Hospital Improvement Innovation Network. Toi Wilde, Program Manager November 28, 2017

Transcription

1 Hospital Improvement Innovation Network Toi Wilde, Program Manager November 28, 2017

2 Agenda Up Campaign 2018 HIIN strategic plan HIIN Year 1 review by the numbers HIIN project updates HRET virtual events HIIN fellowship events Upcoming events Resources 2

3 Up Campaign 3

4 UP Campaign Two Foundational Questions: Is my patient awake enough to get up? Have I protected my patient against infections? 4

5 Introduction Betsy Lee, MSPH, R.N., Improvement Advisor, Cynosure Health 5

6 The Way UP 6

7 FOUNDATIONAL QUESTIONS: 1. Is my patient awake enough to get up? 2. Have I protected my patient from infections? 3. Does my patient need any medication changes? 7

8 Leaders Walk Beacon Health, Elkhart General Hospital, Elkhart, IN. 8

9 # 1 Opioid & Sedation Management ADE Failure to Rescue Delirium Falls Airway Safety VTE VAE W A K E - UP 9

10 WAKE-UP MUST DO's 1. Establish Expectations 2. Pair POSS & Pain 3. Manage with Multiple Modalities 10

11 Self-Assessment WAKE UP 1. Are you using the Pasero Opioid-induced Sedation Scale (POSS) prior to and after opioid administration? 2. Do you offer multimodal pain management - both pharmacologic and non-pharmacologic modalities? 3. Are you setting pain management expectations ("0" is not the goal) prior to admission? 4. Are you asking about comfort level in addition to pain score? 5. Are you using Teach-Back methods with patients and families to enhance their knowledge and assist in setting pain management expectations? 11

12 POSS AKA GOLDILOCKS SCALE S- Sleep, easy to arouse 1- awake and alert 2- slightly drowsy 3- frequently drowsy, drifts off to sleep during conversation 4- somnolent, minimal or no response to stimulation 12

13 # 2 Early Progressive Mobility Falls PrU Delirium CAUTI VAE VTE Readmissions G E T - U P 13

14 GET-UP MUST DO S! 1. Walk in, walk during, walk out! 2. Grab and go mobility aids 3. (3) laps a day keeps the nursing home at bay! 14

15 Self-Assessment GET UP 1. Do you have a mobility team? Do you have a mobility protocol? 2. Do you have staff assigned to ambulate patients, such as mobility aides? 3. Do your nurses or rehabilitation/physical therapists evaluate each patient s mobility status upon admission? 4. Do you have safe patient handling and movement training for nursing staff? 5. Is mobility equipment readily available for nurses and patients to access? Do you have gait belts in every room? 6. Have you converted your falls team to a mobility team? 15

16 Beacon Health, Elkhart General Hospital, Elkhart, IN. 16

17 # 3 Hand Hygiene CDI CAUTI SSI VAE CLABSI Sepsis MDRO S O A P - U P 17

18 SOAP-UP Must Do s beyond your current plan 1. Prompt Peer Performance 2. Track Quietly and Trend Loudly 3. Drive Drift Down 18

19 How s It Going SOAP UP? 1. Do you display hand hygiene (HH) compliance results in highly visible places at the department/unit level? 2. Have you implemented scripting to remind other team members to perform HH when it is not observed? 3. Do you have a system in place that holds all team members accountable to the HH expectations? 19

20 Shared Accountability 20

21 Beacon Health, Elkhart General Hospital, Elkhart, IN.

22 #4 Optimize Medications ADE Readmissions Falls CDI CAUTI SSI VAE CLABSI Sepsis MDRO S C R I P T - UP 22

23 Why It Matters Adverse drug events are the most common cause of harm (AHRQ) Overuse and inappropriate use of antibiotics is the key cause of antibiotic resistance (CDC) Beers Criteria Medications are linked to poor health outcomes, including confusion, falls, and mortality (Am. Geriatric Society) Risk of ADEs almost doubles with > 5 meds (Bourgeois, Shannon et al, 2010) 23

24 MUST DO's 24

25 SCRIPT UP- MUST DO s Match the drug to the bug Follow Beers, if they're up in years Use appropriate meds -- Less may be more Ask if patient needs any medication changes 25

