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Clinical Quality & Professional Affairs

UMC Governing Board Clinical Quality and Professional Affairs Committee

-0.20 Sentiment
0.40 Spin (VADER − DeepSeek)
4 Agenda Items
1 Employee-Relevant

Summary

Two of five quality goals missed; CAUTI and pressure injuries not improved.

quality safety governance patient access

🔔 What Matters to Employees 1 items

staffing 0.00 topic=staffing

No details provided in minutes.

All Agenda Items 8 items
quality safety -0.10

Leapfrog B, CMS 2-star, CAUTI up, PSI-90 decline.

quality safety +0.30

Moved to 2-star CMS rating; Leapfrog B; Joint Commission pending.

quality safety -0.30

Two of five metrics not meeting improvement; CAUTI increased.

governance 0.00

88 approved, 8 retired; July data unavailable.

governance 0.00

55 policies approved, 7 retired.

quality safety -0.50

Two of five inpatient measures missed; overall achievement 25.9%.

quality safety 0.00

Five goals approved; includes pressure injuries and online ratings.

patient access +0.20

Patient experience scores improving; Press Ganey contract pending.

Related Historical Findings

exec self dealing

CEO gets partial bonus despite failing patient safety goals

CEO goals achieved 25.9% despite missing key quality measures.

"The Committee agreed to an overall achievement of 25.9%."