Eliminating Patient Harm and Reducing

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Transcript Eliminating Patient Harm and Reducing

Georgia Hospital Engagement Network Patient and Family Centered Safe Care Putting Patients First

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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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Executive Quality Action Committee Members

• • • • • • • • • • 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 • • • • • • • • • • 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 $2,911,957 to hospitals in registration fees, mileage, hotel accommodations and stipends Average evaluation score, 4.59

188 Educational Activities

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Overall Achievement and Results

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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.) 13

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 CAUTI: Downward Trend Evidenced Based Practice CLABSI: At Goal VAE: Continued Work Patient Centered Care Improved Outcomes Engagement Accurate Measurement

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CUSP for Safe Surgery = SUSP Project Hospitals

• • • • • • • • • • • • 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) 15

Readmissions

• • • • • • • 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

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Setting our sights on reducing Sepsis

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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 (5 Hospitals and >7,000 employees) HEN SPREAD (15 Hospitals and >13,000 employees)

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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 26

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 Lisa Carhuff Lynne Hall Martha Harrell Shearl Lesser Kathy McGowan Tyra McKinney Faizah Muheb Doug Patten, M.D.

Jan Ratterree Joyce Reid Tracy Rutland Pamela Shepard Michelle Sprouse Title

Patient Safety Specialist Quality Improvement Specialist Vice President of Educational Services PHA Program Assistant Vice President of Quality & Patient Safety Public Health Information Specialist Vice President, Analytical Services Unit Chief Medical Officer Infection Prevention/Patient Safety Specialist Vice President of Community Health Connections Quality Improvement/ Patient Safety Specialist Administrative Assistant PHA Technical Analyst

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Telephone number

(770) 249-4553 (770) 249-4525 (770) 249-4517 (770) 249-4549 (770) 249-4519 (770) 249-4587 (770) 249-4539 (770) 249-4547 (770) 249-4518 (770) 249-4545 (770) 249-4511 (770) 249-4515 (770) 249-4533