THA Hospital Improvement Innovation Network (HIIN) Kick-Off Webinar - - PowerPoint PPT Presentation

THA Hospital Improvement Innovation Network (HIIN) Kick-Off Webinar

November 2, 2016

• Welcome
• Purpose
• Congratulations!

First Things First

• Partnership for Patients
• HEN 1.0 and 2.0
• HIIN Design
• Questions/Comments

Agenda

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)

CMS Partnership for Patients

• HEN 1.0—Dec. 2011-Dec. 2014
• HEN 2.0—Sept. 2015-Sept. 2016
• 3,700 acute-care hospitals nationwide

Hospital Engagement Network (HEN)

• Harm reduction = 11,109 events
• Cost savings = $91,164,925

THA HEN 1.0 Achievement

• Harm reduction = 2,857 events
• Cost savings = $13,374,804

THA HEN 2.0 Achievement

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.

• 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

HEN Continuation as HIIN

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

8. IA Healthcare Collaborative 9. HSAG

• 10. MI Health and Hosp. Assoc. Health Found.
• 11. MN Hosp. Assoc.
• 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.

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• 1. Alabama
• 2. Arizona
• 3. Arkansas
• 4. Colorado
• 5. Connecticut
• 6. Dallas-Fort Worth
• 7. Delaware
• 8. Florida
• 9. Georgia

10.Idaho 11.Indiana

AHA / HRET HIIN States

• 12. Kansas
• 13. Kentucky
• 14. Louisiana
• 15. Maine
• 16. Maryland
• 17. Massachusetts
• 18. Mississippi
• 19. Missouri
• 20. Montana
• 21. Nebraska
• 22. New

Hampshire

• 23. New Mexico
• 24. North Dakota
• 25. Oklahoma
• 26. Puerto Rico
• 27. Rhode Island
• 28. Tennessee
• 29. Texas
• 30. Virginia
• 31. West Virginia
• 32. Wyoming

• 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

HIIN Specifics

• 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

Where We are Going

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)

Core HIIN Topics

• Culture
• Patient and Family Engagement
• Disparities

Resources available on: Malnutrition, airway safety, diagnostic error, Iatrogenic delirium, undue exposure to radiation

Additional Topics

1) working on all applicable topics 2) submitting data on all applicable topics (and required measures) 3) collaboration and sharing

HIIN Requirements

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 Distributor NHSN Claims

Adverse Drug Events (Anticoagulants, Hypoglycemic, Opioids)

X

CAUTI

X

CLABSI

X

C Difficile

X

Falls

X

Pressure Ulcers

X X

Readmissions

X

Sepsis

X

Surgical Site Infections

X

Post-op Venous Thromboembolism

X

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

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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
• utcome 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

• f hospitals
• De-identified hospital data and aggregate data only is

shared with CMS

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
• n creating an organizational culture of safety, high-

reliability strategies, addressing disparities, and patient and family engagement

• Educational workshops with continuing education credit

HRET THA HIIN Benefits

• 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

HRET Education

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