26 Must Do #1 Match the Bug to the Drug Implement antibiotic time outs at 48 or 72 hours to de-escalate and modify therapy Verify the presence of a bacterial or fungal infection 26

27 Getting Started Decide what antibiotic to target by considering: Potential risk Volume used High cost Set up a review process Monitor your results Spread to other antibiotics when you can 27

28 Must Do #2: Follow Beers, if they re up in years Anticholinergics Flag, stop and replace medications on the Beers list If needed, switch to a safer agent If not needed, discontinue medication Antispasmodic agents Sleep aids Benzodiazepines NSAIDS Cardiac drugs 28

29 Must Do #3 Use appropriate meds -- less may be more Consider shortening med lists, especially PRN medications When adding a med, ask What can I discontinue? 29

30 Thoughts & Take Aways All UP Interventions need: Attention focused on leadership and cultural issues Courage to HIINovate Individual accountability AND 1. Is my patient awake enough to get up? 2. Have I protected my patient from infections? 3. Does my patient need any medication changes? 30

31 31

32 Betsy Lee, MSPH, RN Improvement Advisor Cynosure Health 32

33 2018 HIIN Strategic Plan 33

34 Data Auction Goals of the HIIN project 20 percent reduction in harm 12 percent reduction in readmissions How can we get there? Look at how many harms you need to prevent to meet your goal and make that your target. 34

35 Missouri s Harms To Go Pledge ADE (hypoglycemia) 217 harms prevented Falls with injury 300 harms prevented Readmissions 1,700 harms prevented SSI abdominal hysterectomy 3 harms prevented SSI hip replacement 10 harms prevented SSI knee replacement 15 harms prevented VAC 50 harms prevented Total = 2,295 harms prevented! 35

36 2018 HIIN Focus and Plan Strategies to have long-term and sustained gains Plan High Reliability Organizations Roadmap Coming March/April 2018 UP Campaign Coming March/April 2018 Culture Bootcamps Safe Training April 2018 (Springfield, Independence, St. Louis, Cape Girardeau) HIIN Annual Meeting June 6-7,

37 HIIN Year 1 Review by the Numbers 37

38 All Measures Top 25% - Rate Hospital Name: Black River Medical Center (MO) Capital Region Medical Center (MO) CenterPointe Hospital (MO) Cooper County Memorial Hospital (MO) Ellett Memorial Hospital (MO) Excelsior Springs Hospital (MO) Harrison County Community Hospital (MO) Hermann Area Hospital District (MO) Iron County Medical Center (MO) Mercy Hospital Lincoln (MO) Mercy Rehabilitation Hospital of St. Louis (MO) Mercy Rehabilitation Hospital Springfield (MO) Osage Beach Center for Cognitive Disorders (MO) Perry County Memorial Hospital (MO) Pike County Memorial Hospital (MO) Ranken Jordan Pediatric Bridge (MO) Ray County Memorial Hospital (MO) Royal Oaks (MO) Salem Memorial District Hospital (MO) Scotland County Hospital (MO) Western Missouri Medical Center (MO) Top 25% - Rate Reduction Hospital Name: Barton County Memorial Hospital (MO) Bates County Memorial Hospital (MO) Bothwell Regional Health Center (MO) Capital Region Medical Center (MO) Community Hospital-Fairfax (MO) Cox Monett (MO) Excelsior Springs Hospital (MO) Freeman Hospital West (MO) Harrison County Community Hospital (MO) Hermann Area Hospital District (MO) Mercy Hospital St. Louis (MO) Mercy Rehabilitation Hospital Springfield (MO) Ozarks Medical Center (MO) Saint Francis Medical Center (MO) Southeast Health Center of Ripley County (MO) Southeast Health Center of Stoddard County (MO) Southeast Hospital (MO) 38

