Transcript Slide 1

Kentucky Hospital
Engagement Network
OB Collaborative to
Reduce Early Elective
Delivery
Hospital Engagement Network
• CMS funded Program to reduce hospital acquired
conditions by 40% and readmissions by 20% by
2013
• HENs provide resources to hospitals to achieve
goals
• KHA is leading HEN activities in Kentucky and is
partnered with the AHA’s HRET
• Obtained participation from 100 hospitals
• HENS work in 10 targeted areas
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Stay Fit: CLABSI, CAUTI, SSI, VAP
PIVOT: VTE, Pressure Ulcers, Falls
GO RED: Readmissions, Adverse Drug Events
Early Elective Deliveries
GOALS
CMS Goal
• Reduce EED by
40% by 2013
• See improvement by
August, 2012
• Many other states
have already
implemented
successful programs
and achieved quick
results
KHA Goal
• Every Kentucky birthing
hospital participates in
the OB Collaborative, in
addition to other focus
areas
K-HEN OB Advisory Group
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March of Dimes
Kentucky Perinatal Association
Kentucky ACOG
Department for Public Health
Department for Medicaid Services
• Provide advice on:
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Toolkit
Data Collection Measures
Educational Programs
Implementation Issues
Why This is Important for
Kentucky
Kentucky Gets Grade of “D”
• Kentucky gets a
“D” in The March
of Dimes 2011
Premature Birth
Report Card
• Kentucky’s most
recent
Premature Birth
Rate was 13.6%,
higher than the
US rate of 12.2%
Comparative Statistics
Payment Impact
• 50% of Kentucky births covered by
Medicaid
– Medicaid payment does not cover
facility-specific NICU costs
• 2015 – IPPS rule proposes to require
hospital reporting of EED measure
– Public Reporting of Hospital
Performance
– Included in VBP after posting on
hospital compare
What’s Required
• Sign K-HEN Commitment Form and Name Team
• Attend K-HEN Kickoff July 11-13, 2012 in Lexington
– Toolkit
– Best Practice Kentucky Hospitals
• Work with Medical Staff to adopt “Hard Stop” policy
• Report Data to KHA
– Process: JCAHO EED measure
– Outcome: Infants transferred to NICU
Today’s Speakers
• Jeanne Conry, MD, PhD
– President-Elect, ACOG
• Scott D. Duncan, MD, MHA, FAAP
– Associate Professor – Pediatrics
– University of Louisville