THA Hospital Improvement Innovation Network (HIIN) Kick-Off Webinar November 2, 2016
First Things First • Welcome • Purpose • Congratulations!
Agenda • Partnership for Patients • HEN 1.0 and 2.0 • HIIN Design • Questions/Comments
CMS Partnership for Patients CMS’ Innovation Center Launched April 2011 Goals • To reduce hospital acquired conditions (HACs) by 40% (1.8 million fewer events) • To reduce 30-day readmissions by 20% (1.6 million fewer readmissions)
Hospital Engagement Network (HEN) • HEN 1.0—Dec. 2011-Dec. 2014 • HEN 2.0—Sept. 2015-Sept. 2016 • 3,700 acute-care hospitals nationwide
THA HEN 1.0 Achievement • Harm reduction = 11,109 events • Cost savings = $91,164,925
THA HEN 2.0 Achievement • Harm reduction = 2,857 events • Cost savings = $13,374,804
THA HEN PFE Metrics and Status
PfP National Results Substantial progress through 2014, compared to 2010 baseline • 17% reduction in overall harm • 39% reduction in preventable harm • 87,000 lives saved • $19.8B in cost savings from harm avoided • 2.1M fewer harms over 4 years Source: Agency for Healthcare Research & Quality. “Saving Lives and Saving Money: Hospital-Acquired Conditions Update. Interim Data from National Efforts to Make Care Safer, 2010-2014.” December 1, 2015.
HEN Continuation as HIIN • Hospital Improvement Innovation Network • Funding source moved from the Affordable Care Act to the Medicare Trust Fund • Nationally defined (standardized) outcome measures • Seeking participation of all acute-care hospitals in the nation • Partnerships are central • Campaign-- Innovation, rapid cycle development, cross-cutting
PfP National HIINs 1. American Hospital Association--HRET 2. Carolinas HealthCare System 3. Dignity Health 4. Healthcare Assoc. of NY State 5. Health Research Education Trust of NJ 6. HealthInsight 7. Hosp. & Healthsystem Assoc. of PA 10. MI Health and Hosp. Assoc. Health Found. 8. IA Healthcare Collaborative 11. MN Hosp. Assoc. 9. HSAG 12. OH Children’s Hosp. Solutions for Pt. Safety 13. OH Hospital Assoc. 14. Premier Inc. 15. VHA-UHC Alliance NewCo Inc. 16. WA State Hosp. Assoc. 11
AHA / HRET HIIN States 1. Alabama 12. Kansas 23. New Mexico 2. Arizona 13. Kentucky 24. North Dakota 3. Arkansas 14. Louisiana 25. Oklahoma 4. Colorado 15. Maine 26. Puerto Rico 5. Connecticut 16. Maryland 27. Rhode Island 6. Dallas-Fort Worth 17. Massachusetts 28. Tennessee 7. Delaware 18. Mississippi 29. Texas 8. Florida 19. Missouri 30. Virginia 9. Georgia 20. Montana 31. West Virginia 10.Idaho 21. Nebraska 32. Wyoming 11.Indiana 22. New Hampshire
HIIN Specifics • Project Period – Base Period: 9/28/16 – 9/27/18 – Option Year: 9/28/2018 – 9/27/19 • Aim – Reduce all-cause harm by 20%; readmissions by 12% – Baseline moved from 2010 to 2014 • Required Standardized Measures
Where We are Going • Goals – 20% reduction in HACs (baseline 2014) – 12% reduction in 30-Day Readmissions (baseline 2014) • Harm Reduction Goal – 2010—145 Harms/1,000 Discharges – 2011—142 Harms/1,000 Discharges – 2012—132 Harms/1,000 Discharges – 2013—121 Harms/1,000 Discharges – 2014—121 Harms/1,000 Discharges – 2019—97 Harms/1,000 Discharges
Core HIIN Topics Adverse Drug Events (ADE) glycemic management, opioid safety, antibiotic stewardship Catheter-Associated Urinary Tract Infections (CAUTI) Central-Line Associated Blood Stream Infections (CLABSI) Clostidium difficile (C . diff) Falls with Injury Pressure Injuries Readmissions Sepsis Surgical Site Infections (SSI) Venous Thromboembolism (VTE) Ventilator-Associated Events (VAE)
Additional Topics • Culture • Patient and Family Engagement • Disparities Resources available on: Malnutrition, airway safety, diagnostic error, Iatrogenic delirium, undue exposure to radiation
HIIN Requirements 1) working on all applicable topics 2) submitting data on all applicable topics (and required measures) 3) collaboration and sharing
HIIN Measures • Align well with THA HEN measures – Small changes may occur; awaiting final determination • Focus is on outcome measures and not process measures – Reduced volume of manual reporting through Report Distributor
HIIN Measures • New measures – From NHSN: C. Difficile – From Claims: Sepsis mortality – Worker Safety – tentative as data source not yet determined • Worker harm events related to patient handling • Worker harm events related to workplace violence • More information to come!
