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A Critical Access Hospital's Success with Incident Report Software

Written by Performance Health Partners | April 28, 2025

Recognizing the limitations and inefficiencies of its long-standing paper-based incident report software, Sparta Community Hospital District (SCHD) sought a modern solution to enhance safety and improve operational processes. The implementation of Performance Health Partners led to a dramatic increase in incident reporting due to its ease of use, enabling the hospital to identify critical safety trends, resulting in swift corrective actions and improved patient safety.

This shift has not only streamlined operations and reduced incident resolution times but has also provided valuable time back for staff, allowing for a more proactive approach to risk management and quality improvement.

Organizational Spotlight

Sparta Community Hospital District (SCHD), a Critical Access Hospital (CAH) based in Sparta, Illinois, serves a primary care area of approximately 18,000 individuals and a specialty service area reaching about 30,000.

The hospital is supported by a dedicated hospitalist team, ensuring comprehensive care delivery, including services to two local long-term care facilities. The emergency department accommodates approximately 8,000 visits annually. Additionally, SCHD operates six rural health clinics, walk-in clinics available seven days a week, two mobile clinics reaching underserved communities, and a Fee-For-Service (FFS) clinic. The organization also supports community health through a home health agency and two fitness centers.

The Challenge: A Cumbersome Paper-Based System

For years, SCHD relied on a paper-based system for tracking and managing incidents. This process was characterized by several challenges:

  • Time-consuming: Completing paper incident reports took significant time away from staff duties.
  • Lack of accountability: Accountability for completing and submitting forms was often an issue.
  • Lost reports: Paper incident reports were prone to getting lost.
  • Delayed processing: Incident reports often took a long time to reach the Quality Coordinator, sometimes taking until the end of the month. This delay hindered timely analysis and intervention.
  • Difficulty in identifying trends: The manual nature of the paper system made it challenging to track and identify recurring trends in incidents. Many incidents likely went unreported as the Quality Coordinator often initiated reports based on hallway conversations and meetings.
  • Increased workload: Collecting data through the paper process could potentially increase the workload for staff in various departments.

Joann Coke, Quality Coordinator at SCHD, described the antiquated system as a “nightmare.”

The Solution: Embracing Incident Report Software

Sparta Community Hospital District began exploring available solutions for incident report software. The key requirements for a new system were:

  • The ability to collect data efficiently without increasing staff workload
  • The elimination of the paper process
  • And improved reporting rates

The ease of use for front-line staff and the speed at which incidents could be reported were crucial factors in the decision to adopt Performance Health Partners’ Incident Management System. The ability for staff to report incidents like falls in under three minutes was a significant selling point. Furthermore, the customizability of PHP's incident reporting software was appealing.

Implementation and Adoption: A Smooth Transition

The implementation process involved dedicated one-on-one time with managers and select front-line staff to ensure they felt comfortable using the new system. Despite some initial hesitations from staff less familiar with computer programs, they quickly adapted after a few walk-throughs using real incidents. The training for PHP is now integrated into the annual and new employee orientation.

KPI Win: A Dramatic Increase in Reporting

One of the most significant achievements after implementing PHP was the substantial increase in incident reporting.

Reporting rates surged from an average of around 20 reports per month to between 70 and 80, with one month even reaching 90 reports. This increase in reporting is attributed to the ease of filling out digital forms, which now takes only two to five minutes compared to the more cumbersome paper forms.

As Joann stated, “It’s so easy to fill out forms.” The streamlined process of answering a few questions and submitting the report directly to the manager contributed to this significant uptick.

Examples of Transformation: Uncovering Trends and Driving Improvements

The increased reporting and real-time data provided by PHP enabled SCHD to identify trends and implement targeted process improvements:

  • Patient and Visitor Falls: Previously, reports of patient and visitor falls would be couriered around, and it could take weeks to get a complete picture. With PHP’s incident report software, Joann was able to see reports instantly and noticed a pattern of multiple falls occurring at the front entrance within a span of two to three days. Recognizing this trend immediately allowed her to bring it to the safety committee, which promptly implemented corrective actions for preventing patient falls. This swift action would not have been possible with the delayed information from the paper-based system.

  • Post-Operative Urinary Retention: By leveraging PHP and another program, the hospital began tracking patients returning to the Emergency Department (ED) within seven days. Analysis of these return visits revealed a trend of patients presenting with urinary retention or other urinary issues following outpatient surgery. This insight led to a revamping of the pre-operative process and discharge education for higher-risk patients. As a result of these changes, ED visits for post-operative urinary retention have become very rare. This trend was largely unnoticed prior to PHP due to limitations in the old reporting methods.

As Joann Coke noted, “I’ve found things I never thought I’d find with the program” because people are reporting more.

Improved Efficiency and Turnaround Time

PHP significantly improved the efficiency of incident management. Previously, the hospital aimed to resolve incidents within 14 days, but they lacked a reliable way to track this metric. With PHP’s tracking capabilities, Sparta is now averaging around seven days to wrap up an incident report.

This improved turnaround time is considerably better than their previous target and what they thought was reasonable. Joann and her team no longer have to spend time searching for lost paperwork, freeing up valuable time.

Enhanced Safety and Risk Reduction

The ability to quickly identify and address trends has made SCHD a safer environment for patients. By proactively addressing issues like falls and post-operative complications, the hospital has potentially reduced the risk of future incidents and associated expenses.

As Joann stated, “We’ve made things a lot safer… we’ve kept people out of the ER, we’re focusing on trends, keeping mistakes out of our charting.”

Return on Investment

Other areas where PHP has provided Sparta significant value:

  • Time Savings: PHP has given Joann “so much time back” in her life by eliminating the time-consuming manual processes associated with paper-based reporting.
  • Reduced ED Visits: By identifying and addressing issues leading to ED readmissions, PHP has contributed to keeping people out of the emergency room.
  • Prevention of Falls: The swift action taken to address the falls at the entrance demonstrates PHP’s role in preventing patient harm.
  • Focus on Proactive Improvement: PHP has shifted the focus from reacting to individual incidents to proactively identifying and addressing underlying trends, leading to continuous process improvement.

Joann describes her role as spending a lot of time “preventing spending money,” and PHP has empowered her to do so more effectively.

Staff Perspectives: Ease of Use and Support

Joann Coke’s favorite aspects of working with PHP include the time it has given her back, the ease of use for staff (requiring no significant learning curve), and the exceptional customer service.

She emphasizes that “anybody that can use their phone could use this program.” The fast and customizable nature of the software and the responsiveness of the customer service staff are highly valued.

Final Thoughts

The implementation of Performance Health Partners’ Incident Management System has brought about a significant positive transformation in incident management at Sparta Community Hospital.

By moving away from an antiquated paper-based system to a user-friendly digital platform, the hospital has experienced a dramatic increase in reporting, improved efficiency in incident resolution, enhanced patient safety through proactive trend identification, and a demonstrable return on investment in terms of time savings and risk reduction.

The positive feedback from the hospital’s Quality Coordinator highlights the value of PHP in empowering SCHD to create a safer and more efficient healthcare environment for its community.

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Learn how Performance Health Partners’ best-in-class incident report software can help improve safety and patient outcomes, and cut costs at your organization. Book a demo with us for an in-depth look into our system.