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3
E
2017
Grant Program
Webinar
Dianne Radigan
Vice President, Community Relations
October 26, 2016
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are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Webinar Logistics
• Please put your phone on mute until you are ready to
talk.
• Please do not put your phone on hold.
• The presentation will be posted on our website after
the October 26th call.
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are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Agenda
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Logistics for the call
Overview/goals for the webinar
Very brief history of the E3 grants and Cardinal Health
Foundation’s commitment to fostering excellence in
healthcare and accelerating the rate of change
Focus on outcomes and sharing
Resources available
Grant criteria
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Eligibility
Content
Scoring
Tips
Questions
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are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Goals for the Webinar
• Help potential applicants send the very best proposal
that is responsive and compelling
• Answer any and all questions
• Open the door for additional communication
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© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
History of E3 Grants
Goal:
Provide resources to help hospitals, systems, clinics and collaboratives provide the
very best care for patients – improve healthcare efficiency, effectiveness and
excellence and save days, dollars and lives.
To help accelerate the rate of change.
Cardinal Health Foundation has invested $8.6m since 2008 for improvement projects
Level of support: $7.5k-35K
Areas of focus have narrowed each year. In 2017 the focus is:
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Patients with diabetes and multiple chronic diseases
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Best use of medications - especially in transitions to ‘home’
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The spread of successful efforts
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To engage patients and their families
Saving days, dollars and lives
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are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
E3 Outcomes 2013-2014 grantees
Improving transitions to home for post-acute seniors
Senior Independence, Toledo, Ohio
At Senior Independence, registered nurses serve as
transition coaches, and provide immediate and close followup to Medicare patients, post hospital discharge.
Results: Reduced 30-day readmission rates to 4.3%
(compared to regional average of 14%);
42 readmissions and 202 hospital days saved
Senior Services of Southeastern Virginia,
Norfolk, Virginia
This Area Agency on Aging surrounds high-risk seniors with
a care team that includes a certified transition coach, the
hospital care coordination team and a pharmacist, ensuring
coordinated transition of care and medication reconciliation.
Results: Reduced 30-day readmissions from baseline of
19.6% to 6%
15 readmissions and 94 hospital days saved
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Southwestern Indiana Regional
Council on Aging, Inc,
Evansville, Indiana
Certified social workers serve as
transition coaches for high-risk seniors
who have chronic diseases, making inhome visits and follow-up phone calls
to patients post discharge.
Results: Reduced 30-day readmission
rates from 20% to 14%; reduced 60day readmissions from nearly 29% to
18%; 21 readmissions saved
32 hospital days saved;
© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
E3 Outcomes 2013-2014 grantees
Increasing medication
safety for patients
admitted from the ER
Trinity Medical Center, Rock
Island, Illinois
Medication reconciliation nurses
collect complete medication
histories as soon as patients are
admitted to the hospital from the
emergency room.
Results: Increased medication
accuracy from 40% to 76%;
prevented adverse drug events
due to inaccurate medications for
209 patients.
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Using the WHO Surgical Checklist
NorthShore University Health System,
Evanston, Illinois
NorthShore integrated the WHO Surgical Safety
Checklist into its existing electronic health record
software, increasing overall compliance from 48% to
92%.
Results: 32% decrease in perioperative risk events;
8 hospital days saved
Virginia Mason Medical Center, Seattle,
Washington
A multi-disciplinary surgical team developed the rolling
wrap-up, a post-surgical process to debrief before the
patient leaves the operating room.
Results: 24 hospital days saved.
© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
E3 Outcomes 2013-2014 grantees
Increasing medication
safety for older adults
Knute Nelson Foundation,
Alexandria, Minnesota
A medication safety program combines
transition education, medication
reconciliation and continuous, real-time
monitoring of health conditions.
Results: Decreased per-person
medication count from 15 to 11;
reduced 30-day readmissions from 25%
to 19%; 49 hospital readmissions saved
655 hospital days saved
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Increasing access for the
under and uninsured
West Virginia Health Right,
Charleston, West Virginia
This free clinic partnered with three area
hospitals to provide a medical home for
nearly 500 uninsured and underinsured
patients.
