Kaiser Permanente Roseville has reached a historic milestone in patient safety, achieving a Safety Priority Index (SPI) score of 0.68, the lowest on a 12-month rolling basis. This accomplishment positions Roseville as a leader among Kaiser Permanente Northern California medical centers.
SPI is a blended, weighted index that measures hospital-acquired conditions (HACs) during patient stays. It encompasses critical areas such as Clostridioides difficile (C. diff) infections, central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), patient falls with injury, surgical site infections, cesarean section infections, and hospital-acquired pressure injuries. A lower SPI score reflects fewer patient safety events, signaling exceptional performance.
This achievement results from sustained, strategic efforts that began in February 2022. Roseville implemented staff and provider education on bundled practices, introduced problem-solving boards and K cards, and launched performance improvement committees. A year-long quality colloquium further strengthened understanding of improvement science. Technology enhancements, including bed alarm connectivity, new safety products, and revised workflows, have reinforced clinical decision support and effectiveness.
“Our care teams play a vital role in this work,” said Jacqueline Strinden, DNP, Area Safety and Quality Officer. “Representatives from each department bridge frontline care and evidence-based practices, embedding high reliability into daily operations.”
While SPI is not a national metric, Roseville’s performance contributes to recognition such as the Leapfrog Safety Grade and Hospital Compare ratings. Most importantly, this score means patients are significantly less likely to experience harm, a testament to the dedication of Roseville’s healthcare teams.
