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Opinion: Barton paying attention to what patients want


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By Christine O’Farrell

Hospitals can be scary places for many. Patients are usually in pain or scared and friends or family members worried. You are also putting your care (and sometimes your life) in the hands of experts who are unfamiliar to you.

Except in an emergency, people have a choice of where they trust their health care. In a consumer perception survey done in the region in 2009, over 90 percent of respondents said they would travel over 40 miles for care if they felt it was better elsewhere. Barton recognizes this and has taken it to heart by making significant investments in patient safety, quality of care, and patient satisfaction.

Barton Memorial Hospital was recently recognized as one of the most improved hospitals in California in patient safety by the California Hospital Engagement Network. Focusing on 10 clinical areas of improvement against 174 other hospitals in the state, Barton showed a 75 percent improvement in patient safety over the last three years and has won three awards that recognize these great efforts. The benchmark for California hospitals was 40 percent, so we are proud of our great progress.

Christine O’Farrell

Christine O’Farrell

Barton is a learning organization that takes a critical look at adverse events in order to identify opportunities for improvement so we can significantly reduce the risk of harm to future patients. We do this by implementing evidence based best practices. To promote our transparency and to learn more, Barton has dedicated a section of our website to quality measures.

Barton utilizes a nationwide patient satisfaction survey to gain feedback on a number of patient experience factors including communication, pain, food, quietness and cleanliness. The hospital has made significant strides in patient perception, improving from 53.4 percent of patients rating Barton a 9 or 10 out of 10 in late 2009, to 78.5 percent of patients rating Barton a 9 or 10 out of 10 as of March 31, 2013.

The latest score brings Barton into the top 17 percent of all hospitals in the United States and well above the California state average for patient experience.

Patient satisfaction improvement initiatives continue and we are proud of our achievements that have gained attention from several hospitals nationally and internationally who have come to visit us to learn best practices.

Last year, Barton Memorial Hospital once again earned the Joint Commission’s Gold Seal of Approval for accreditation by demonstrating compliance with the Joint Commission’s national standards for health care quality and safety in hospitals. This voluntary process and accreditation award recognizes Barton’s dedication to continuous compliance with the Joint Commission’s state-of-the-art standards.

A team of Joint Commission expert surveyors arrived unannounced and evaluated Barton Memorial Hospital for compliance with standards of care specific to the needs of patients. In achieving Joint Commission accreditation, Barton has demonstrated its commitment to the highest level of care for its patients.

Barton is making a significant investment in quality on a daily basis and continues to put an emphasis on maintaining excellence and continually improving the care we provide. Barton is proud to be a leader in initiatives that improve patient care. While I hope that you will never have to come to Barton in an emergency, I wanted to share the good work and positive steps so you can feel comfortable and proud of your hometown hospital.

Christine O’Farrell is director of quality for Barton Health.

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Comments

Comments (5)
  1. observer says - Posted: August 30, 2013

    I have lived in Tahoe since 1982. Fortunately I have needed Barton’s services infrequently, but one of my children was born in Barton.

    On a personal level, twice I have had to submit to duplicate procedures, at duplicate costs because Barton’s initial work was not useable.

    After my families experiences, we have a pact among ourselves that says “go to Barton to stop the bleeding and get to another facility ASAP”

    I will say my bad experiences were in past years, but I simply cannot bring myself to trust that it isn’t the same way now.

    I do not know what Barton is thinking, but it seems they are trying to build a big city hospital to serve a village. Robotic Surgery seems like a little overkill here. It would be interesting to know how many robotic procedures have been done with DaVinci since it was purchased. Further, a visit to Barton’s emergency room is well established to often result in multiple thousands of dollars in imaging costs, sometimes of arguable use to the patient.
    Of course imaging is low risk and high cost, which makes it fit right in with Barton’s apparent goudging strategy. Puts a whole new dimension on Non-Profit.

    Why are Tahoe residents treated like this? Did Barton get so accustomed to everybody having Employer paid health care that they just took advantage? It definitely is not that way now.

    Carson city has much more economical medical services for a 40 minute drive.

    I absolutely know that I save hundreds of dollars, pay for my gas and fill my tank for $.50 cents/gal less, and buy a weeks groceries for less than in Tahoe by taking my non emergence and some emergency medical care to Carson city. I am not the only person who understands this.

    Can we make a case for the fact that Barton is a negative impact economically on the city and area in ways far more widespread than simple medical costs? Yes, I think definitely.

    Finally, it also seems to me that there is a large and continuing turnover in medical practitioners in the Barton system. Clearly Barton has worked to buy out or take over many medical practices in the area. Is this to give better service, or eliminate the competition?

    I know this sounds a bit like a rant, and I suppose it is, but I believe the residents of the area would like to see a response to some of the key issues, particularly the elevated costs for the privilege of being treated at Barton.

  2. TahoeKaren says - Posted: August 30, 2013

    I, too, have had issues with Barton. Recently my husband was taken by ambulance to Barton after a motor vehicle accident. They took a CT scan and an MRI which showed a small intracranial bleed and the body scan showed a mass on his pancreas. They never did mention the 9 (yes 9!) rib fractures. As we were being discharged I asked what they were going to do about his broken finger. They asked “What broken finger?”. The one pointing sideways on his hand……
    We have since made a couple of trips to Carson Tahoe Hospital and we were quite pleased with the professionalism and care received there.
    I agree with the idea of Barton to stop the bleeding and anywhere else for care. And that does not even address the cost of care at Barton as compared with other hospitals.

  3. kathy says - Posted: August 30, 2013

    All I can say about Barton Hospital,Is they saved my Life , Been to many Hospitals in my life, Barton you are still the best in my eyes,Thank you,

  4. observer says - Posted: September 2, 2013

    TahoeKaren-

    I would like to say “unbelievable” but it seems to be all too common. Hope your husband is better. Did they back up and address the broken finger? What a travesty.

    There are many, many similar stories like yours and mine. I wish there was a way to collect them and get some truth out there.

    People up here seem blind to Barton’s character. The huge amount of advertising they do in virtually every medium works too well.

    I wonder if the Tribune would fail if Barton was not doing the constant barrage of half page ads etc. for tons of things not connected with competent medical care. I am so tired of seeing the athletic shots of all the doctors on bicycles etc. Are they paid to get into the spandex and pose for these shots? Very clearly they aren’t candid.

    And Barton University? What the hell is that all about?

    The Barton staff is primed to blame the high costs on all the free care they are required to give the people without funds or insurance. Several of them will even use ethnic identifiers to indicate “where the problem is”.

    All in all, sickening.

    Kathy, I am sure they save a few lives, like stopping the bleeding. Happy for you there, but take a look at the bigger picture.

  5. localulu says - Posted: September 10, 2013

    Like Observer, I had all my kids at Barton, but all I can say is thank the good Lord I’m done having babies now, after Barton got rid of the good doctors and hired who knows who. Barton is also overpriced — my husband needed an MRI of his knee and my friend told me to go to Great Basin in Carson and it was less than half the cost! The people that run that hospital are over paid and don’t care at all about the community, just filling their wallets. All my friends that work at Barton are so unhappy, but don’t say anything because the pay is good. Now my whole family goes to the few docs up here that aren’t affiliated with Barton