39 HAIs Top 25% - Rate Hospital Name: Carroll County Memorial Hospital (MO) Cass Regional Medical Center (MO) Community Hospital-Fairfax (MO) Cooper County Memorial Hospital (MO) Des Peres Hospital (MO) Ellett Memorial Hospital (MO) Excelsior Springs Hospital (MO) Hermann Area Hospital District (MO) I-70 Community Hospital (MO) Iron County Medical Center (MO) Madison Medical Center (MO) Missouri Delta Medical Center (MO) Nevada Regional Medical Center (MO) Pemiscot Memorial Health System (MO) Salem Memorial District Hospital (MO) Southeast Health Center of Ripley County (MO) Southeast Health Center of Stoddard County (MO) Texas County Memorial Hospital (MO) Washington County Memorial Hospital (MO) Top 25% - Rate Reduction Hospital Name: Community Hospital-Fairfax (MO) Des Peres Hospital (MO) Excelsior Springs Hospital (MO) Hermann Area Hospital District (MO) I-70 Community Hospital (MO) Mercy Rehabilitation Hospital of St. Louis (MO) Missouri Delta Medical Center (MO) Pemiscot Memorial Health System (MO) Poplar Bluff Regional Medical Center (MO) Ranken Jordan Pediatric Bridge (MO) Ray County Memorial Hospital (MO) Saint Francis Medical Center (MO) Ste. Genevieve County Memorial Hospital (MO) Texas County Memorial Hospital (MO) 39

40 Falls Top 25% - Rate Hospital Name: Bates County Memorial Hospital (MO) Ellett Memorial Hospital (MO) Fitzgibbon Hospital (MO) Lafayette Regional Health Center (MO) Mercy Rehabilitation Hospital of St. Louis (MO) Mercy Rehabilitation Hospital Springfield (MO) Moberly Regional Medical Center (MO) Northeast Regional Medical Center (MO) Perry County Memorial Hospital (MO) Phelps County Regional Medical Center (MO) Pike County Memorial Hospital (MO) Research Medical Center (MO) Saint Francis Medical Center (MO) Saint Luke's Hospital of Kansas City (MO) Saint Luke's North Hospital - Barry Road (MO) Southeast Health Center of Ripley County (MO) St. Alexius Hospital - Broadway Campus (MO) St. Mary's Medical Center (MO) Ste. Genevieve County Memorial Hospital (MO) Top 25% - Rate Reduction Hospital Name: Carroll County Memorial Hospital (MO) Cox Monett (MO) Ellett Memorial Hospital (MO) Mercy Hospital Carthage (MO) Mercy Hospital Jefferson (MO) Northeast Regional Medical Center (MO) Northwest Medical Center (MO) Research Medical Center (MO) Saint Francis Medical Center (MO) Saint Luke's Hospital of Kansas City (MO) Saint Luke's North Hospital - Barry Road (MO) Samaritan Memorial Hospital (MO) Southeast Health Center of Ripley County (MO) St. Alexius Hospital - Broadway Campus (MO) St. Mary's Medical Center (MO) 40

41 Read 1 (Readmission within 30 Days All-Cause Rate) Top 25% - Rate Hospital Name: Community Hospital-Fairfax (MO) Cox Medical Center Branson (MO) Cox Monett (MO) Des Peres Hospital (MO) Excelsior Springs Hospital (MO) Freeman Hospital West (MO) Golden Valley Memorial Healthcare (MO) Harrison County Community Hospital (MO) Mercy Hospital Carthage (MO) Mercy Hospital Lincoln (MO) Mercy Hospital Washington (MO) Missouri Delta Medical Center (MO) Saint Francis Medical Center (MO) Scotland County Hospital (MO) Ste. Genevieve County Memorial Hospital (MO) Twin Rivers Regional Medical Center (MO) Western Missouri Medical Center (MO) Top 25% - Rate Reduction Hospital Name: Community Hospital-Fairfax (MO) Cox Medical Center Branson (MO) Des Peres Hospital (MO) Excelsior Springs Hospital (MO) Harrison County Community Hospital (MO) Hermann Area Hospital District (MO) Iron County Medical Center (MO) Missouri Delta Medical Center (MO) Nevada Regional Medical Center (MO) Northwest Medical Center (MO) Ozarks Medical Center (MO) Pemiscot Memorial Health System (MO) Pike County Memorial Hospital (MO) Saint Francis Medical Center (MO) Salem Memorial District Hospital (MO) Southeast Health Center of Stoddard County (MO) Ste. Genevieve County Memorial Hospital (MO) Twin Rivers Regional Medical Center (MO) 41

