Silvercrest Reports A 0% Incidence Rate Of Low Risk Pressure Ulcers Through Real-Time Quality Monitoring And Active CNA Participation
Overview of Facility
The Silvercrest Center for Nursing and Rehabilitation is a not-for-profit, 320 bed skilled nursing facility in Briarwood, New York. The Silvercrest Center is a corporate member of the New York-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College. It is renowned for its respiratory/ventilator program and operates 60 ventilator dependent beds as well as a robust sub-acute program. Silvercrest went live in March 2008 with SigmaCare’s full electronic medical records (EMR) system, including computerized physician order entry (CPOE), medication/ treatment administration records (eMAR/eTAR), progress notes, 24 hour report, minimum data set (MDS), care planning and CNA assignments.
Facility Best Practices
In order to improve quality of care for residents, Silvercrest utilized SigmaCare’s real-time notifications and reports to monitor medication, treatment, and CNA documentation ensuring care was delivered and quality standards were met. Additionally, as part of the On-Time Quality Improvement for Long Term Care Grant, Silvercrest closely monitored pressure ulcer risk factors such as weight loss, skin integrity, bowel/bladder incontinence and behaviors through CNA documentation. Silvercrest CNAs participate in clinical rounds to discuss these risk factors so the team can evaluate discrepancies between nursing instructions and documentation. Overall, Silvercrest benefited from SigmaCare’s real-time monitoring and point of care decision support tools.
With effective quality management, Silvercrest realized immediate care improvements including:
- 0% incidence rate of low risk pressure ulcers since the fourth quarter of 2008
- 3.5 FTE staff reductions as a result of operational efficiencies'
- Staff satisfaction and better work-place environment
“Our CNAs feel more empowered while using SigmaCare. It gives them the clinical tools to affect change and improve resident outcomes.” - Lloyd F. Torres, MHA, Assistant Vice President and Corporate Compliance Officer
Published: August 13, 2010