HIIN Measures Measure Report NHSN Claims Distributor Adverse Drug Events (Anticoagulants, X Hypoglycemic, Opioids) CAUTI X CLABSI X X C Difficile X Falls Pressure Ulcers X X Readmissions X Sepsis X X Surgical Site Infections X Post-op Venous Thromboembolism Ventilator-Associated Events X
Additional Assessments • Needs assessment • Topic prioritization, quality improvement readiness and experience, patient and family engagement, health disparities • PFE – quarterly assessment • Disparities – quarterly assessment 21
THA HIIN Benefits Hospital site visits to assist your staff in patient safety initiatives • Perform a self-assessment with your hospital to identify priority topics • Allows for focused improvement strategies • Highlights successes for statewide and national exposure opportunities
THA HIIN Benefits Alignment to your organization’s priorities – Focus on those topic areas that your facility (or system) identifies as priorities – Concentrate effort on self-identified topic areas with the greatest opportunity for improvement
THA HIIN Benefits Mentorship Program • Opportunity for your facility to mentor other hospitals through workshops, coaching calls, site visits, or best practice presentations • Stipends to mentor facilities • Opportunity for your facility to be paired with a peer mentor hospital in areas challenging to your facility • Mileage reimbursement for mentee hospitals to travel to mentor facilities and workshops
THA HIIN Benefits Showcasing your facility • Success stories produced by a professional healthcare writer • Best practice sharing at state and national meetings and/or webinars • Featured on THA website, electronic newsletters, and in reports to HRET and CMS
THA HIIN Benefits Data Reporting • TN hospitals already report most of the required outcome measures to THA through CDC NHSN and claims data, so limited additional reporting required • National data definitions used where available • THA will upload your hospital data to the AHA HRET database on your behalf • Receive expanded data benchmarks and comparison reports—state level, national level, and peer groupings of hospitals • De-identified hospital data and aggregate data only is shared with CMS
HRET THA HIIN Benefits • Institute for Healthcare Improvement (IHI) Quality Improvement Fellowship Programs – 1. Foundational Fellowship for staff new to quality improvement – 2. Advanced Action Leader Fellowship for staff with >5 years quality improvement experience – 3. Patient and Family Engagement (PFE) fellowship – Unlimited number of your staff may participate – Combination of virtual and face-to-face meetings across a year-long period – Participation and travel expenses covered for your staff
HRET THA HIIN Benefits Education, resources and technical assistance – Access to national experts and resources with local collaborative learning and implementation – High reliability strategies to address overall harm reduction and safety efforts – Topic-specific educational webinars – Topic-specific listservs – Change packages available on all adverse event area topics
HRET THA HIIN Benefits Education, resources and technical assistance (continued) • Opportunity for cohort group learning from peer hospitals i.e. critical access hospitals, teaching hospitals • Resources and assistance at the national and local level on creating an organizational culture of safety, high- reliability strategies, addressing disparities, and patient and family engagement • Educational workshops with continuing education credit
HRET Education 1. C. Difficile-Stubborn or Unreasonable? Tuesday, November 8; 11:00 am CT 2. Readmissions-Hospital Bright Spots Thursday, November 10; 11:00 am CT 3. Post-operative Delirium: Quality of Life and Economic Implications to Patients and Hospitals Friday, November 11; 3:00 pm CT
Timeline November Education offerings begin Submit signed commitment form by Nov. 30 December HRET submits recruited hospital list to CMS Hospitals complete on-line needs assessment January Fellowships begin in mid-January
Questions?
Website: www.tnpatientsafety.com Additional Information Contact Patrice Mayo pmayo@tha.com 615-401-7434
Recommend
More recommend
