Title BlockKentucky Hospital Engagement Network and Other

Quality Initiatives at KHA

Progress Toward the 40/20 Goal

Donna R. Meador, K-HEN Project Director

HEN FrameworkCMS Partnership for Patients

Hospital Engagement Network Program (HEN)

HRET (AHA)

K-HEN

79 hospitals

32 Other State Hospital

Associations

25 other HENS

HEN Goals• 40% reduction in hospital-acquired

harm, 20% reduction in preventable readmissions

• “Triple Aim”– 1) improving the health of populations, 2) reducing per capita costs of care, and 3) improving the patient experience

• All hospitals participate in these efforts

K-HEN Framework

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Patient

Safety

Culture

STAY FITCLABSI

CAUTI

SSI

VAP

PIVOTVTE

Pressure Ulcers

Falls

OB HARM*Early Elective

Deliveries

GO REDReadmissions

ADE

K-HEN Services • Benchmarking • Coaching Calls • Best Practices Education and Resources • Technical Assistance• Patient Safety Culture Education and

Resources (e.g. video’s, lecture modules) • Presentations to teams, boards, medical

staff, other groups• Reports, including CEO Dashboard• Quality & Patient Safety Library

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Early Elective Deliveries

6

Falls

7Ja

n-12

Feb-

12

Mar

-12

Apr-1

2

May

-12

Jun-

12

Jul-1

2

Aug-1

2

Sep-1

2

Oct-12

Nov-1

2

Dec-1

2

Jan-

13

Feb-

13

Mar

-13

Apr-1

3

May

-13

Jun-

13

Jul-1

3

Aug-1

3

Sep-1

3

Oct-13

Nov-1

3

Dec-1

30.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

Injuries from Falls and Trauma (EOM-FALLS-39)

Baseline K-HEN Goal

Pressure Ulcers

8Ja

n-12

Feb-

12

Mar

-12

Apr-1

2

May

-12

Jun-

12

Jul-1

2

Aug-1

2

Sep-1

2

Oct-12

Nov-1

2

Dec-1

2

Jan-

13

Feb-

13

Mar

-13

Apr-1

3

May

-13

Jun-

13

Jul-1

3

Aug-1

3

Sep-1

3

Oct-13

Nov-1

3

Dec-1

30.00%

0.01%

0.02%

0.03%

Pressure Ulcer (CMS HAC) (EOM-PrU-63)

Baseline K-HEN Goal

Now in 3rd/”Option Year”• Received approval for “optional” 3rd year of CMS

funding • Option Year participation required signing of

another Commitment Letter by hospital CEO• Hospitals commit to submitting data on all 11 (initial

10 + “Other OB Harm”)topics as applicable to their hospital

• ADE topic - data to be submitted on anticoagulation management, opioid safety, and glycemic management

• Process and Outcome measure data to be submitted 9

Option Year continued Work plan tailored to feedback provided by hospitals

through day-to-day discussions, meetings, site visit, and surveys

Changes include frequency of coaching calls – some monthly, some bi-monthly; 2014 KHA Quality Conference 3/18 with K-HEN Showcase on 3/19

Will continue hospital site visits, TeamSTEPPS workshops, regional meetings;

HRET will continue to provide resources and support on a national level

LEAPT option for QI work and education – severe sepsis, C-diff, Iatrogenic delirium, procedural harm, hospital-acquired ARF, airway safety, undue rad. exp.

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Continued KHA Quality Work Strategies

• Patient Safety Work ranked 5th priority by KHA Strategic Planning Committee

• Seeking funding opportunities to continue QI work– Wellpoint grant awarded in Feb. 2014:

“Improving Safety for Mom and Baby” focusing on EED, Breastfeeding, OB Hemorrhage, Pitocin management, NCABSI

• Create small rural benchmarking program through Flex Grant

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Favorite Quotes and Thoughts.. Being a success in life is just like photography. Just focus on what’s important, develop from the negatives, and if things don’t work out, take another shot.

If you do what you’ve always done, you’ll

get what you always get.

Our greatest fear should not be of failure, but of

achieving great success in things that don’t matter. – Frances Chan

"Knowledge rests not upon truth alone,

but upon error also.“ — Carl Jung

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There are no secrets to success. It is the result of preparation, hard work, and learning from failure.” - Colin Powell

Patients suffer if we refuse to learn from others. Make your brain a

global brain. --Don Berwick

Success is the sum of small efforts, repeated day

in and day out. ~ Robert Collier 

If a project fails, is it a failure of will, ideas, or execution?

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“Change is not about the new thing you want to do; it’s about the old thing you’re holding onto.” - Kegan and Lahey

Questions?

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