42 Read 2 (Hospital-Wide All-Cause Unplanned Readmissions Medicare) Top 25% - Rate Hospital Name: Community Hospital-Fairfax (MO) Cox Monett (MO) Des Peres Hospital (MO) Excelsior Springs Hospital (MO) Freeman Hospital West (MO) Hannibal Regional Hospital (MO) Harrison County Community Hospital (MO) Lake Regional Health System (MO) Madison Medical Center (MO) Mercy Hospital Carthage (MO) Mercy Hospital Washington (MO) Missouri Delta Medical Center (MO) Northeast Regional Medical Center (MO) Saint Francis Medical Center (MO) Scotland County Hospital (MO) Ste. Genevieve County Memorial Hospital (MO) Twin Rivers Regional Medical Center (MO) Western Missouri Medical Center (MO) Top 25% - Rate Reduction Hospital Name: Bates County Memorial Hospital (MO) Community Hospital-Fairfax (MO) Des Peres Hospital (MO) Excelsior Springs Hospital (MO) Hannibal Regional Hospital (MO) Hermann Area Hospital District (MO) Iron County Medical Center (MO) Mercy Hospital Carthage (MO) Missouri Delta Medical Center (MO) Nevada Regional Medical Center (MO) Pemiscot Memorial Health System (MO) Pike County Memorial Hospital (MO) Saint Francis Medical Center (MO) Salem Memorial District Hospital (MO) Southeast Health Center of Stoddard County (MO) Ste. Genevieve County Memorial Hospital (MO) Twin Rivers Regional Medical Center (MO) Washington County Memorial Hospital (MO) 42

43 Sepsis 1d (Overall Sepsis Mortality Rate) Top 25% - Rate Hospital Name: Black River Medical Center (MO) Cedar County Memorial Hospital (MO) Community Hospital-Fairfax (MO) Cooper County Memorial Hospital (MO) Ellett Memorial Hospital (MO) Excelsior Springs Hospital (MO) Fitzgibbon Hospital (MO) Hermann Area Hospital District (MO) Iron County Medical Center (MO) Madison Medical Center (MO) Mercy Hospital Carthage (MO) Nevada Regional Medical Center (MO) Saint Luke's North Hospital - Barry Road (MO) Samaritan Memorial Hospital (MO) Southeast Health Center of Ripley County (MO) St. Luke's Rehabilitation Hospital (MO) Ste. Genevieve County Memorial Hospital (MO) Washington County Memorial Hospital (MO) Top 25% - Rate Reduction Hospital Name: Community Hospital-Fairfax (MO) Fitzgibbon Hospital (MO) Golden Valley Memorial Healthcare (MO) Madison Medical Center (MO) Mercy Hospital Carthage (MO) Nevada Regional Medical Center (MO) Saint Luke's North Hospital - Barry Road (MO) Southeast Health Center of Ripley County (MO) Southeast Health Center of Stoddard County (MO) St. Joseph Medical Center (MO) St. Mary's Medical Center (MO) Ste. Genevieve County Memorial Hospital (MO) 43

44 WS 1b (Harm Events Related to Patient Handling) Top 25% - Rate Reduction Hospital Name: Black River Medical Center (MO) Bothwell Regional Health Center (MO) Capital Region Medical Center (MO) Carroll County Memorial Hospital (MO) Cass Regional Medical Center (MO) Community Hospital-Fairfax (MO) Ellett Memorial Hospital (MO) Golden Valley Memorial Healthcare (MO) Harrison County Community Hospital (MO) Hermann Area Hospital District (MO) Madison Medical Center (MO) Mercy Hospital Carthage (MO) Mercy Hospital Lincoln (MO) Mosaic Life Care at St. Joseph (MO) Northwest Medical Center (MO) Scotland County Hospital (MO) Southeast Health Center of Ripley County (MO) St. Anthony's Medical Center (MO) Top 25% - Rate Reduction Hospital Name: Barton County Memorial Hospital (MO) Capital Region Medical Center (MO) Cass Regional Medical Center (MO) Des Peres Hospital (MO) Excelsior Springs Hospital (MO) Hermann Area Hospital District (MO) Madison Medical Center (MO) Mercy Hospital Carthage (MO) Northwest Medical Center (MO) Ranken Jordan Pediatric Bridge (MO) Samaritan Memorial Hospital (MO) Scotland County Hospital (MO) Southeast Health Center of Stoddard County (MO) Washington County Memorial Hospital (MO) 44

