Ophthalmology and Otolaryngology

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Transcript of Ophthalmology and Otolaryngology

M A S S A C H U S E T T S E Y E A N D E A R

Quality and Outcomes 2014

243 Charles Street

Boston, MA 02114-3096

617-523-7900

617-523-5498 (T.D.D.)

MassEyeAndEar.org

Contributors

Olumuyiwa Adebona

Shakhsanam Aliyeva

John Anderson

Christopher Andreoli

Olamide Awosanya

Sandra Baptista-Pires

Linda Belkner

Jean Bibeau

Sheila Borboli-Gerogiannis

Stacey Brauner

Charlene Callahan

Dean Cestari

Kenneth Chang

Peggy Chang

Wendy Chao

Yewlin Chee

Sherleen Chen

Teresa Chen

James Chodosh

Janet Cohan

Louise Collins

Lisa Cowan

Laura DAmico

Linda Dagi

Reza Dana

Mindy Davis

Suzanne Day

Sandy DeCelle

Peter Delisle

Daniel Deschler

Gillian Diercks

April Dobbs

Claes Dohlman

Anne Marie Donnelly

Dean Eliott

Tobias Elze

Kevin Emerick

Kimberly Farwell

Tanya Fedyshyn

John Fernandez

Cherie Florio

Ramon Franco

Martha Fraser

Suzanne Freitag

Sandra Gallagher

Matthew Gardiner

Amanda Goggin

Evangelos Gragoudas

Stacey Gray

Scott Greenstein

Tessa Hadlock

Christopher Halpin

Christopher Hartnick

Eric Holbrook

David Hunter

Mary-Lou Jackson

Maryann Jerrier

Grace Jonak

Justin Kanoff

Dipti Karmani

Melanie Kazlas

Ivana Kim

Leo Kim

Carolyn Kloek

Elliott Kozin

Sharon Kujawa

Anne Marie Lane

Mary Leach

Daniel Lee

Daniel Lefebvre

Kathleen Lennon

Patricia Li

Derrick Lin

Robin Lindsay

Ann-Marie Lobo

John Loewenstein

Katie Luo

Joe Marshall

Maureen Martinez

Kathy McCormack

Fran McDonald

Michael McKenna

Lisa McLellan

Ralph Metson

Joan Miller

John Miller

Alfred Minincleri

Nicolas Moretti

Anne Murphy

Garyfallia Pagonis

George Papaliodis

Louis Pasquale

Eric Pierce

Roberto Pineda

Corinne Powers

Suzette Profio

Andrew Rabkin

Gregory Randolph

Nikhila Raol

Steven Rauch

Michael Reinhart

Aaron Remenschneider

Mike Ricci

Debbie Rich

Joseph Rizzo

Debra Rogers

Barbara Scully

Alexandra Selivanova

Jennifer Street

Debra Trocchi

Angela Turalba

Joseph Vadakekalam

Peter Veldman

Rhonda Walcott-Harris

Suzanne Ward

Rachel Wasserstrom

Amy Watts

Bradley Welling

Julia Wong

Janet Yedziniak

Lucy Young

Medical Illustrations by:

Laurel Cook Lhowe

Graphic Design by:

Marc Harpin,

Rhumba Design

Members of the Mass. Eye

and Ear Quality Steering

Committee also include:

Linda Belkner, R.N.

Director, Quality and

Patient Safety

Mary Kennedy

Risk Manager

Michael Ricci

Chief Information Officer

Clinical Leadership in Quality: 2014

Sunil Eappen, M.D.Assistant Professor of Anaesthesia, Harvard Medical SchoolChief Medical Officer, Chief of Anesthesiology, Massachusetts Eye and Ear

Joan W. Miller, M.D.Henry Willard Williams Professor and Chair of Ophthalmology, Harvard Medical SchoolChief of Ophthalmology, Massachusetts Eye and Ear, Massachusetts General Hospital

D. Bradley Welling, M.D., Ph.D.Walter Augustus LeCompte Professor and Chair of Otology and Laryngology, Harvard Medical SchoolChief of Otolaryngology, Massachusetts Eye and Ear, Massachusetts General Hospital

Hugh Curtin, M.D.Professor of Radiology, Harvard Medical SchoolChief of Radiology, Massachusetts Eye and Ear

