Performance Improvement


Doing things right and doing the right things … things that make the difference in our community and for our patients!

The Performance Improvement department includes several functions that serve to ensure continued improvement in patient care. We manage the majority of required reporting to external agencies that aggregate and review data as well as internal committees that focus on quality of care. This includes Core Measures which are comprised of several diagnoses that frequently lead to hospital admission. The data focuses on compliance with best practice guidelines.

Infection Control

Infection Control is another important initiative that assures staff and patients are protected from the spread of communicable illnesses. This includes tracking of all infection data, review of culture reports and required reporting to ADPH of certain infectious conditions. This position keeps abreast of hospital policies and practices to assure we are in compliance with CDC recommendations or ADPH requirements. The Infection Control Nurse serves as the Employee Health Nurse as well. We ensure that employees are vaccinated appropriately and use Personal Protective Equipment appropriately.

Core Measures


D.W. McMillan Memorial Hospital delivers quality health care by using a scientifically based set of clinical measures in the treatment of our patients. This set of care processes is called Core Measures. The core measures were derived largely from a set of quality indicators developed by the Centers for Medicare and Medicaid Services and the Joint Commission, the nation's predominant standards-setting and accrediting body in health care. The core measures have been shown to reduce the risk of complications, prevent recurrences and otherwise appropriately treat the majority of patients who come to the hospital for treatment of a condition or illness. Core measures help hospitals improve the quality of care by focusing on the actual results of care.

Social Services

Social Services seek to assist patients and families with post-discharge needs. This can include Home Health care, transfer to rehab or nursing home facilities or arranging for special equipment. She also assist families with financial needs by assuring that they have information about the hospital's financial assistance program.

Medical Staff Office


The Medical Staff Office is a critical part of our department. Physicians and other professionals go through a very detailed application process to become members of the Medical or Allied Health Staffs. The goal is to assure that all applicants are well-trained and competent to provide healthcare services in our community.




For More Information:


Infection Control - Cindy Lancaster
Infection Control Page
Contact Info: Office (251) 809 - 8257

Core Measures - Starline Sullivan
Contact Info: Office (251) 809 - 8321

Social Services - Suzannah Burch
Social Services Page
Contact Info: Office (251) 809 - 8310

Medical Staff Office - Hilda Brantley
Contact Info: Office (251) 809 - 8241

Performance Improvement Director - Debi Gist


HOSPITAL COMPARE
http://medicare.gov/hospitalcompare