The Health Roundtable4-4c_HRT1215-Session_TRENTINO_CG_WA
Reporting Hospital Acquired Complications using CHADx: Our Experience
Presenter: Kevin Trentino
Royal Perth Hospital :
Innovation Poster SessionHRT1215 – Innovation AwardsSydney 11th and 12th Oct 2012
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The Health Roundtable
KEY PROBLEM
No current automated system to report hospital acquired complications to hospital executive
Little understanding of incidence of system wide hospital acquired complications and impact on patient outcomes and hospital resources locally
In seeking assistance our search didn’t identify other implementations of CHADx at the hospital level nationally
difficult to code/implement?
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AIM OF THIS INNOVATION
Report the incidence of hospital acquired diagnoses using CHADx across all inpatient discharges presenting to Storm, Altair, Titan, Titan2, Titan3.
Investigate the association of hospital acquired diagnoses with multi-day hospital length of stay, hospital costs and emergency readmissions within 28 days
Implement systems for automated CHADx reporting
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BASELINE DATA Hospital acquired complications were present in 7% of
discharges.
Multi-day discharges crude mean LoS was significantly higher for those with hospital acquired complications
After adjustment discharges with a hospital acquired complication had almost four times the mean LoS of discharges without a hospital acquired complication
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KEY CHANGES IMPLEMENTED
Developed an abstract model for implementing the CHADx classification system
Integrated into clinical activity warehouse
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OUTCOMES SO FAR
Composite CHADx flag as a measure
in our hospital business intelligence (BI) tool: analysis services cubes.
cubes refreshed daily allow users to analyse composite CHADx rates by specialty,
DRG, ward etc… Template reports have been created to quantify
incidence of specific CHADx groups and subclasses. Dashboards (including CHADx) for Wards being tested
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LESSONS LEARNT
An automated system to report and analyse complications using the CHADx model important tool to increase the awareness of system wide hospital acquired complications
small number DRGs account for a large proportion of hospital acquired complications.
These insights will assist in designing targeted approaches to reducing hospital acquired complications, improving patient safety and reducing hospital costs.
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