11/15/2012 ASHP Live Webinar: Building a Medication ASHP Live Webinar: Building a Medication Safety Community Safety Community - - Leveraging the Partnership for Patients Initiative Leveraging the Partnership for Patients Initiative John B. Hertig, PharmD, MS Jaclyn Jeffries, PharmD Medication Safety Project Manager Medication Safety Resident Assistant Clinical Professor of Pharmacy Center for Medication Safety Practice Advancement Center for Medication Safety Advancement Purdue University College of Pharmacy Purdue University College of Pharmacy Indianapolis, IN Indianapolis, IN Dan Degnan, M.S., Pharm.D., CPHQ Moderator Thursday, November 15, 2012 2:00 – 3:00 PM ET Planned by the ASHP Section of Inpatient Care Practitioners Section Advisory Group on Medication Safety value added service for members. ASHP Live Webinar: Building ASHP Live Webinar: Building a a Medication Medication Safety Community Safety Community - - Leveraging the Partnership for Patients Initiative Leveraging the Partnership for Patients Initiative John B. Hertig, PharmD, MS John B Hertig PharmD MS Jaclyn Jeffries PharmD Jaclyn Jeffries, PharmD Medication Safety Project Manager Medication Safety Resident Assistant Clinical Professor of Pharmacy Center for Medication Safety Practice Advancement Center for Medication Safety Advancement Purdue University College of Pharmacy Purdue University College of Pharmacy Indianapolis, IN Indianapolis, IN Objectives Describe the Partnership for Patients initiative and explain how pharmacists play an important role in its success Discuss the role Indiana has played in coordinating Partnership for Patients’ coordinating Partnership for Patients efforts with state organizations, professional groups and health-systems Outline the framework for the Medication safety Alliance Community of Practice and explain strategies for maintaining and growing a medication safety community 1
11/15/2012 Outline Review Partnership for Patients Initiative Discuss the various engagement networks and Indiana’s role Outline the framework of Indiana’s Outline the framework of Indiana s Medication Safety Alliance Specifically discuss the events and strategies that have been launched Describe future directions for the alliance Questions Ask the Audience Getting to know you… Polling Question What type of practice do you represent? A) Front-line Pharmacist B) Pharmacy Administrator C) Medication Safety Pharmacist/Officer C) Medication Safety Pharmacist/Officer D) Nursing or Physician Safety Leader E) Other 2
11/15/2012 Polling Question How much do you know about the Partnership for Patients Initiative? A) Nothing: this is the first I have been exposed to it B) A littl B) A little C) I feel like I know more than most people D) I am a true expert Partnership for Patients About Partnership for Patients Partnership for Patients (PfP) launched by the Department of Health and Human Services (HHS) $1 billion in new funding provided by the Affordable Care Act Public and private partners Better care and lower cost of health care for all Americans Americans Quality Safety Affordability Two core goals of this partnership Keep patients from getting injured or sicker in the health care system Help patients heal without complication by improving transitions from acute-care hospitals to other care settings 3
11/15/2012 Two Main Goals (end of 2013) Keep patients from getting injured or sicker Decrease preventable hospital-acquired conditions by 40% compared to 2010 1.8 million fewer injuries (60,000 lives saved over three years) Help patients heal without complication Help patients heal without complication Decrease preventable complications by 20% compared to 2010 1.6 million patients avoid re-hospitalization within 30 days of discharge Potential to save up to $35 billion across the health care system $10 billion in Medicare savings, over the next three years Hospital Engagement Networks $218 million was awarded to 26 state, regional, national, or hospital system organizations to be Hospital Engagement Networks (HEN) as part of PfP Identify solutions already working Work to spread them to other hospitals and health care providers Develop learning collaborative for hospitals and provide a wide array of initiatives and activities to id id f i iti ti d ti iti t improve patient safety Intensive training programs Technical assistance to hospitals Establish and implement a system to track and monitor hospital progress American Hospital association Health Research and Educational Trust (HRET) How HEN Contracts Fit in the PfP 4
11/15/2012 National HEN Targeted Harms PfP has identified nine areas of focus Not limited, but these areas of focus are obvious and important places to begin Adverse drug events 1) OB Adverse Events/Birth-related injuries 2) 3) Central line-associated blood stream infections 4) Catheter-acquired urinary tract infections Falls 5) Surgical infections and complications 6) Venous thromboembolism 7) 8) Pressure ulcers 9) Ventilator-associated pneumonia 10) Readmissions HRET/AHA HEN 34 states / 1,621 hospitals IHA as Part of the AHA/HRET HEN 26 Hospital Engagement Networks nationwide Largest is the AHA/HRET HEN 30 state hospital associations, DC and Puerto Rico are participating in the HRET HEN Indiana Hospital Association contingent is 2nd largest among 32 HRET HEN jurisdictions 5
11/15/2012 Indiana/HRET HEN Summary 119 Indiana hospitals aligned with IHA/HRET Includes: - 26 critical access hospitals - 8 psychiatric hospitals - 5 rehabilitation hospitals - 4 long term acute hospitals Key Focus Areas Indiana National (CMS) EED Early Elective CAUTI Deliveries before 39 weeks (EED) Readmissions Readmissions Adverse Drug Adverse Drug (Readmissions Race) Events Falls Prevention Building a Network 6
11/15/2012 Eleven regional safety coalitions Members agree not to compete on patient safety Layered model of regional coalitions and affinity groups supports transformation, learning and spread Benefits: • Innovate at the front lines • Align with state and national efforts, and standardize when beneficial • Builds local and hospital-specific capacity for improvement and innovation • Encourages safety leadership at all levels across multiple professions Purdue University Involvement Focus on building lasting capacity for improvement in Indiana • Purdue Healthcare Advisors: Lean/Six Sigma Belt training Coaching for Lean/Six Sigma projects R Readmission simulation d i i i l ti • Center for Medication Safety Advancement: Medication Safety Course ADEs and Readmissions Coaching calls Medication Safety Alliance (MSA) Medication Safety Alliance Purpose Framework Partnerships Pharmacist’s Role 7
11/15/2012 Alliance Framework Educating Medication Safety Sharing Supporting Special Thanks Betsy Lee Director, Indiana Patient Safety Coalition Indiana Hospital Association d a a osp ta ssoc at o blee@ihaconnect.org (317) 423-7795 Indiana Medication Safety Alliance Let’s take a closer look at the Medication Safety Alliance (MSA) Medication Safety CE Pre-work webinar and strategies Pre-work webinar and strategies Self-assessment on high-risk medications leading to readmissions Conference on Readmissions and ADEs Coaching calls Future directions… 8
11/15/2012 Medication Safety CE Course Launched on September 17 th On-line, on-demand course 7 CE hours for MDs, nurses and pharmacists 10 spots per hospital for inter-professional medication safety team Readmissions • Partnership for Patients • Reduce preventable hospital-acquired conditions by 40% by December 31, 2013 • Reduce all hospital readmissions by 20% by December 31, 2013 D b 31 2013 • PfP focus is on anticoagulants, narcotics, sedatives, and insulin U.S. Department of Health & Human Services Partnership for Patients. Health Research & Educational Trust. I mplementation Guide to Reducing Harm from High-Alert Medications. Accessed at http: / / www.hret- hen.org/ images/ downloads/ 508changepacks/ ade_changepackage_508.pdf , August 4, 2012. Step 1: Identify Problem Provide Identify high- Discuss examples on risk mitigation how to medications strategies implement 9
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