Teresa C. Chen, M.D.Associate Professor of Ophthalmology, Harvard Medical SchoolChief Quality Officer, Department of Ophthalmology, Massachusetts Eye and Ear

Christopher J. Hartnick, M.D., M.S.Professor of Otology and Laryngology, Harvard Medical SchoolVice Chair of Safety and Quality/Clinical Research, Department of Otolaryngology, Massachusetts Eye and Ear InfirmaryDirector, Division of Pediatric Otolaryngology, Massachusetts Eye and Ear

Eileen Lowell, R.N., M.M.Vice President of Patient Care Services, Chief Nursing Officer, Massachusetts Eye and Ear

Please note that information

contained in this book focuses

primarily on the work of

the full-time staff at Mass. Eye

and Ears main Boston campus,

unless otherwise stated.

A Letter from the President

Dear Colleagues in Healthcare,

We are proud to present the 2014 Quality and Outcomes

Report of Massachusetts Eye and Ear. This annual report

showcases the results that are achieved by an outstanding

group of surgeons, nurses and staff who continually strive

for the best outcomes for all of our patients. These individuals work hard to ensure

each patient has the best experience possible while under our care, as well as

resulting quality of life.

We thank the Department Chiefs at Mass. Eye and Ear Drs. Hugh Curtin,

Sunny Eappen, Joan Miller and Brad Welling who enable us to achieve the

success reflected in the information youll see here. We continually evolve to

serve our patient population better, which is made up largely of people seen on

an outpatient basis. We have only 41 inpatient beds, but serve almost 27,000

surgical patients in a year. Many of the benchmarks of care in the field are being

set here at Mass. Eye and Ear, but were never satisfied with what weve achieved

and always work to improve our results. By publishing this report each year,

we can quantify and show what is being accomplished, so we can continue to

improve those outcomes.

In this report youll find information about our attention to patient safety,

and learn about how we use collaboration, advances in technology, and clinical

research to improve patient treatments and the results we achieve. The report

provides an avenue for transparency and accountability, which we feel is very

important. We hope to set the standard for outcomes achieved, and to be able

to document our continuing improvement through the information included in

these pages.

We also wish to thank the members of the quality team and the physicians,

nurses and other staff who work so hard to provide the highest quality care

each day.

We hope you find this publication interesting and useful. We welcome

your comments and feedback. For an electronic version of this report and to see

new innovations from Mass. Eye and Ear, please visit MassEyeAndEar.org/Quality.

John Fernandez

President & CEO

1

Clinical Locations

Boston Main Campus

Boston Longwood

Boston Joslin

Braintree

Concord

Duxbury

East Bridgewater

Medford

Milton

Newton

Plainville

Providence

Quincy

Stoneham Montvale Avenue

Stoneham Woodland Road

Waltham

Weymouth

For more information, visit

MassEyeAndEar.org/Locations

About Massachusetts Eye and Ear

2

Founded in 1824, Massachusetts Eye and Ear is a pre-eminent specialty,

teaching and research hospital dedicated to caring for disorders of the eyes,

ears, nose, throat, head and neck. Our dedicated staff provides primary and

subspecialty care and serves as a referral center for inpatient and outpatient

medical and surgical care.

Mass. Eye and Ear is the leading authority in its specialties throughout the

northeast and is a resource globally for advances in patient care, research

and education. As the primary academic center for Harvard Medical Schools

Departments of Ophthalmology and Otology and Laryngology, we are deeply

committed to providing a superb education to the next generation of visionary

healthcare leaders. Our world-renowned experts are continuously innovating

in the fields of translational and bench research, turning insights into cures that

benefit countless people. We continue to forge new partnerships and alliances

locally, nationally and beyond our borders to increase our reach and make our

expertise, services and resources available to all who need them.

Pivotal to our clinical quality efforts is the use of the Longitudinal Medical Record

(LMR), an integrated and secure system of communication and medical record sharing

among the majority of Harvard Medical Schools network of hospitals and affiliates.

This network facilitates quick and easy communication among referring physicians

and Mass. Eye and Ears consulting ophthalmologists, otolaryngologists and

radiologists. It also enables our physicians to instantly tap our in-house specialists,

affording seamless and rapid access to some of the best ophthalmology and

otolaryngology resources available.

2013 Hospital Statistics

(Jan. 1 Dec. 31, 2013)

Patient Volume

Outpatient services ........................................................