Working to Improve Healthcare Quality Holly Standhardt February 21, - - PowerPoint PPT Presentation

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Working to Improve Healthcare Quality Holly Standhardt February 21, - - PowerPoint PPT Presentation

Jan 22, 2024 406 likes •754 views

Working to Improve Healthcare Quality Holly Standhardt February 21, 2020 Empowering patients, families and caregivers to achieve health care quality improvement Objectives Introduce Superior Health Quality Alliance (Superior Health)

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Empowering patients, families and caregivers to achieve health care quality improvement

Working to Improve Healthcare Quality

Holly Standhardt February 21, 2020

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Objectives

  • Introduce Superior Health Quality Alliance (Superior Health)
  • Provide an overview of the Centers for Medicare & Medicaid

Services (CMS) National Quality Strategy Aims

  • Describe national and regional efforts
  • Discuss opportunities for joining Superior Health
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What is Superior Health Quality Alliance (Superior Health)?

  • Formed in 2019 with eight health care organizations across

six states

  • Working to achieve broad national CMS Quality Strategy Aims
  • Our goal is to collaboratively improve the quality of health

and health care for the consumers, patients, clinicians,

  • rganizations and communities we serve
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What We Believe

Mission

  • Improve the quality of health and health care through

innovation, effectiveness and efficiency in designing and implementing CMS Network of Quality Improvement and Innovation Contractors (NQIIC) initiatives that are person-centered and integrated across the continuum of care and services Vision

  • Better health, better care, lower costs and better

health care worker experience Values

  • Integrity | Innovation | Quality | Diversity
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Our Team of Quality Improvement Experts

Three Quality Improvement Organizations

  • MetaStar – WI
  • MPRO - MI
  • Stratis Health - MN

Four Hospital Associations

  • Illinois Health and Hospital Association
  • Michigan Health and Hospital Association
  • Minnesota Hospital Association
  • Wisconsin Hospital Association

End Stage Renal Disease Network

  • Midwest Kidney Network

https://www.superiorhealthqa.org/about-us

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Quality Improvement Across the Continuum of Care

CURRENT STATE: Nursing home and community coalitions including clinics, hospitals, and all care settings (Awarded) Future: Additional work focused

  • n ambulatory

settings Future: Additional work currently found under the Hospital Improvement Innovation Network (HIIN)

  • Superior Health anticipates additional projects from CMS which will

expand and focus on other settings

  • This work is expected to align with the current aims listed

throughout this presentation

  • Why is this important? It will allow for a synergistic approach to

quality improvement across all healthcare settings and promote a stronger collaboration with stakeholders

  • More to come…
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What We Want To Achieve Regionally

  • Ensure there is regional reach covering nearly 900 Nursing

Homes, 35 Community Coalitions, and create a regional quality improvement network

  • Engage health care organizations throughout the care

continuum over the next five years

  • National CMS goals include:
  • Five bold Aims
  • Three high-priority settings and areas
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CMS’s High Priority Areas

Nursing Homes Community Coalitions

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CMS’s Five Bold Aims

  • Improve behavioral health outcomes and

decrease opioid misuse

  • Increase patient safety
  • Increase chronic disease self-management
  • Increase quality of care transitions
  • Improve nursing home quality
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Aim 1: Improve Behavioral Health Outcomes and Decrease Opioid Misuse

  • Decreasing opioid-

related overdose events

  • Increasing opioid safety
  • Spreading of opioid

prescribing best practices

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Aim 2: Increase Patient Safety

  • Reducing adverse drug

events (ADEs) across all settings including all community settings and nursing homes

  • Reducing C. difficile in all

settings including a reduction in hospitalizations for nursing home onset

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Aim 3: Increase Chronic Disease Self-Management

  • Preventing one million

cardiovascular events by 2024

  • Reducing smoking prevalence

among Medicare beneficiaries

  • Preventing diabetes and

promoting self-care

  • Slowing the progression of

chronic kidney disease

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Aim 4: Increase Quality of Care Transitions

  • Improving community-

based transitions of care to reduce hospital admissions and readmissions

  • Reduce community-based ADEs
  • Reduce the rate of emergency

department (ED) visits and admissions by super utilizers

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Aim 5: Improve Nursing Home Quality

  • Improving total quality score

as part of Nursing Home Compare

  • Reducing adverse drug events

(ADEs)

  • Reducing avoidable ED visits

and hospital readmissions

  • Preventing healthcare-

related infections

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Area 1: Long Term Care – Nursing Home Quality Improvement Collaborative

