June 3, 2008


Columbia, Tenn. – Maury Regional Hospital today announced that it has joined a comprehensive, national program that will improve the quality and safety of patient care while safely reducing health care costs.

“QUEST: High Performing Hospitals” is a three-year, collaborative program among more than 100 leading hospitals through which Maury Regional Hospital will report data to the Premier health care alliance on a set of defined quality, efficiency, safety and patient experience measures. Based on the evidenced-based data, participating hospitals will share best practices and results from top performers so as to deliver the highest quality patient care at the lowest costs.

“Maury Regional Hospital looks forward to working with other leading hospitals and health care organizations to develop a program that allows us to learn new ways to better serve our patients while safely reducing the cost of care.” said Robert Otwell.  “Ultimately, our goal as a part of this program is to reliably deliver the most efficient, effective and caring hospital experience for each and every one of our patients.”

QUEST is based on many of the same principles used in the Hospital Quality Incentive Demonstration Project (HQID), a highly successful pay-for-performance initiative overseen by Premier and the Centers for Medicare and Medicaid Services (CMS). QUEST also builds on the momentum of hospitals focused on harm reduction in the Institute for Healthcare Improvement’s (IHI) 5 Million Lives Campaign, a Voluntary initiative to protect patients from 5 million incidents of medical harm over a two-year period (December 2006 – December 2008). IHI is offering improvement expertise for the QUEST program. 

“QUEST hospitals will be engaged in developing and testing performance measures that will help guide future models of quality measurement and reimbursement,” said Stephanie Alexander, senior vice president of Premier Healthcare Informatics. “Participating hospitals will be ahead of the curve related to changes that are clearly coming in the reimbursement landscape.”

The QUEST measures focus on Quality, Efficiency and Safety, with Transparency. QUEST will be guided by an oversight committee comprised of leaders from IHI, the Premier health care alliance and charter member hospitals. QUEST will also benefit from the advice of an advisory panel which will guide issues around policy and advocacy. The panel will include industry leaders, such as IHI, the National Quality Forum, CMS, the American Hospital Association, the Agency for Healthcare Research and Quality, the Joint Commission, the American College of Surgeons, the American Board of Internal Medicine, and other medical and quality leaders.

The five measurement areas for QUEST are:

    • Mortality Ratio, which will be risk-adjusted, to attain the goal of eliminating all avoidable deaths;
    • Evidence-based Care, which will measure the percentage of patients receiving "perfect care” – using nationally recognized evidence-based quality measures;
    • Efficiency, which will measure total inpatient cost per case mix adjusted discharge, including all of the costs associated with each episode of acute care;
    • Patient Experience, which will utilize the CMS Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction measures. In addition to the goal of improving the patient experience, the program will also study how patient experience can relate to cost, quality and safety; and,
    • Harm Avoidance measures – the prevention of such things as health care associated infections and adverse drug events – will be developed over time by the program. Many measures exist today in this area. QUEST hospitals will participate in the selection of harm measures that have the greatest impact for use in QUEST.

The initial phase of the program will focus on mortality, evidence-based care and efficiency, with harm avoidance and patient experience the focus in year two.

“Through collaboration, data transparency and better practice sharing, QUEST hospitals will further secure their position as industry leaders in their markets and nationally, creating a competitive advantage,” said Alexander. “Participation in QUEST will help hospitals deliver the best outcome for each patient clinically, financially and in patient service and satisfaction.”


About Premier Inc., 2006 Malcolm Baldrige National Quality Award recipient
Serving 1,700 U.S. hospitals and more than 49,000 other health care sites, the Premier health care alliance and its members are transforming health care together. Owned by not-for-profit hospitals, Premier operates one of the leading health care purchasing networks and the nation's most comprehensive repository of hospital clinical and financial information. A subsidiary operates one of the nation's largest policy-holder owned, hospital professional liability risk-retention groups. A world leader in helping health care providers deliver dramatic improvements in care, Premier is working with the United Kingdom's National Health Service North West and the Centers for Medicare and Medicaid Services to improve hospital performance. Headquartered in San Diego, Premier has offices in Charlotte, N.C., Philadelphia, and Washington. For more information, visit


About Maury Regional Hospital

Maury Regional Hospital is recognized as a 2007 Thomson Top 100® Hospital. The 275-bed not-for-profit regional medical center established in 1953 is located in Columbia, Tennessee. The hospital has a medical staff of 170 physicians, representing more than 30 specialties, and serves approximately 260,000 residents in southern Middle Tennessee with affiliate facilities in Spring Hill, Hohenwald, Lewisburg and Waynesboro.



© 2008 Maury Regional Medical Center