HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) Jessica Rowden, - PowerPoint PPT Presentation

HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) Jessica Rowden, MHA, BSN, R.N., CPHQ Director of Clinical Quality

HIIN Hierarchy Centers for Medicare & Medicaid Services 15 other prime American Hospital Association/Health HIIN contractors Research and Educational Trust 31 other state Missouri Hospital hospital associations Association 1,600 hospitals 86 hospitals*

Survey Data  Needs Assessment  One-time  Survey Monkey – for submission  Patient and Family Engagement  Quarterly  HIDI Quality Collections

Needs Assessment  Hospital Demographics  Comparative Groups  EHR Vendor  Topic Level Involvement  Patient and Family Engagement Questions  Additional Missouri Questions  Excel Support  Statistics Support  Data Support  QI Support

Patient and Family Engagement  Quarterly  HIDI Quality Collections

Abstracted Measures

HIINformational Data  Data Submission Assistance (encourage monthly)  Abstracted – Templates – Quality Collections  Claims  NHSN  Reports  Baseline  Project – Monthly – Quarterly

Mi Mission: ion:  20 20 percent harm reduction  12 12 percent readmission reduction

Measures for ALL Hospitals

Measures for SPECIFIC Hospitals

Data Submission: Abstracted Measures  For abstracted measures, you have the choice to either submit data on the data submission excel templates and email to your Improvement Advisor on a monthly basis OR  You can submit your data directly into Quality Collections on a monthly basis

Data Submission: Abstracted Measures  Data Submission Templates (monthly)

Data Submission: Abstracted Measures  HIDI Quality Collections  https://www.hidianalyticadvantage.com/Analytics/Home.aspx

Data Due Dates – HIIN Project Yr 1 Deadline For Hospital to Task Submit Data Data Included in Deadline Baseline 17-Jan Baseline January Monthly Monitoring Data 23-Jan Oct-Dec February Monthly Monitoring Data 20-Feb Oct-Jan Mid-Year Report 8-Mar Oct-Jan March Monthly Monitoring Data 23-Mar Oct-Feb April Monthly Monitoring Data 20-Apr Oct-March Milestone 4 8-May Hard dealine for ALL data Oct-Feb May Monthly Monitoring Data 22-May Oct-April June Monthly Monitoring Data 22-Jun Oct-May July Monthly Monitoring Data 21-Jul Oct-June August Monthly Monitoring Data 23-Aug Oct-July Target Report 6-Sep Oct-July September Monthly Monitoring Data 19-Sep Oct-Aug Milestone 5 14-Sep Hard deadline for ALL data Oct-May October Monthly Monitoring Data 23-Oct Oct-Sept

Data Submission: NHSN/Claims  NHSN  Confer rights  Ensure data is entered monthly  Ensure data is entered for HIIN measures  Claims  Hospital billing department sends data monthly/quarterly to HIDI  HIDI processes data quarterly to supply claims measure data for HIIN project

Confer Your NHSN Data to HIDI  Why?  To provide you the most robust data portfolio  To better assist you with more improvement opportunities  See the Instructional Guide

Reports  Baseline Data  Improvement Calculator  Monthly  Harms prevented  Performance  Costs saved – Current  Lives saved (NEW!) – Aggregate/Project  Easier to use  Missing data  Based on pivot tables (not  Topics meeting goal macros)  Opportunities  Updated cost estimates  Quarterly  CEO dashboard  HIIN lead preview period of dashboard

Education

Data Education  Formal Quality and Process Improvement  Fellowships  IHI Open School  Webinars  Coaching Calls  Site Visits  #WhyImHIIN

HIINcredible Fellowship Opportunity  Additional benefits of participation including  Developing or deepening your skills in quality improvement  The opportunity to share with and learn from colleagues seeking to make similar improvements  Coaching from IHI Improvement Advisors  Access to the IHI Open School virtual courses  Efforts to create improvement leaders through the fellowship program are associated with improvement in outcomes

