Transcript Patient Safety - Alaska State Hospital and Nursing Home Association

Patient Safety: Setting Aside Competition to
Make Care Safer for Patients
1
Hospital Engagement Network
19 hospitals
signed letters of
commitment
Alaska Native Medical Center
Alaska Regional Hospital
Bristol Bay Area Health Corporation
Central Peninsula General Hospital
Cordova Community Medical Center
Fairbanks Memorial Hospital
Mat Su Regional Medical Center
Maniilaq Health Center
Norton Sound Regional Hospital
Petersburg Medical Center
Providence Alaska Medical Center
Providence Kodiak Island Medical Center
Providence Seward Medical Center
Providence Valdez Medical Center
SEARHC MT. Edgecumbe Hospital
Sitka Community Hospital
South Peninsula Hospital
Wrangell Medical Center
Yukon-Kuskokwim Delta Regional Hospital
Hospital Engagement Network
6 hospitals have submitted data on 70% or greater of the measures.
CORE TOPIC MEASURES
State
Hospital Name
AK
AK
AK
AK
AK
AK
AK
Bristol Bay Area Health Corporation
Central Peninsula General Hospital
Fairbanks Memorial Hospital
Maniilaq Health Center
Norton Sound Regional Hospital
Providence Alaska Medical Center
Wrangell Medical Center
%
75%
100%
100%
100%
100%
94%
100%
Submitted all
Oct '15 - Jan '16 Expected
(4 months)
6
16
16
8
8
15
5
8
16
16
8
8
16
5
Hospital Engagement Network
What do we need to be doing?
• Track and enter data on hospital acquired
conditions and readmissions.
• Identify areas of opportunity for improvement at
your facility.
• Tell us what you are working on and we will help
you get resources through subject matter experts
on-line, by webinar, or in person.
• Share what is working with others in Alaska.
• Celebrate success and learn from challenges.
Reducing Harm Across the Board
Topic
Value Based
Purchasing
Adverse drug events (ADE): opioid safety,
anticoagulation safety, and glycemic management
Central line-associated blood stream infections
(CLABSI), in all hospital settings
CMS
Catheter-associated urinary tract infections
(CAUTI), in all hospital settings
CMS
Clostridium difficile (C. diff) bacterial infection,
including Antibiotic Stewardship
CMS
Injury from falls and immobility
Reducing Harm (continued)
Topic
VBP
Pressure ulcers
CMS
Sepsis and Septic Shock
CMS
Surgical Site Infections (SSI), hip, knee, cardiac, colon,
hysterectomy
CMS
Venous thromboembolism (VTE), including, at a
minimum, all surgical settings
Ventilator-Associated Events (VAE), to include Infectionrelated Ventilator-Associated Complication (IVAC) and
Ventilator-Associated Condition (VAC)
Readmissions
CMS
7
Improvement Calculator
• This revised version (v6.1, May 2016) of the
Improvement Calculator enables hospitals to
import data from the Comprehensive Data
System to track a "total harm" rate in pursuit of
safety across the board.
• Download the instructions to additional details on
how to use this tool.
• Click here to download the tool.
Eliminating Harm Checklists
Reduce All-Cause, Preventable Harm
• Top 10 Checklists for each area of preventable
harm
• Use checklists to review current or initiate new
interventions.
• Access the full checklist here.
Hospital Improvement Innovation Network (HIIN)
1. The new Partnership for Patients contract scheduled
to start end of September.
2. Two years with potential additional year option.
3. Goal is to engage 3,700 hospitals through a network
of contractors.
Hospital Improvement Innovation Network
1. Valuable to clinical staff.
2. Aligns with goals of CMS in Value Based Purchasing.
3. Helps members achieve the next level of safety.
4. Learn across state lines.
Washington State Hospital Association
Patient Safety
Member Driven
• Improve Quality
• Improve Community Health
• Lower Cost
12
Measures for 7 by 17
Infections
• Catheter Associated
Urinary Tract Infections
• Central Line Associated
Blood Stream Infections
• Surgical Site Infections
• Sepsis
• C. Diff - Antimicrobial
Stewardship
Population Health
•
•
•
•
Safe Deliveries Roadmap
• Early Elective Deliveries
• Episiotomy
• Inductions
• Hemorrhage/
Preeclampsia
General Care
• Undue Exposure to
Radiation
• Readmissions
Nursing and Staff Care
• Falls
• Pressure Ulcers
• Venous
Thromboembolism
• Worker Safety
Medications
• Adverse Drug Events
Immunizations
Diabetes
1st Trimester
Early Intervention Mental Health
Foundation of Engaged Leadership, Patients and Equity in Outcomes
Washington State Patient Safety – Partnership for Patients
42,504 fewer patients harmed and
$365 million savings through our
collaboration in Patient Safety!
Better Care in Every Community!
Safer Care for Every Mother and Baby!
Expectations
•
•
•
•
•
Engagement by all CEOs and leadership teams.
Submit and use data to improve care.
Engage in transparency.
Share best practices.
Collaborate.
ASHNHA Board: Endorse Alaska’s continued dedication to the
Partnership for Patients Program and strongly encourage all
Alaska hospitals and health systems to participate with ASHNHA
in Partnership for Patients HIIN through WSHA.