k-hen progress and taking it to the next level donna r. meador, k-hen project director elizabeth g....

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K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Page 1: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

K-HEN Progress and Taking it to the Next Level

Donna R. Meador, K-HEN Project Director

Elizabeth G. Cobb, KHA VP Health Policy

Page 2: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

What is a HEN?

• A CMS-funded Quality Improvement Program- part of the “Partnership for Patients”

• 3700 hospitals nationwide• 1600 hospitals in HRET HEN• Over 90 Kentucky Hospitals

working with KHA

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Page 3: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

HEN Collaboratives

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There are 10 “Focus Areas”

Hospitals are asked to:

•Work intensely in at least 2 areas and

•Submit data in ALL areas in which you provide services

40/20: Reduce harm in America’s hospitals by 40% and preventable readmissions by 20% by end of 2013

40/20: Reduce harm in America’s hospitals by 40% and preventable readmissions by 20% by end of 2013

Page 4: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

“Face-to-Face” educational meetings Kick-Off Conference in July – clinical topics +

patient safety, attended by 240 hospital representatives;

August 2012 HEN Week in Chicago – attended by 9 hosp. reps;

Prematurity Summit, in collaboration with March of Dimes,

attended by 150 Governor’s press conference on state-wide initiative to

reduce EED;

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K-HEN “Annual Report”

Page 5: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

K-HEN Annual Report cont’d. November HEN Week in Indianapolis – attended

by 31 hosp. reps; IP Conference “Boot Camp” in December-

attended by 191 Readmissions Workshop on “Transitions of Care”,

attended by 180 healthcare providers from all settings

Regional OB Meeting in Hopkinsville – attended by 11 physicians, nurses and administrators

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Page 6: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

K-HEN Annual Report cont’d. February 5-6 TeamSTEPPS Training

attended by 48 hospital repsFebruary 19 Neonatal Quality

Improvement Summit attended by 75 hospital reps

March 5-7 Quality Conference/HEN Convening – OVER 140 REGISTERED!

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Page 7: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

K-HEN Annual Report cont’d.

HSOPS Surveys – completed with 20 K-HEN hospitals and

more in progress Coaching Calls – August-January, hosted 50+ coaching calls/

webinars, with attendance by >390 hospital reps Technical Assistance – provided on-site, on-line, and telephone

assistance to many hospitals in quality improvement and data collection efforts

Reports – created and distributed Quarterly CEO Dashboard to assist hospital leaders to monitor progress, participation, and overall engagement

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Page 8: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

So how are we doing, KY?

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Current rate 6% (-51%)# Readm. Prevented = 636Cost savings to date = $6,105,600

Page 9: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 35.2 (-60.1%)# ADE’s prev. to date = 84Cost savings to date = $252,000

Page 10: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 3.4 (-3.1%)#Falls prev. to date = 31

Page 11: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

W

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Current rate 0.9 (-0.8%)

Page 12: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Page 13: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 1% (440.3%)

Page 14: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 1.0 (-33.6%)# CAUTI prev. to date = 53Cost savings to date = $39,750

Page 15: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 0.7 (-42%)

Page 16: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 1.1 (-69%)# VAP prev. to date = 34Cost savings to date = $1,462,000

Page 17: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 1.5% (-18.6%)

Page 18: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 12.5% (-38.9%)# EED’s prev. to date = 290Cost savings unavailable

Page 19: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 0.2% (53.8%)

Page 20: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

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Current rate 7.5 (-75.2%)# Harms prev. to date = 3,254

Page 21: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

Next Steps • Chicago HEN Week – March 18-22, includes special

Sr. Leaders sessions on Tuesday 3/19– Collaborative Training– Improvement Leader Fellows– Senior Leader Training

• Additional Patient Safety TeamSTEPPS Training- May

• Ongoing Coaching Calls/Webinars – evaluate the educational and support needs of our hospitals and provide through coaching and networking

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Page 22: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

Next Steps • HSOPS Surveys – USE HSOPS data to drive

unit-level improvement through skills-based training

• Technical Assistance – evaluating individual hospital improvement and provide technical assistance

• Senior Leaders – provide training to gain buy-in and support from senior leaders to drive improvement work

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Page 23: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

CelebrateReached CMS January 31, 2013

Reporting Goal!– 96% hospitals reporting on 6 or more

areas

Individual hospital goals!More hospitals in Kentucky engaged

than in most every state!

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Page 24: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

Call To ActionEvery hospital should be actively

working on:– Readmissions – participation and data submission– Adverse Drug Events – participation and data submission– EED- participation, 70% with hard stop p/p by 4/1

Every hospital to set an improvement goal in 3 areas

Kentucky hospitals WILL reach 40/20 Goal by December 2013!

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Page 25: K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

Thank you! Questions?

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