2025 Quality, Safety and High-Reliability Report
As your trusted healthcare partner, CMH gives compassionate care to all generations. In 2025, we deepened our commitment to safety and quality care. Collaboration, smart investments, ongoing learning and a strong safety culture produced measurable progress.
High-Reliability Principles Guiding Our Care
We apply these high-reliability principles daily and in all initiatives.
Preoccupation with Failure
We see each safety event, near miss or unexpected result as a chance to learn.
Reluctance to Simplify
Teams dig into complex processes and avoid relying on assumptions.
Sensitivity to Operations
Leaders and staff remain alert to clinical conditions and risks as they happen.
Commitment to Resilience
Teams respond quickly and effectively to challenges.
Deference to Expertise
Those who are closest to the work, regardless of rank, make decisions.
Key Safety and Quality Initiatives
Enhancing Maternal and Newborn Safety Initiatives
- Standardized protocols for obstetric emergencies
- Simulation training for labor and delivery teams
- Improved fetal monitoring with new wireless technology
- Expanded care models for safe discharge and postpartum recovery
- Achieved “Birthing-Friendly” designation by the Centers for Medicare and Medicaid Services
Results
- 32% reduction in primary C-section rates in 2025, lowering future risks
Strengthening Infection Prevention
- Peer-led hand hygiene monitoring for accountability
- UV-C disinfection in air purification systems
- Standardized protocols for central-line and catheter care
- Daily audits for best practice compliance
Results
- 67% reduction in hospital-onset C.diff infections in 2025
- Zero catheter-associated urinary tract infections in 2025
- Five consecutive years of zero surgical-site infections after colon procedures
The Future of Safe, Quality Care at CMH
We aim to sustain and expand our high-reliability journey through:
- Daily safety huddles in all units
- Leadership rounding for operational awareness
- Enhanced data analytics to spot risks sooner
- Expanded simulation training for clinical teams
- Stronger patient-family engagement in safety planning
These efforts reinforce our goal of zero harm and prioritize safety.