Eliminating Patient Harm and Reducing

Report
Georgia Hospital Engagement Network
Patient and Family Centered Safe Care
Putting Patients First
1
Celebrating Our Success With
Positive Net Forward Energy
November 19, 2014
Learning Objectives:
• Examine the processes you have put in place to make
improvements in the HEN HACs, HAIs, and readmissions;
• Discuss with your staff ways to celebrate the successes you
made.
• Examine areas where you still need improvement; and
• Formulate a plan to sustain the gains and address areas of need.
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4
Executive Quality Action Committee Members
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David Andrews, Patient Advocate, Georgia
Regents Medical Center
Sheila Bennett, Chair, Floyd Medical
Center
Susan Bowen, Shepherd Center
Montez Carter, Good Samaritan
Denise Flook, Eastside Medical Center
Nicole Franks, MD, Emory University
Hospital Midtown
Freya Gilbert, Columbus Health
Babs Hargett, Emory Healthcare
Angie King, St. Francis Hospital
Steve Mayfield, Medical Center of Central
Georgia
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Mindy McStott, Tift Regional Medical Center
Norma Jean Morgan, Effingham Health System
Heidi Nelson, University Hospital
Teri Newsome, Habersham Medical Center
Mary M. Pizzino, Effingham Health System
Marcia Postal-Ranney, Emory Johns Creek
Hospital
Robbin St. John, St. Mary’s Health Care
System, Inc.
Sherry Sweek, Southeast Georgia Health
System
Tina Thomas, To Cobb Regional Medical
Center
Jerry West, Coffee Regional Medical Center
Education and Training Activities
14,188 attendees
851.25 hours of
content
188 Educational
Activities
$2,911,957
to hospitals in registration
fees,
mileage, hotel
accommodations and
stipends
Average evaluation score, 4.59
6
Overall Achievement and Results
7
11/20/2013
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11/20/2013
9
11/20/2013
10
11/20/2013
11
OB Adverse Events
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Hospital Acquired Conditions
• 69% Reduction in Hospital Acquired Pressure Ulcers
(Medicare)
• 33.2% Reduction in Hospital Acquired Pressure Ulcer (All
Payers)
• 37.6% Reduction in Anticoagulant Control ADEs
• 32.3% Reduction in Glycemic Control ADEs
• 31.8% Reduction in Opioid Related Adverse Events
• 24.7% Reduction in Hospital Acquired PE/DVT
• 6.35% Reduction in Falls with Injury (NDNQI Def.)
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Hospital Acquired Infections
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SSI COLO: Continued Work in Progress
SSI HYST: Continued Work in Progress
Combined SSI: At Goal Qtr2 ‘14 Evidenced
Based
CAUTI: Downward Trend
Practice
CLABSI: At Goal
VAE: Continued Work
Patient
Centered
Care
Improved
Outcomes
Accurate
Measurement
14
Engagement
CUSP for Safe Surgery = SUSP Project Hospitals
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Floyd Medical Center
Grady Memorial Hospital
Gwinnett Medical Center
Habersham Medical Center
Liberty Regional Medical Center
Spalding Regional Medical Center
Navicent Health (formerly MCCG)
Tift Regional Medical Center
Ty Cobb Regional Medical Center
Upson Regional Medical Center
Emanuel Medical Center
Kennestone Hospital (WellStar Health System)
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Readmissions
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Reorganize, refocus, revitalize
Do Your PART (Preventing Avoidable Readmissions Together
Challenge: Project Re-Engineering Discharge
More To Do - - See data packet – Readmissions
30 Day Medicare –> 9% Reduction –> 6,100 individuals able
to sleep in their own beds
• Continue work in 2015
• Care Coordination Council contact Joyce Reid
11/20/2013
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Setting our sights on reducing Sepsis
11/20/2013
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LEAPT CULTURE OF SAFETY
OSHA “Worker Safety for Hospitals”
LUCIAN LEAPE “Roundtable Report –
Through the Eyes of the Workforce”
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LEAPT Pilot Hospitals
HEN SPREAD
(5 Hospitals and >7,000 employees)
(15 Hospitals and >13,000 employees)
11/20/2013
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In Pursuit of 2014 HEN Targets
Savings: $ 106 - $136 Million!
Patient Harm Prevented:
20,000 Incidents of Harm
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What are you telling us was important to you?
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Looking Forward to 2015
• Safety Across the Board
• Infection Prevention
• Maternal Child
• Hospital Acquired Conditions
• Care Coordination
• Medication Management
• Transition of Care Plan
• Leading Edge Advanced Practice Topics (LEAPT)
• Continuation of Affinity Education and Cohort Coaching Calls
• Hospital Visits
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Your Homework:
• Examine the processes you have put in place to make
improvements in the HEN HACs, HAIs, and readmissions;
• Discuss with your staff ways to celebrate the successes you
made.
• Examine areas where you still need improvement; and
• Formulate a plan to sustain the gains and address areas of need.
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Thank You!
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Contact Information
Name
Title
Email
Telephone number
Lisa Carhuff
Patient Safety Specialist
[email protected]
(770) 249-4553
Lynne Hall
Quality Improvement Specialist
[email protected]
(770) 249-4525
Martha Harrell
Vice President of Educational
Services
[email protected]
(770) 249-4517
Shearl Lesser
PHA Program Assistant
[email protected]
(770) 249-4549
Kathy McGowan
Vice President of Quality &
Patient Safety
[email protected]
(770) 249-4519
Tyra McKinney
Public Health Information
Specialist
[email protected]
(770) 249-4587
Faizah Muheb
Vice President, Analytical
Services Unit
[email protected]
(770) 249-4539
Doug Patten, M.D.
Chief Medical Officer
[email protected]
(770) 249-4547
Jan Ratterree
Infection Prevention/Patient
Safety Specialist
[email protected]
(770) 249-4518
Joyce Reid
Vice President of Community
Health Connections
[email protected]
(770) 249-4545
Tracy Rutland
Quality Improvement/ Patient
Safety Specialist
[email protected]
(770) 249-4511
Pamela Shepard
Administrative Assistant
[email protected]
(770) 249-4515
Michelle Sprouse
PHA Technical Analyst
[email protected]
(770) 249-4533
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