45 PrU 2 (Pressure Ulcer Prevalence) Maintaining Zero for 1 st Year of HIIN Project Hospital Name: Bates County Memorial Hospital (MO) Black River Medical Center (MO) Bothwell Regional Health Center (MO) Cass Regional Medical Center (MO) Community Hospital-Fairfax (MO) Cooper County Memorial Hospital (MO) Cox Monett (MO) Ellett Memorial Hospital (MO) Excelsior Springs Hospital (MO) Golden Valley Memorial Healthcare (MO) Harrison County Community Hospital (MO) Hermann Area Hospital District (MO) I-70 Community Hospital (MO) Iron County Medical Center (MO) Lafayette Regional Health Center (MO) Madison Medical Center (MO) Mercy Hospital Lincoln (MO) Nevada Regional Medical Center (MO) Pike County Memorial Hospital (MO) Poplar Bluff Regional Medical Center (MO) Southeast Health Center of Stoddard County (MO) Sullivan County Memorial Hospital (MO) Texas County Memorial Hospital (MO) Western Missouri Medical Center (MO) 45

46 HIIN Project Updates 46

47 Data Due Dates HIIN Project Year 2 47

48 Milestone 6 is Right Around the Corner Data Due Date Milestone 4 May 8, 2017 Milestone 5 Sept. 14, 2017 Milestone 6 Jan. 19, 2018 Milestone 7 June 11, 2018 Milestone 8 Aug. 21, 2018 Amount When is $ Dispersed Criteria $475 July 2017 Hospitals submit 85 percent or greater of their applicable required data (must include core* and readmissions measures) $1450 Nov Hospitals submit 85 percent or greater of their applicable required data (must include core* and readmissions measures) AND must meet Year 1 goals on five topics/measures. Hospitals that do not meet Milestone 4 will NOT be eligible for Milestone 5. $475 Mar Hospitals submit 85 percent or greater of their applicable required data (must include core* and readmissions measures) - - Hospitals submit 85 percent or greater of their applicable required data (must include core* and readmissions measures) $1525 Sept Hospitals submit 85 percent or greater of their applicable required data (must include core* and readmissions measures) AND must meet Year 2 goals on readmission AND seven other topics.** Hospitals that do not meet Milestone 6 AND 7 will NOT be eligible for Milestone 8. *Core measures are as defined by HRET and subject to change per milestone. As of 7/19/2017, HRET has not defined these core measures. **Maintaining zero meets goal. *There will not be separate educational reimbursements in the HIIN. 48

49 HIIN Site Visits In an effort to support your organization in achieving the broad goals of the HIIN project, your improvement advisor will complete a second site visit with your HIIN team. Virtual On-site During the site visit, we will review your progress during the first year of the HIIN and help facilitate setting goals and expectations for the second year. Improvement advisors are in the planning stages and beginning to schedule site visits. Please be on the lookout for more communication from your improvement advisor. Site visit memos will be sent to all HIIN Leads with detailed information and expectations for site visits in the coming weeks. 49

50 MHA Zero Heros Club MHA congratulates the following HIIN-participating hospitals with the most zero harm measures reported. These organizations have either achieved and/or sustained a zero rate of harm, and are in the top 10 percent of HIIN-participating hospitals. Congratulations to the Zero Heros for the month of September! Carroll County Memorial Hospital Cooper County Memorial Hospital Harrison County Community Hospital Iron County Medical Center Osage Beach Center for Cognitive Disorders Pike County Memorial Hospital Southeast Health Center of Ripley County Sullivan County Memorial Hospital 50

