November 23, 2010


Voluntary QUEST project serving as a proving ground for health care delivery system reforms; participant hospitals save 22,164 lives, $2.13 billion in two years.

COLUMBIA, Tenn. – Maury Regional Medical Center (MRMC) has been recognized for achieving top performance standards in quality and cost-effective care in a voluntary, nationwide hospital performance improvement project. MRMC is the only hospital in Middle Tennessee to receive this distinction and one of only three in the state.


Based on second-year results from the project, MRMC achieved top performance in the following performance goals:

  • Safely reduce the cost of care for each patient's hospitalization.
  • Save lives by eliminating avoidable hospital mortalities.
  • Deliver the most reliable and effective care - every recommended evidence-based care measure to every patient every time.

MRMC saved an estimated 118 lives and improved the delivery of recommended evidence-based care measures by 9.5 percent. Evidence-based care measures include interventions such as administering aspirin upon arrival and discharge, and smoking cessation for heart attack patients.

MRMC is also bending the cost curve, reducing the case mix and inflation adjusted cost by an average of $958 per case or more than $22 million for the two-year period as a participant in the Premier healthcare alliance QUEST®: High-Performing Hospitals collaborative.

“As participants in QUEST, we are taking the next steps to achieve reliable delivery of the best clinical, financial and satisfaction outcomes. Through collaboration, data transparency and best practice sharing, participants will further secure their position as industry leaders, creating a competitive advantage,” said CEO Robert Otwell.

Developed in partnership with Premier and the Institute for Healthcare Improvement (IHI), QUEST is designed to support hospitals in reaching new levels of performance and inform public policies with meaningful solutions supported by real results. Together, QUEST hospitals share ideas and best practices to create effective strategies for reducing variation, an approach that has shown to support care quality, safety and cost improvements.

“QUEST hospitals are challenged to overcome process failures and excessive costs, and measure themselves against one another to achieve top performance,” said Susan DeVore, Premier president and CEO. “They have committed to serve as a test bed, identifying areas where further improvements are needed while showing what is possible in performance improvement in health care. Providers such as MRMC are setting the standard for top quality care.”

A three-year project, QUEST is made up of 157 not-for-profit hospitals across 35 states, including urban/rural, large/small and teaching/non-teaching facilities. In the first two years of the project, participants have increased the delivery of every recommended patient care measure by 12.8 percent, delivering perfect care 90.5 percent of the time. In doing so, QUEST hospitals have:

  • Saved an estimated 22,164 lives, nearly three times the lives saved in year one.
  • Reduced inflation adjusted costs by $2.13 billion or $400 per patient, saving more than 3.5 times that achieved in year one.
  • The number of additional patients receiving evidence-based care climbed to 43,741, nearly double the results achieved in the first year.

Seventy-six participants achieved top performance in the three measured areas in year two of the project. Twenty-nine are top performers in years one and two of QUEST.

According to an analysis, if all hospitals in the nation could achieve results comparable to the QUEST members, an additional 63,801 lives and $22.6 billion could be saved.

QUEST also benefits from an Advisory Panel of experts from 20 of the country's top health organizations, such as the Centers for Medicare & Medicaid Services, National Quality Forum, and the Agency for Healthcare Research and Quality.


About Maury Regional Medical Center

Maury Regional Medical Center has been recognized as one of the nation’s 100 Top Hospitals, a Top 50 health system, one of only 21 hospitals in the nation to receive the Premier Award for Quality, and a 2009 Excellence Award winner by the Tennessee Center for Performance Excellence. The 275-bed facility serves more than 260,000 people in southern Middle Tennessee and has a medical staff of more than 185 physicians. From a comprehensive interventional and surgical heart program with chest pain center accreditation to a neonatal intensive care and cancer center, the medical center offers a wide range of advanced services. For more information, visit


About the Premier healthcare alliance, Malcolm Baldrige National Quality Award recipient

Premier is a performance improvement alliance of more than 2,400 U.S. hospitals and 70,000-plus other health care sites working together to achieve high quality, cost-effective care. Owned by hospitals, health systems and other providers, Premier maintains the nation's most comprehensive repository of clinical, financial and outcomes information and operates a leading health care purchasing network. A world leader in helping deliver measurable improvements in care, Premier works with the Centers for Medicare & Medicaid Services and the United Kingdom's National Health Service North West to improve hospital performance. Headquartered in Charlotte, N.C., Premier also has offices in San Diego, Philadelphia and Washington. Stay connected with Premier on Facebook, Twitter and YouTube.