract Infection (CAUTI) Reduction
Hospital:  Shasta Regional Medical Center, Redding, CA
Contact: Darlynn Dodd, RN, Infection Preventionist

Patient Safety Collaborative

Southern California, CA, March 2014