51 SPAM from HEN or HIIN Finance PLEASE IGNORE If you receive an asking you to pay your invoice via a link, please ignore and permanently delete. Do not click on the link in the . The may come from different addresses, but is titled as HEN/HIIN Finance or HRET HIIN, similar to what is pictured below. AHA s IT department investigated the s and discovered they were generated by groups from Germany and Switzerland. AHA recommends that your IT department block s from these two countries, unless you do business with them. 51

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53 Hospital Leadership and Quality Assessment Tool The tool measures board members, C-suite executives and management/supervisors on how well they are implementing evidence-based practices shown to support a culture of safety and high performance in clinical quality measures. No front-line staff survey component Survey content FAQ 53

54 HLQAT Survey MHA is providing this complimentary opportunity for all HIIN hospitals to access and utilize this survey. Two options: Phase I June through December 2017 Phase II April through August 2018 One or both (comparison option) 54

55 Qualaris Audit Tool Projects Hand Hygiene Culture of Safety Rounding Sepsis Readmissions/Care Transitions 55

56 Qualaris New Tools Qualaris has new tools to assist users with coordinating successful improvement projects Tracking project outcomes alongside process measures Real-time dashboards inclusive of both outcomes and process measures Documenting PDSAs Click here to view the Qualaris improvement projects and outcomes demo. These tools require a short setup webinar session with Qualaris. Readmission immersion project participants should contact support@qualaris.com or use the Qualaris virtual chat support to take next steps. 56

57 Qualaris New Tools Track and view outcomes data in application 57

58 Qualaris New Tools 58

59 Sepsis: Early Recognition and Intervention Immersion Project Cohort 2 Project kick-off webinar November 29, 2017 Project launches November 29, 2017 through September 18, 2018 Hospitals committed 11 Focus on three- and sixhour bundles (EMS, Emergency and Inpatient) Citizens Memorial Hospital Liberty Hospital Mercy Hospital St. Louis Missouri Delta Mosaic Life Care Nevada Regional Medical Center Ozarks Medical Center Poplar Bluff Regional Medical Center Saint Francis Healthcare System Southeast Health Center of Ripley County Southeast Hospital 59

60 LEAN Six Sigma Green Belt Project Available exclusively to HIIN-participating hospitals Application process November 1, 2017 through January 12, 2018 The application review process will begin January 15, Applicants will be notified no later than January 31, 2018, if they are selected to participate in the project. Project timeline March 2018 through September 2018 Two cohorts are offered, one in the St. Louis metro area and one in the Kansas City metro area each region is limited to 23 participants. Application and Flyer Informational Webinar Slides Informational Webinar Recording FAQ 60

61 LEAN Six Sigma Green Belt Project Topic-focused Patient throughput ICU harm reduction Errors in medication reconciliation Unused medical supplies/eliminating waste 61

62 HRET Virtual Events 62

63 HRET HIIN PFE Strategic Road Map Virtual Event 11 a.m. Tuesday, December 5 Register here. Please join HRET HIIN and special guest Dr. Thomas Workman of AIR to learn about the release of the second edition of the PfP Strategic Vision Roadmap for Person and Family Engagement. The PFE Roadmap is our tool to clarify the five PFE metrics and use best practices to implement them. This webinar is the perfect chance for you to get all your questions about the metrics answered and get a clear idea of what enables you to say yes to implementation. Since the first edition of the Roadmap was released in January 2016, PfP has expanded in a variety of ways, including the understanding of the critical role of PFE in improving patient safety and valuable lessons learned about how to implement meaningful PFE activities. 63

64 Save The Date NCD Pacing Event Readmissions Noon Thursday, November 30 Registration is forthcoming NCD Pacing Event Sepsis Readmissions Noon Thursday, December 7 Registration is forthcoming 64

