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right ©2011 Georgia Hospital Association FLEX GRANT Kathy McGowan Vice President, Quality & Safety Samantha Dulworth Technical & Customer Specialist November 13, 2013

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FLEX GRANT . Kathy McGowan Vice President, Quality & Safety Samantha Dulworth Technical & Customer Specialist November 13, 2013. Georgia’s QI Program. - PowerPoint PPT Presentation

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Page 1: FLEX GRANT

Copyright ©2011 Georgia Hospital Association

FLEX GRANT

Kathy McGowanVice President, Quality & Safety

Samantha DulworthTechnical & Customer Specialist

November 13, 2013

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Copyright ©2011 Georgia Hospital Association

Georgia’s QI Program

• Structured on requirements of Medicare Beneficiary Quality Improvement Project (MBQIP), Culture of Patient Safety, Technical Assistance, Education, and Training for Critical Access Hospitals.

• Georgia Hospital Association Research & Education Foundation serves as sub-grantee for the Georgia FLEX QI Program since 2002

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Copyright ©2011 Georgia Hospital Association

QI Program Participation

• CMS Core Measures• CMS Partnership for Patients• Hospital Consumer Assessment of Healthcare

Providers and Systems (HCAHPS)• Data submission to Hospital Compare• Scheduled education• Scheduled training & technical assistance

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Copyright ©2011 Georgia Hospital Association

QI Objectives

• Public quality reporting• Participation in MBQIP• Raising staff awareness regarding patient

safety• Examining trends in patient safety culture

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Copyright ©2011 Georgia Hospital Association

QI Overall Program Requirements

• Education & training in the use of CART, Core Measures and MBQIP

• Public reporting to Hospital Compare on relevant processes of care quality measures:

Inpatient Outpatient HCAHPS

• Hospital Engagement Network initiative

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Copyright ©2011 Georgia Hospital Association

QI Overall Program Requirements

• Actively work towards staff awareness about safety

• Examine trends in patient safety culture• Identify areas of strength and possible

improvement• Consistently improve the patient quality of

care outcomes in Georgia’s Critical Access Hospitals

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Copyright ©2011 Georgia Hospital Association

Purpose & Goal

• Ensure patient safety• Deliver expected quality patient care

outcomes

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Copyright ©2011 Georgia Hospital Association

Hospital Benefits

• Quarterly dashboards• Quarterly core measure composite scores• Minimum of two CART trainings annually• HCAHPS and MBQIP training• QI technical assistance• CART technical and customer assistance• Onsite coaching

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Copyright ©2011 Georgia Hospital Association

Hospital Benefits

• Resources Data collection tools & definitions CART manuals Transfer / discharge checklists Stabilizing core measure data submissions to Hospital Compare

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Copyright ©2011 Georgia Hospital Association

Education / Training

• Patient and Family Centered Care• Rounding• TeamSTEPPS• Reliable Process Design• Frontline Defects Analysis• Plan-Do-Check-Act (PDCA) Process

Improvement Principles

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Copyright ©2011 Georgia Hospital Association

Education & Training

• Organizational Assessment Tool (OAT)• Culture of Patient Safety Survey• Continue focus on core measures

Pneumonia-6 Heart Failure-1

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Copyright ©2011 Georgia Hospital Association

Education & Training

• Phase III of MBQIP (started 9/1/13) Pharmacist/Computerized Physician Order Entry

(CPEO)/Verification of Medication Orders within 24 hours

Outpatient Emergency Department Transfer Communication

• Needs assessment survey to all CAHs to establish baseline

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Copyright ©2011 Georgia Hospital Association

Education & Training

• ST Elevated Myocardial Infection (STEMI) Program

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Copyright ©2011 Georgia Hospital Association

Conflict of Interest

• State Office of Rural Health, Georgia Medical Care Foundation and GHA staff meet once a month

• Work together to avoid duplicating efforts

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Copyright ©2011 Georgia Hospital Association

HeRMES

Samantha Dulworth

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Copyright ©2011 Georgia Hospital Association

Products

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Copyright ©2011 Georgia Hospital Association

Data Flow using Cart

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HeRMES

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Copyright ©2011 Georgia Hospital Association

GHA Deadline CMS Deadline

 

UB04 Deadlines &Initial Population counts

Joint Commission Both Inpatient & Outpatient

Warehouse/Quality Net Outpatient Only and Quality Net Inpatient Populations

CMS/Quality Net InpatientOPPS Clinical

Q1 2013June 1st 2013 June 15th 2013 August 1st 2013 August 15th 2013

Q2 2013September 1st 2013 September 15th 2013 November 1st 2013 November 15th 2013

