Telligen Update Christine LaRocca, MD April 26, 2019 This material - - PowerPoint PPT Presentation

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Telligen Update

Christine LaRocca, MD April 26, 2019

This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. This material is for informational purposes only and does not constitute medical advice; it is not intended to be a substitute for professional medical advice, diagnosis or treatment. 11SOW-QIN--C2-01/18/19-3167

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Objectives

• Who is Telligen and What Do We Do?
• Telligen Updates:
• Infection Prevention and Antibiotic Stewardship
• Quality Assurance & Performance Improvement
• National Nursing Home Quality Care Collaborative (NNHQCC)

Composite Score Honor Roll

• National Partnership to Improve Dementia Care
• Antipsychotic Reduction in Colorado Nursing Homes
• Website Resources and New Tools

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• Telligen: The Medicare Quality Innovation

Network-Quality Improvement Organization (QIN- QIO) for Colorado, Iowa, and Illinois

• QIN-QIO Program Purpose: To improve the

efficiency, effectiveness, economy, and quality of services delivered to Medicare beneficiaries

Who is Telligen? What is the QIN-QIO Program?

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Who is Telligen? What is the QIN-QIO Program?

QIN-QIOs

• have performance-based contracts with the Centers for

Medicare & Medicaid Services (CMS)

• help achieve national quality goals through focused efforts at

the community level

• provide technical assistance and convene learning and action

networks at no cost to support healthcare quality improvement at the community level

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What We Do: Current QIN-QIO Strategic Initiatives

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Our Partners Include:

• CMDA The Colorado Society for Post-acute and Long-

term Care Medicine

• Colorado Department of Public Health and

Environment (CDPHE)

• Colorado Health Care Association & Center for

Assisted Living (CHCA)

• Colorado Hospital Association (CHA)
• End Stage Renal Disease (ESRD) Network 15

We Collaborate with Partners

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Nursing Home Cohort: Reporting and Reducing Clostridioides difficile Infections (CDI)

• Celebration! 26 Colorado nursing homes successfully

submitted 10 months of baseline CDI data into the National Healthcare Safety Network (NHSN) module for 2017, and successfully submitted 12 months of CDI data for 2018

• Thank you to the NHSN Nursing Home Trailblazers!
• List of homes posted on Telligen’s website:

National Healthcare Safety Network Trailblazer Honor Roll

https://www.telligenqinqio.com/resource/our-work/nursing-home-care/nursing-home-care- resources/national-healthcare-safety-network-trailblazer-honor-roll/

Infection Prevention and Antibiotic Stewardship

TAG BUSTERS

An infection prevention and Antimicrobial stewardship Collaborative

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“Tag Busters” Nursing Home Infection Prevention and Antibiotic Stewardship 2019 Collaborative

• 28 facilities joined this virtual collaborative: 25 nursing homes, one

inpatient hospice and two critical access hospitals

• Goal: Address infection prevention focus areas frequently tagged

during survey and more!

• Hand hygiene
• Personal protective equipment (PPE)
• Environmental decontamination
• Antibiotic stewardship
• Sepsis recognition

Infection Prevention and Antibiotic Stewardship

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QAPI is key to creating sustainable change and improvement

• QAPI push-Sprint is a six-week virtual learning experience
• 263 individuals, representing 122 Colorado nursing homes, participated

since 2016

• QAPI relay is a collection of 30 minute webinars focused
• n MDS coding for specific long-stay quality measures
• Recorded webinars available online. Each session averages 100-150

participants

• QAPI Express is a one-day intensive offered to nursing

home organizations and in coordination with CHCA

• Nearly 100 Colorado nursing homes participated in 2018

Quality Assurance & Performance Improvement (QAPI)

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National Nursing Home Quality Care Collaborative (NNHQCC)

Composite Score Honor Roll

• Telligen created the NNHQCC

Composite Score Honor Roll with a social media toolkit for homes to share their success!

• Media kit was popular with 1,632

page views by Dec. 2018

• Nearly half (48.8%) of Colorado

nursing homes recruited reached the goal composite score of < 6.0 during the collaborative

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2016 Q2 2018 Q3

Distribution of Composite Scores for Colorado Nursing Homes: 2016 vs 2018

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National Partnership to Improve Dementia Care

• CMS launched Partnership in 2012
• Goal to reduce antipsychotic medication (APM) use by 30%

nationally by end of 2016 (quality measure excludes Schizophrenia, Tourette’s syndrome and Huntington’s disease)

• Exceeded goal! Decreased from 23.9-15.7% nationally
• Late Adopters
• Reduce APM use by 15% (from baseline) by Dec 2019
• Colorado Dementia Partnership
• Between 2012-2017, CO dropped from 19.4 to 14.7% (a 24% change)
• BUT…We’re now trending upwards
• Let’s Take Action!
• Check out Telligen’s APM Use in Dementia Care Toolkit
• https://www.telligenqinqio.com/our-work/nursing-home-care/

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www.telligenqinqio.com

• Nursing home resources
• Toolkits
• Suspected UTI Action Tool
• Antibiotic Time-Out Tool

and much more!

• Telligen Portal
• Opioid resources
• Sepsis identification

Telligen Website Resources

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Suspected Urinary Tract Infection (UTI) Action Tool

• This tool was co-created by

CHA, CDPHE, CHCA, Dr. Greg Gahm, and Telligen in November 2018

• It is designed to guide nursing

staff in the initial evaluation and next steps for possible urinary tract infection (UTI) in residents without a urinary catheter

• Check it out!
• https://www.telligenqinqio.com/resource/our-work/antibiotic-

stewardship-in-long-term-care/antibiotic-stewardship-in-long-term- care-resources/suspected-urinary-tract-infection-uti-action-tool/

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Antibiotic Time-Out Tool

• An important practice to help
• ptimize and monitor antibiotic use

as part of a successful Antibiotic Stewardship program.

• This tool was co-created by CHA,

CDPHE, CHCA, and Telligen. Finalized in February 2019.

• Tool includes a checklist and

instructions for taking a Time-Out to reassess every antibiotic within 48-72 hours after antibiotic start.

https://www.telligenqinqio.com/resource/our-work/antibiotic-stewardship-in-long-term- care/antibiotic-stewardship-in-long-term-care-resources/antibiotic-time-out-checklist/

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Sign Up for the Weekly Digest!

• Emailed every Monday
• Latest events, news and resources

from Telligen and our partners

• Visit www.TelligenQINQIO.com to

sign up!

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Connect with Us

• www.TelligenQINQIO.com
• Learn more about the Telligen

QIN Nursing Home team

• View nearly 170 helpful

nursing home resources

• You follow us, we’ll follow

you:

• Facebook
• Twitter
• LinkedIn

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Christine LaRocca, MD Medical Director, Telligen christine.larocca@area-D.hcqis.org clarocca@telligen.com Elizabeth Schulte Mullins, MSW, NHA Program Specialist elizabeth.schulte@area-D.hcqis.org Phone: 720-554-1395

QUESTIONS?

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