Just thinking, along the lines of a New Year’s resolution. What if all
of the hospitals in the Boston metropolitan area — academic medical
centers and community hospitals — decided as a group to eliminate
certain kinds of hospital-acquired infections and other kinds of
preventable harm? And what if they all committed to share their best
practices with one another and to engage in joint training and case
reviews in these arena? And what if they all agreed to publicly post
their progress on a single website for the world to see?
Let’s start simply.
1 — Eliminating central line infections (Metric: The number of CLIs, as defined by the CDC. Goal = 0)2 — Adopting the IHI bundle to help avoid ventilator associated pneumonia (Metric: Percent compliance with the bundle. Goal = 100%)3 — Adopting the WHO protocol
developed by Brigham and Women’s Hospital’s Atul Gawande for surgical
procedures (Metric: Percent of surgical cases in which the pre-op,
time-out, post-op checklist has been followed. Goal = 100%)
medical community in Boston likes to boast about the medical care here,
but we don’t do a very good job holding ourselves accountable. This
would be a terrific way to prove that we are serious about reducing
harm to patients and that we can cooperate across hospital lines for
the greater good.
Paul Levy is the President and CEO of Beth Israel Deconess Medical
Center in Boston. He blogs about his
experiences at, Running a Hospital, one of the few blogs we know of maintained by a senior hospital executive.