Q3 2013December 1st 2013 December 15th 2013 February 1st 2014 February 15th 2014

Q4 2013March 1st 2014 March 15th 2014 May 1st 2014 May 15th 2014

Care Core Submission Deadlines

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Copyright ©2011 Georgia Hospital Association

CART

Inpatient CART Version 4.14 for Discharges (7/1/2013 -12/31/2013)

Outpatient CART Version 1.10 for Encounters (7/1/2013 - 12/31/2013)

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Looking at Upload Reports

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Summary of Data

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Copyright ©2011 Georgia Hospital Association

Running Population Report

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Copyright ©2011 Georgia Hospital Association

Population Report

Measures will show in Red if there are not enough cases submitted for

Global and Ed throughput

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Copyright ©2011 Georgia Hospital Association

Questions?

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Copyright ©2011 Georgia Hospital Association

Care Core Reports

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Copyright ©2011 Georgia Hospital Association

Creating Report in Care Core

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Copyright ©2011 Georgia Hospital Association

Reports (TJC Core Measures)

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Copyright ©2011 Georgia Hospital Association

Reports (TJC Core Measures)

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Copyright ©2011 Georgia Hospital Association

Reports (Values)

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Copyright ©2011 Georgia Hospital Association

Reports (Drill Down)

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Copyright ©2011 Georgia Hospital Association

Reports (Run Report)

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Copyright ©2011 Georgia Hospital Association

Patient Level Drill Down

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Copyright ©2011 Georgia Hospital Association

Patient Detail

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Copyright ©2011 Georgia Hospital Association

Reports (TJC Core Measures)

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Copyright ©2011 Georgia Hospital Association

Reports (Run Report)

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Copyright ©2011 Georgia Hospital Association

HeRMES

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Copyright ©2011 Georgia Hospital Association

Data Flow using Cart

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Copyright ©2011 Georgia Hospital Association

What CARE Service Line has the Highest Mortality Rate?

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Copyright ©2011 Georgia Hospital Association

What CARE Service Line has the Highest Mortality Rate?

1. Pick your Quality Indicator2. Pick your Values3. Pick CARE Service Line in Drill Down4. Click Run Report5. Find your highest CARE Service Line

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Copyright ©2011 Georgia Hospital Association

Report Outcome

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Copyright ©2011 Georgia Hospital Association

HeRMES

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Copyright ©2011 Georgia Hospital Association

How many patients left your Emergency Department against

medical advice?

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Copyright ©2011 Georgia Hospital Association

Left Without Being Seen

1. Click on High Risk Patient Safety2. Click Quality Indicator “ER Patients Who

Leave against medical advice”3. Click “Run Report”

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Copyright ©2011 Georgia Hospital Association

Running Report

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Copyright ©2011 Georgia Hospital Association

Report Outcome

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Copyright ©2011 Georgia Hospital Association

HeRMES

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Copyright ©2011 Georgia Hospital Association

Which Physician has the highest Mortality Rate?

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Copyright ©2011 Georgia Hospital Association

Which Physician has the highest Mortality Rate?

1. Click on MedEval2. Click on Mortality under Quality Indicators3. Click Physician Name and NPI number under

“Drill Down”4. Click on “Run Report”

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Report Outcome

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Copyright ©2011 Georgia Hospital Association

CoPS

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Copyright ©2011 Georgia Hospital Association

CoPS Log in Screen

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Copyright ©2011 Georgia Hospital Association

Report Selection

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Copyright ©2011 Georgia Hospital Association

Executive Level Dashboard

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Copyright ©2011 Georgia Hospital Association

Executive Level Dashboard – line graph

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Copyright ©2011 Georgia Hospital Association

Hospital Compare

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Copyright ©2011 Georgia Hospital Association

Question Level Drill Down

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Question Level Drill Down

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Copyright ©2011 Georgia Hospital Association

CoPS Links

CoPS Website addresshttps://cops.gha.org/Account/Login.aspx

CoPS Campaign Request: http://cops.gha.org/survey/n/CoPSCampaignRequest.aspx

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Copyright ©2011 Georgia Hospital Association

Questions?

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Copyright ©2011 Georgia Hospital Association

GHA Contact Information

Kathy McGowen, Vice President of Quality & [email protected] 770-249-4519Joyce Reid, Vice President of Community Health [email protected] 770-249-4545Samantha Dulworth, Customer and Technical [email protected] 770-249-4550