65 HIIN Fellowship Events 65

66 QI Fellowship Virtual Events HRET HIIN QI Fellowship Informational Call #1 11 a.m. Friday, December 8 Register here. Are you looking to learn how to drive change and accelerate improvement within your organization? Do you want to lead projects to reduce cost and improve quality and value? HRET has partnered with the Institute for Healthcare Improvement to offer a Quality Improvement Fellowship Program from January to July 2018, exclusively available to HIIN-participating hospitals. The program will offer interactive webinars and online courses on key topics in quality improvement and safety, and guide you through leading a project to improve outcomes in your own department or unit. Two tracks are available: Foundations for Change for those new to improvement, and Accelerating Improvement for experienced improvers who are looking to spread and scale their work. Past Fellows have come from nursing, quality improvement, patient safety and infection prevention departments, among others, and have worked on projects including Reducing Falls, Sepsis Bundle Adherence, and Reducing Central Line Infections. 66

67 Upcoming Events 67

68 Enhancing Patient Engagement Using TeamSTEPPS Tools Webinar 1 p.m. Wednesday, December 6 Register here. Learn more about how engaging patients as partners in care is an essential element for effective teamwork and communication. TeamSTEPPS is an evidence-based model designed to improve team function and patient outcomes. The webinar presenter will be Sue Collier, MSN, R.N., FABC, Clinical Content Development Lead from the American Hospital Association. Sue is a TeamSTEPPS Master Trainer and a nationally recognized expert in patient and family engagement who can provide practical examples of how to use the TeamSTEPPS tools and strategies to promote patient partnerships. 68

69 MHA Strategic Quality Webinars What s Up Wednesday Noon first Wednesday of each month for 2017 Register here Noon Wednesday, December 6 Population Health Model presented by Stephen Njenga HIIN Huddles 2 p.m. fourth Tuesday of each month No huddle webinar in December. Next HIIN Huddle webinar 2 p.m. Tuesday, January 16, 2017 Topics: Falls & Milestone HIIN Huddle webinar schedule and registration will be sent soon. 69

70 Missouri HIIN Conference 2018 Wednesday, June 6, and Thursday June 7, 2018 Conference will be held at the Courtyard Columbia Marriott in Columbia, Missouri. Complimentary registration for Missouri hospitals. Register on or before Wednesday, May 23. Program agenda information coming soon. 70

71 Missouri HIIN Conference

72 Upcoming Events 15th Annual Health Care Leadership Series * The Health Care Leadership Series consists of eight, one-day training sessions that will be held monthly on Fridays, September through May. There will be no session in December. Sessions will be held at the Courtyard Columbia Marriott in Columbia, Missouri. Dates Session 1 Sept. 8, 2017 Session 2 Oct. 6, 2017 Session 3 Nov. 10, 2017 Session 4 Jan. 12, 2018 Session 5 Feb. 9, 2018 Session 6 Mar. 9, 2018 Session 7 Apr. 13, 2018 Session 8 May 11, 2018 * Events are not paid through HIIN. We encourage HIIN-participating hospitals to use HIIN stipends to assist in payment. 72

73 Upcoming Events 2018 Joint Commission Accreditation Update for Hospitals and Critical Access Hospitals * Wednesday, December 6, to Thursday, December 7, 2017 Register on or before Thursday, Nov. 30 Session will be held at the Holiday Inn Executive Center in Columbia, Missouri Welcome your Joint Commission surveyors with confidence. This two-day program serves as an annual update to The Joint Commission accreditation process, requirements, changes and current challenges for hospitals. Essential elements of the requirements, as well as enhanced discussion regarding the most challenging and urgent accreditation issues, will be presented. * Events are not paid through HIIN. We encourage HIIN-participating hospitals to use HIIN stipends to assist in payment. 73

74 Upcoming Virtual Events *CMS Restraint and Seclusion 9 a.m. Monday, December 4 The Board s Role in Leading Through Uncertain Times 12:30 p.m. Tuesday, December 12 MHA-member hospital one complimentary connection. Each additional connection will be charged an additional cost. Promoting Safe Environments of Care 11:30 a.m. Thursday, December 14 Presented by Brian Uridge, MPA, CPP CHNA Community Health Implementation, Planning and Deployment 11 a.m. Tuesday, December 19 Note: Events with * are not paid through HIIN. We encourage HIIN-participating hospitals to use HIIN stipends to assist in payment. 74