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Long Term Care - Nursing Home Reach Superior Health will engage nearly 900 nursing homes across MI, MN and WI; including those in most need of technical assistance and quality improvement support

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Suggested Aims for Nursing Home Participation

Nursing Homes

Aim 1: Improve BH Outcomes and Decrease Opioid Misuse Aim 2: Increase Patient Safety Aim 5: Improve Nursing Home Quality

Note: Nursing Homes will automatically be enrolled in a local Community Coalition

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NH Quality Improvement Collaborative - Goals

  • Improve the total quality score used to calculate CMS Nursing Home

Compare Star Ratings

  • Reduce adverse drug events for opioids, anticoagulants, diabetic

agents and antipsychotics

  • Prevention and reduction of health care associated infections (HAI)

such as C. difficile and Urinary Tract Infections (UTI)

  • Reduce resident harm for pressure injuries and falls
  • Reduce unnecessary ED visits and readmissions for nursing

home residents

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Working Together

  • Submit requested data for quality improvement purposes
  • Design and implement improvement plans based on

identified opportunities

  • Participate in learning events
  • Connect with community collaborative networks in your area
  • Share best practices and lessons learned
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Area 2: Community Coalitions

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Community Coalition Reach Superior Health will engage a minimum of 35 community coalitions serving 65%

  • f all Medicare beneficiaries across

Michigan, Minnesota and Wisconsin

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Suggested Aims for Community Coalition Participation

Community Coalitions

Aim 1: Improve BH Outcomes and Decrease Opioid Misuse Aim 2: Increase Patient Safety Aim 3: Increase Chronic Disease Self-Management Aim 4: Increase Quality of Care Transitions Aim 5: Improve NH Quality*

*For NHs participating in a Community Coalition

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Community Coalition Structure

Superior Health

Clinics Behavioral Health Nursing Homes

Pharmacies

EMS Agencies

Community Based Orgs

Dialysis Centers Public Health Home Health

Emergency Departments

Hospitals

Aim 1: Improve BH Outcomes and Decrease Opioid Misuse Aim 2: Increase Patient Safety Aim 3: Increase Chronic Disease Self-Management Aim 4: Increase Quality of Care Transitions Aim 5: Improve NH Quality*

*For NHs participating in a Community Coalition

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Community Coalitions - Goals

  • Improve the health and health care for all

within the community

  • Collaborate and share best practices
  • Improve patient and resident satisfaction
  • Accelerate progress toward shared goals
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Working Together

  • Submit requested data for quality improvement purposes
  • Design and implement improvement plans based on

identified opportunities

  • Participate in learning events
  • Connect with community collaborative networks in your area
  • Share best practices and lessons learned
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Joining Superior Health

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Why Participate?

  • Reduce the burden of regulatory reporting requirements
  • Improve performance on quality reporting
  • Access to data driven, quality improvement support
  • Participate in high quality educational offerings
  • Opportunity to network with peers
  • Improve population health and health equity
  • At no cost to your organization!
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Who Should Join?

Superior Health is looking for health care organizations that are motivated to change health care outcomes for beneficiaries and individuals considered high-risk and part of the vulnerable

  • population. This includes:
  • behavioral health organizations
  • clinicians
  • community-based organizations
  • dialysis centers
  • emergency departments
  • healthcare organizations and systems
  • home health agencies
  • hospitals
  • nursing homes and skilled nursing facilities
  • pharmacies
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Participation Requirements

Enrollment and upkeep of information Assess and analyze QI needs Set vision and establish improvement plan Share and submit requested data Conduct regularly scheduled check-ins with QI coach Sustain!

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Enrolling with Superior Health

Complete the online enrollment participation form https://www.surveygizmo.com/s3/5362166/Join-Superior-Health-Quality-Alliance OR Complete the PDF enrollment participation form http://bit.ly/enroll-superior-health and send to info@superiorhealthqa.org

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Contact Information

Superior Health Quality Alliance

  • Phone: (833) 821-7472
  • Email: info@superiorhealthqa.org
  • Online: https://www.superiorhealthqa.org/contact/
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Questions?

Holly Standhardt, Senior Quality Consultant

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Empowering patients, families and caregivers to achieve health care quality improvement

This material was prepared by Superior Health Quality Alliance under contract with the Centers for Medicare & Medicaid Services (CMS), an agency

  • f the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 12SOW-MI/MN/WI-CC-20-08 012720