Patient harm
1in4
hospitalized Medicare patients experienced harm in October 2018.
HHS Office of Inspector GeneralPolicy into practice
Your staff signed the policy.That doesn't mean they follow it.
We're looking for three U.S. hospitals to find gaps in recorded care, improve practice, and document the response for leaders and surveyors.
Prefer email?Record check
Illustrative dataPain reassessed within 60 minutes of an as-needed dose
Doses reviewed31
4 of 31 had no reassessment documented
A reason to investigate, not a conclusion that care was missed.
Why this matters
Patient harm is still too common.
2016 estimate
250,000
annual U.S. deaths attributed to medical error in one published estimate.
The BMJ2018 TJC survey data
52%
of hospitals surveyed by The Joint Commission had at least one condition-level deficiency in January–June 2018.
Barrins & AssociatesThe harm leaders do not see
50%
of patient harm events among hospitalized Medicare patients were not captured in hospital incident-reporting or other surveillance systems.
HHS Office of Inspector GeneralThe cost of harm
23%
of hospitalized Medicare patients who experienced harm needed treatment that added Medicare costs.
HHS Office of Inspector GeneralThe payment exposure
1%
reduction in Medicare fee-for-service payments for eligible hospitals in the worst HAC-performance quartile.
Centers for Medicare & Medicaid ServicesHow Oromis works
See the gap. Fix the cause. Show the evidence.
EHR data
Clinical charts
Incident reports
oromisIllustrative data
Watched requirements
3 shown- Pain reassessment93%
Open
- Restraint checks97%
Open
- Fall-risk reassessment86%
Remeasuring
Selected requirement
Pain reassessment
93%
Below threshold
Jun 23Sep 8
Finding
93% below the 95% threshold
Owned response
Unit manager tests a handoff prompt and remeasures
Evidence record
Dated finding, action and result for leaders and surveyors
The goal: safer care and less avoidable cost.
Reports
From the unit huddle to the board.
Illustrative views we're shaping with hospital partners from the same reviewed measures, findings, actions and remeasurements.
Unit huddle
Open issues and owners
Med-Surg 4AHuddle sheet
Restraint checksAssign owner
Falls follow-upRemeasure due
Weekly watchlist
Trends and overdue work
Open findings
Four-week view
1 follow-up overdue
Monthly QAPI
Action and remeasurement
Restraint checks · finding and response
- 97%Baseline
- ✓Action chosen
- →Result pending
Board quality brief
Progress and decisions
Quality priorities
Board viewOpen finding97%Restraint checks
Remeasuring86%Fall-risk reassessment
Decision requested
Give unit managers time for follow-up.
Innovation partnerships
We're looking for three U.S. hospitals to build this with us.
With 90–180 days of usable historical records, we can establish a baseline at the start of validation. Together we investigate the patterns, agree corrective action, remeasure as new records arrive, and document the response.
Your hospital brings
- A quality sponsor and an IT/data contact
- A priority quality question and agreed historical records, once approved
- Working sessions to investigate findings and decide on a response
Oromis brings
- A baseline from usable historical records
- Reviewable findings and proposed areas to investigate
- Support for corrective action, remeasurement and a reviewable record
A focused founding validation. Together we agree the quality question, data scope, responsibilities and review date before starting. Records move only after safeguards and approvals are in place.
Apply for a partnershipApply for a partnership
What does your hospital need to know is happening on the floor?
Tell us about your hospital and where you'd like to start. No files are needed to apply.