75 Educational Resources Provided by MHA Health Institute For additional webinar/seminar opportunities click here. 75

76 Resources 76

77 Flu Season Resource CDC s guidance for the influenza season 77

78 SME Monthly Spotlights Falls Prevention Adverse Drug Events Opioid Safety in the Hospital Patient and Family Engagement Pressure Ulcer 78

79 2018 AHA Team Training National Conference Call for Proposals The goal of the 2018 AHA Team Training National Conference is to bring together new and innovative ideas that propel TeamSTEPPS forward whether you are teaching, implementing or using TeamSTEPPS in an innovative way, the AHA Team Training Program invites you to submit a proposal to present at the national conference, June 20-22, 2018, in San Diego, CA. AHA is seeking proposals for breakout sessions and posters that align with one of the four tracks below: Effective Teaching: Innovative Ways of Bringing TeamSTEPPS to Your Team Connecting the Dots: Making TeamSTEPPS a Lasting Approach Engaging the Team: Patients, Staff, Providers, Leaders and Students Making the Case: Assessing, Measuring and Implementing TeamSTEPPS across the Continuum Please review the call for proposals here or visit the AHA Team Training Site. Proposals are due by 11 a.m. Friday, December 8,

80 HRET HIIN Opioid Resource The HRET HIIN would like to share an article recently released entitled, Addressing the Prescription Opioid Crisis: Advancing Provider Education and Collaborating with All Stakeholders. This article highlights key factors in combating the opioid crisis including advancing provider education, screening patients, prescribing appropriately, expanding access to naloxone, improving access to treatment and understanding bias and stigma. In addition, we encourage review of the recent release of AHA s opioid toolkit, Stem the Tide: Addressing the Opioid Epidemic. 80

81 New Resource: Transportation and the Roles of Hospitals AHA, HRET and ACHI released the third report of the Social Determinants of Health series, "Transportation and the Role of Hospitals." The guide recommends strategies for hospitals and health systems to address transportation issues, including screening and evaluating patients' transportation needs and providing transportation services through community partnerships or programs. The guide includes four case studies on hospitals and health systems and their interventions to reduce transportation barriers in their communities. Click here to download the guide. 81

82 NEW GUIDE! Improving Care for High-Need, High-Cost Patients As a new generation of payment and delivery system reform emerges, much focus has been on a subset of the population referred to as highneed, high-cost patients. Hospital and health systems are leading interventions to address the needs of these patients, who account for a disproportionate share of the nation s disease and health care spending. The American Hospital Association is committed to developing and identifying team-based approaches to engage these patients across the continuum of care and addressing underlying behavioral and social risk factors. AHA s issue brief provides resources and strategies to improve care for high-need, high-cost patients. Access the resource here. 82

83 Change Packages These change packages are a summary of themes from the successful practices of high performing health organizations across the country. They have been developed through clinical practice sharing, organization site visits and subject matter expert contributions. These change packages include a menu of strategies, change concepts and specific actionable items that any hospital can implement based on need or for purposes of improving patient quality of life and care. The change packages are intended to be complementary to literature reviews and other evidence-based tools and resources. Adverse Drug Events Airway Safety Catheter-Associated Urinary Tract Infection C. difficile Infection Central Line-Associated Bloodstream Infection Culture of Safety Delirium Exposure to Radiation Falls Multi-Drug Resistant Organisms Pressure Ulcers Readmissions Sepsis Surgical Site Infection Ventilator-Associated Event VTE Change Package Malnutrition 83

84 ListServ Get access to other hospitals, subject matter experts and other resources to avoid reinventing the wheel. Listserv sign-up open through the duration of the HIIN. Sign up today! 84

85 Monthly Quality Newsletter Click here for past issues. 85

86 MHA Trajectories Population Health: Models and Pillars for Success 86

87 Questions? 87

88 Missouri HIIN Team Jessica Stultz Amanda Keilholz Toi Wilde Mary Shackelford Jessica Stultz, RN, BSN, MHA, CPHQ Director of Clinical Quality 573/ , ext Amanda Keilholz HIIN Program Manager 573/ , ext Toi Wilde, RN, BSN, MBA, CPHQ HIIN Program Manager 573/ , ext Mary Shackelford, RN, BSN Improvement Advisor 88