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Outcomes of Care: Critical Care Services
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The Critical Care Unit at Santa Barbara Cottage Hospital is committed to providing patients with excellent, state-of-the art care throughout the course of their stay, while following our core values of excellence, integrity and compassion.
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The Critical Care Unit at Santa Barbara Cottage Hospital is committed to providing patients with excellent, state-of-the art care throughout the course of their stay, while following our core values of excellence, integrity and compassion.
Our critical care services offer an intense level of monitoring and specialized care to patients who are critically ill and those who have undergone advanced medical procedures such as cardiovascular catheterization, or complicated surgical procedures.
Our 15-bed Intensive Surgical Intensive Care Unit (SICU) and 18-bed Medical Intensive Care Unit (MICU) at Santa Barbara Cottage Hospital provides 24-hour staffing by physician specialists and registered nurses trained in Critical Care to provide comprehensive Critical Care services for any unforeseen event including trauma, cardiac events, neurovascular diseases, and many other chronic and acute serious illnesses. Cottage Health System also retains an 8-bed Critical Care Unit (CCU) at Goleta Valley Cottage Hospital.
Medical residents, under the supervision of Dr. Jeffrey Fried and other intensive care specialists (intensivists) on the Cottage medical staff, participate in the care of a majority of the medical patients in the intensive care units at Santa Barbara Cottage Hospital. All medical residents are trained and certified in a Fundamentals of Critical Care Medicine course, sponsored by the Society of Critical Care Medicine. Additionally, the medical director of the Surgical Intensive Care Unit supervises the surgical residents, who participate in the care of most surgical patients. The collaboration of the medical and surgical residents with intensivists in these cases greatly improves care by providing in-house, 24-hour physician coverage of these critically ill patients.
Both the MICU and SICU have received the Beacon Award for Excellence in Critical Care Nursing from the American Association of Critical Care nurses for the past two years. This award recognizes Critical Care Units that achieve the highest quality standards, exceptional care of patients and their families, and healthy work environments.
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Our Critical Care Units are under the direction of Jeffrey Fried, M.D., a specialist in Pulmonary and Critical Care Medicine. Dr. Fried is a Fellow of The American College of Chest Physicians and Fellow of The American College of Critical Care Medicine. He serves as the teaching attending for the Residents' ICU team. Dr. Fried graduated from USC School of Medicine in 1982, and remained at LAC-USC Medical Center to complete his residency and fellowship training. He came to Santa Barbara in 1988, and became the full-time, hospital-based ICU and MICU Director at Santa Barbara Cottage Hospital in 2004. He is board certified in Internal Medicine, Critical Care, and Pulmonary Medicine.
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Cottage Health System is publicly reporting our critical care outcomes. It is an important part of our mission to be a leading healthcare system in California. We are deeply committed to sharing our quality data in an effort to be transparent and to promote the public's understanding of their healthcare options. We firmly believe in processes of care that are driven by data and based on firm evidence. As a system, we learn from these measures and address our opportunities to improve the care of our patients. Combined with our core values of excellence, integrity and compassion, this emphasis on superior process has the potential to advance all aspects of care in our hospital system.
Critical Care Measures: Risk-Adjusted Mortality Rate
This measure is the number of patients who expired before discharge from the hospital after a stay in the intensive care unit (ICU). These rates for hospitals are adjusted because patients have different chances of surviving due to individual risk factors.
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Critical Care Risk-Adjusted Mortality Rate
4th quarter 2009 - 3rd quarter 2010
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Santa Barbara
Cottage Hospital |
Goleta Valley
Cottage Hospital |
California State Average |
| 12.00% |
10.53% |
11.92% |
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* These data show that survival rates at both Santa Barbara Cottage Hospital and Goleta Valley Cottage Hospital are higher than the state average. Santa Barbara Cottage Hospital began implementing CHART, a statewide hospital performance reporting system, during the first quarter of 2008 in order to measure critical care mortality rates. After the second quarter of 2008, the hospital expanded the program to include head of bed compliance, peptic ulcer disease prophylaxis, and deep vein thrombosis prophylaxis. Goleta Valley Cottage Hospital began implementing CHART during the second quarter of 2008 in order to measure critical care mortality rates. To learn more about CHART, please visit http://www.cottagehealthsystem.org/tabid/641/Default.aspx
Critical Care Measures: Evidence-Based Practice
Head of Bed Compliance: Patients on ventilators have a greater risk of developing pneumonia. Keeping the head of the bed elevated at least 30 degrees reduces the risk.
Peptic Ulcer Disease Prophylaxis: Patients on ventilators have a greater risk of developing ulcers in the stomach or intestines. Medicine can be given to reduce the risk of developing peptic stress ulcers.
Deep Vein Thrombosis Prophylaxis: Patients on respirators can develop blood clots in their legs (a condition sometimes called deep-vein thrombosis or DVT). The blood clots can break loose and move into the lungs, which can be fatal. Medicine may be given to prevent clots, or stockings applied (called sequential compression devices) on a patient's legs. Sometimes a device put in the veins (called an IVC filter or umbrella) can catch any blood clots that break loose.
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Critical Care CHART Measures
4th quarter 2009 - 3rd quarter 2010
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Santa Barbara
Cottage Hospital |
California State Average |
| Head of Bed Compliance |
98.8% |
96.9% |
| Peptic Ulcer Disease Prophylaxis |
99.0% |
96.7% |
| Deep Vein Thrombosis Prophylaxis |
96.8% |
96.4% |
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* The above measures are three evidence-based practices that reduce the likelihood of complications for patients during the course of their hospital stay. Santa Barbara Cottage Hospital began implementing CHART, a statewide hospital performance reporting system, during the first quarter of 2008 in order to measure critical care mortality rates. After the second quarter of 2008, the hospital expanded the program to include head of bed compliance, peptic ulcer disease prophylaxis, and deep vein thrombosis prophylaxis. Goleta Valley Cottage Hospital is not included in the above table due to the fact that patients on ventilators are transferred to Santa Barbara Cottage Hospital for their care. To learn more about CHART, please visit http://www.cottagehealthsystem.org/tabid/450/Default.aspx
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