Two Fellowship Tracts Foundations for Change Fellowship Accelerating Improvement Fellowship Tailored to those who are new to quality Tailored to those with previous QI experience improvement who are looking to deepen their knowledge and skills Fellows will learn how to : Fellows will learn how to :  deploy tools such as aim  assess whether your QI efforts are set up statements, driver diagrams, and for success run charts to initiate and nurture  utilize data to identify, drive, and sustain improvement performance improvement  galvanize others to participate in  ensure process reliability and your improvement efforts sustainability  develop and sustain momentum  plan for spread and scale  mitigate common improvement  mitigate common improvement pitfalls pitfalls

Fellowship Goal is to get at least one fellow signed up per hospital  Quality Improvement  Patient and Family Engagement

ListServ  Missouri HIIN Participants  Please sign up and DELEGATE!  To prevent inbox clutter, create a “rule”  If you need help with this, ask your IA  Get access to other hospitals, subject matter experts, and other resources so you aren’t stuck reinventing the wheel  Goal is to get at least one topic lead per listserv per hospital

Delegation Tips  Think outside the box  Get nursing/direct patient care staff more involved in the “behind -the- scenes” work  Include nursing management and front-line staff in webinars, QI projects, listservs, fellowships  Build quality improvement education into the clinical ladder  Identify nurses/other staff furthering their education and are in need of projects for school  Encourage nurses/other staff to further their education and give them a project for school – contact us for HPOG grants!

H11N 8Y TH3 NUM83R5

HIIN Stats  86 Participating Hospitals  73 ACC  13 Rehab/Psych/LTAC  CAH/Rural numbers – 25 CAH – 43 Rural

Immersion Projects  In Progress  Antibiotic Stewardship Program  Workplace Violence  Coming CY 2017  Sepsis  Readmissions  Brainstorming – late 2017 or 2018  Lean/SS  Leadership  HAI

Up Campaign Two foundational questions: 1. Is my patient awake enough to get up? 2. Have I protected my patient against infections?

Our National HIIN Team

National Project Team  Kimberly King, HRET – State Liaison  Julia Heitzer, HRET – Data Liaison  Betsy Lee, Cynosure Health – SME Liaison

New HRET Resources

Be HIINvolved!  Share your stories!  Be HIIN the know!  Participate in webinars, educational opportunities, resources  Delegate!  Get your team involved!  Help us make HIIN a household name!  Ask your IA your hospital questions!  Let us visit and celebrate or work through barriers with you!  Help us HIINcrease safety and quality across the board

2017 Aim for Excellence Conference Join the Missouri Hospital Association at the inaugural Aim for Excellence Conference, designed to both highlight the achievements of Missouri hospitals and inform on trending topics leading to the Triple Aim – better health, better care, lower costs. The winners of the inaugural 2016 Aim for Excellence awards will present their work and the conference will also include a special session and open discussion on Missouri initiatives to combat opioid misuse. L ear Thursday, April 6 and Friday, April 7, 2017 Columbia Courtyard by Marriott David Nash, M.D., MBA Peter Almenoff, M.D., FCCP Kerry Johnson Register Now Registration deadline: Thursday, March 30

MHA SQI Webinars  What’s Up Wednesdays  First Wednesday of the month at noon  Register  HIIN Huddles  Fourth Tuesday of the month at 2:00 p.m.  Register

Missouri HIIN Team Jessica Rowden Amanda Keilholz Toi Wilde Mary Shackelford • Jessica Rowden, RN, • Amanda Keilholz • Toi Wilde, RN, BSN, • Mary Shackelford, RN, BSN, MHA, CPHQ MBA BSN • HIIN Program Manager • Director of Clinical Quality • HIIN Program Manager • Improvement Advisor • 573/893-3700, ext. 1405 • 573/893-3700, ext. 1391 • 573/893-3700, ext. 1406 • mshackelford@mhanet.com • akeilholz@mhanet.com • jrowden@mhanet.com • twilde@mhanet.com