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Laguna Honda presents annual report: EPIC rollout, quality gains and pandemic operations
Summary
Laguna Honda Hospital presented its annual report to the Health Commission, highlighting EPIC electronic records implementation, a 23% reduction in new pressure ulcers, continued high resident days and revenue/expense shifts during the COVID-19 pandemic.
Laguna Honda Hospital's leadership presented the facility's annual report to the San Francisco Health Commission on Jan. 5, describing quality-improvement activity, the EPIC electronic medical record rollout and operational changes made during the COVID-19 pandemic.
CEO Michael Phillips and the hospital's chief quality officer outlined key metrics from fiscal year 2019'20: the hospital recorded more than 294,000 resident days, completed roughly 354 admissions during the period cited, achieved a 23 percent reduction in newly acquired pressure ulcers (surpassing a 10 percent target), and maintained care-experience survey scores above 85 percent each quarter. Leadership also described workforce pulse surveys and other staff engagement work aimed at improving the likelihood that employees would recommend Laguna Honda as a workplace.
Speakers emphasized the EPIC go-live (08/03/2019) as a major operational milestone that required intensive stabilization and subsequent adaptation for COVID-19 response. The report described how EPIC supported clinical workflows during the pandemic, including building shadow units and orders for an admissions observation unit. Presenters also highlighted fall-visualization tools, a multidisciplinary falls committee, barcode medication administration and a multidisciplinary approach to pressure-ulcer reduction.
The presenters reviewed the hospital's pandemic timeline: early screening for all entrants beginning March 14, establishment of screening testing and the South 5 COVID unit in May, cohorting and stepped-up contact investigations, expansion of environmental services (24-hour cleaning) and infection-prevention training. Leadership acknowledged five recent resident deaths but noted that, for months early in the pandemic, there were no COVID-19 deaths among residents or staff.
Commissioners complimented the hospital's design and staff adaptability, and thanked leadership for the detailed report. The presentation closed with an outline of continuing priorities: improving equity-related performance metrics and further refining staff support and safety processes.
