LENMED AIR 2019.pdf

and savings in cost of care are anticipated. The AMI programme has been implemented at Ethekwini Hospital and Heart Centre and Bokamoso Private Hospital, with positive results being achieved. We have instituted Cardiac Committees at two of our cardiac centres, which has resulted in improved collaboration between ambulance services, emergency units, cardiologists, and cardiothoracic surgeons. These committees aim to ensure that the best possible AMI outcomes are achieved and entrenched. Stroke accreditation During this period, the Lenmed Stroke Programme (LSP) has been reviewed at Ahmed Kathrada Private Hospital and we believe we are ready to pursue accreditation through the South African Stroke Society. Measure Benchmark 2019 2018 2017 2016 VAP 0.65 per 1 000 ventilated days 0.72 0.4 0.55 0.51 SSI 1.30 per 1 000 theatre cases 0.88 0.35 0.53 0.25 CLABSI 2.00 per 1 000 central line days 0.72 0.23 0.12 0.56 CAUTI 2.25 per 1 000 catheter days 0.60 0.15 0.39 1.06 VAP — ventilator acquired pneumonia SSI — surgical site infections CLABSI — central-line acquired blood stream infections CAUTI — catheter associated urinary tract infections HAI statistics The table below reflects the HAI rates across all Lenmed hospitals over a period of four years. Please note that the increase in HAI rate from 2018 to 2019 is expected with the improved reporting using Bluebird. As a Group, our overall HAI was 0.40 infections per 1 000 ppds, compared to 0.49 infections per 1 000 ppds the previous year. Mother and child initiatives BetterObs, Best Care Always neonatal ICU bundles and international benchmarking of neonatal care using the Vermont Oxford Network (VON) have been consolidated into a single maternal and neonatal project: + SASOG BetterObs guidelines have been implemented in all hospitals and CTG and ESMOE training has been provided to all midwives. BetterObs is an evidence-based programme and the training is designed to promote excellent maternity clinical outcomes, enhance delivery of healthy babies, standardise obstetrics clinical practice, minimise/eliminate maternal mortality and morbidity and, decrease opportunities for medical malpractice and negligence. + We are actively driving compliance to neonatal bundles of care . A bundle is a structured way of improving the processes of care and patient outcomes — a small, straightforward set of evidence-based practices — generally three to five — that, when performed collectively and reliably, have been proven to improve patient outcomes. Neonatal deaths make up over 30% of infant mortality. Examples of these bundles of care are neonatal sepsis, chronic lung disease, necrotising enterocolitis in infants born with a birth weight of <1.5 kgs. + We are engaging with the Paediatric Management Group of South Africa (PMG SA) on VON membership . PMG SA, in partnership with VON, encourages membership of South African based neonatal centres. VON is a database that holds outcomes information on more than 2 million infants. VON analyses data for members and facilitates benchmarking activities. It supplies quarterly and annual reports with patient characteristics, treatment practices, morbidity and mortality, length of stay (as examples). 59 LENMED ANNUAL INTEGRATED REPORT 2019