Results (for two years of grant
funding): 38% reduction in
hospitalizations;
67% decrease in ER use
32 readmissions and 213 hospital days
saved
© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
E3 outcomes 2013-2014 grantees
Adding pharmacy
services to a multidisciplinary
discharge team
Franciscan St. Margaret
Health-Hammond,
Mishawaka, Indiana
As part of a multi-disciplinary
discharge team, the
pharmacist provides
medication counseling plus
follow up within 72 hours of
discharge.
Results: Follow-up phone calls
reduced readmission rates
from 22% to 16% 1,813
hospital days saved
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Improving outcomes for high-risk
chronically ill patients
Trinity Medical Center, Rock Island, Illinois
A continuity-of-care pharmacist service provides medication
therapy management and customized interventions for
chronically ill home care patients taking nine or more
medications per month.
Results: Improved patients’ ability to manage their medications
from 47% to 58%
reduced acute care hospitalizations from 19% to 15%
155 hospital days saved
Trinitas Regional Medical Center, Elizabeth,
New Jersey
Pharmacists provide medication reconciliation and counseling,
and address barriers to medication access for chronically ill
elderly patients as they transition to home.
Results: Reduced 30-day readmission from 18% to 14% 74
hospital days saved
© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Resources Available in 2017
• Cardinal Health Foundation funding
• We anticipate 15-20 grants up to $35k
– Requests / budgets should not exceed $35k
– Please describe other sources of funding for additional project expenses
• Invitation to participate in a Leadership Development program
• Invitation to join a learning network and / or a convening of
grantees over the course of the year
• Applications due December 9th
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© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Grant Criteria - Eligibility
• Tax exempt 501(c)(3) organizations
• Typically, hospitals, systems, clinics, collaboratives,
ambulatory settings
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Include letters of commitment for partner organizations
• Applicants can be in the acute or ambulatory setting
• If previously funded, a final report or update on workin-process should be submitted
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© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Grant Criteria - Content
Very focused on three areas:
• Patients with diabetes or multiple chronic diseases
• Medication safety across transitions of care from the
acute setting to the community/home.
• Engaging patients and their families in their care.
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are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
What to measure
Baseline and post intervention for
• Process measures
• Lengths-of-stay
• Readmissions
• Patient clinical outcomes
• Also describe how learnings from this work will be
shared
© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Grant Criteria - Scoring
0-5 points
Cover letter
0-80 points
Description of the program
• Previous experience
• Specific objectives
• Driver diagram
• Timeline
• Outcomes anticipated
• Letters of commitment for partner
organizations
0-15 points
Budget (no Cardinal Health products should be
a part of the request)
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© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Grant Criteria - Tips
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Limit the proposal to five pages not including the cover letter, budget, driver
diagram and other graphics
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Focus on implementing best practices or spread of previously successful efforts
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Be very specific about
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Previous experience
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Baseline data
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Protocols
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Outcomes anticipated
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Include a driver diagram
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Include a timeline that addresses all aspects of the work including IRB approval, if
needed
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Quantify anticipated outcomes in terms of days, dollars and lives potentially saved
© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Patient engagement resources
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Centers for Medicare and Medicaid Services (CMS) Partnership for Patients:
https://partnershipforpatients.cms.gov
CMS Transforming Clinical Practice Initiative:
https://innovation.cms.gov/initiatives/Transforming-Clinical-Practices/
CMS Quality Improvement Organization-Quality Improvement Network Campaign
for Meds Management: http://www.qioprogram.org/campaign-meds-management
American Institute for Research: http://www.air.org/project/roadmap-guidespatient-and-family-engagement-healthcare
Patient and Family Engagement in Healthcare: http://patientfamilyengagement.org/
Healthcare Information and Management Systems; Center for Patient and FamilyCentered Care: http://www.himss.org/library/NEHC;
http://www.himss.org/library/patient-engagement-toolkit
Minnesota RARE (Reducing Avoidable Readmissions Effectively) Campaign:
http://www.rarereadmissions.org
© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Additional Opportunity in 2017
American Society of Health-System Pharmacist and Cardinal Health
Award for Excellence in Medication-Use Safety
This award honors a pharmacist-led multidisciplinary team for its significant institutionwide system improvements related to medication-use. Three hospitals are recognized
with the ‘winner’ receiving a $50,000 award and the two finalists a $10,000 award.
– Letter of intent due January 4, 2017
For award information and application materials, visit
www.ashpfoundation.org/excellenceaward
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© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Q&A
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are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Thank you!
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© Copyright 2012, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE
are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.