TRANSFORMING HEALTH

CARE

THROUGH RESEARCH

AND EDUCATION

HRETMAKING AN

IMPACT2013

MESSAGE FROM MAULIK JOSHI AND MICHAEL ROCK

In 2013, health care has continued its journey toward attaining the highest quality and safest patient care. Hospitals and health care systems face much uncertainty, yet they are being called upon to make rapid, robust changes.

In support of this challenge, the Health Research & Educational Trust (HRET) as the research and educational affiliate of the American Hospital Association (AHA), stands ready to help.

Our vision, to leverage research and education to create a society of healthy communities, where all individuals reach their highest potential for health, offers leadership to our members as they accelerate quality improvement and adjust to the new realities of health care.

Maulik S. Joshi, DrPH President, HRET

Michael G. Rock, MD, ChairChief Medical Officer

Mayo Clinic Hospitals /Mayo Foundation

For more information, visit www.hret.org.

TRANSFORMING HEALTH

CARE

NATIONAL P

ROJECTS

H R E T : MA K I N

G AN I M

P A C T 20 1 3

NATIONAL PROJECTS AHA/HRET Hospital Engagement Network

(HEN)

On the CUSP: Stop CAUTI (catheter–associated urinary tract infections)

TeamSTEPPS

Safety Program for Ambulatory Surgery

Patient Safety Leadership Network (PSLN)

For more information, visit www.hret.org.

AHA/HRET HEN

AT A G L A N C E Goal: Improve safety, reduce complications and preventable readmissions, and save

lives CMS contract to support the Partnership for Patients campaign Leading national improvement efforts that are changing the way hospitals provide

care for patients Providing education and training for nearly 1,600 hospitals recruited by 31 state

hospital association partners in support of their quality improvement efforts

For more information, visit www.hret-hen.org.

I M PA C T Prevented more than

69,000 harms Saved more than

$200 million Improved quality in

clinical areas such as infections, early elective deliveries and readmissions

For more information, visit www.hret-hen.org.

AHA/HRET HEN

AHA/HRET HEN

For more information, visit www.hret-hen.org.

ON THE CUSP: STOP CAUTIAT A G L A N C E I M PA C T

As of December 2013, the project registered more than 860 hospitals and 1,350 inpatient units (both ICU and non-ICU) and 121 emergency departments.

Project has reduced CAUTIs by 16 percent for participating hospital units (AHRQ, July 2013).

Comprehensive unit-based safety program (CUSP) helps hospital units address the foundation of how clinical teams care for patients.

On the CUSP: Stop CAUTI (catheter-associated urinary tract infections) has primary goal of reducing the CAUTI rate in participating hospital units by completion of four-year initiative.

Supported by the Agency for Healthcare Research and Quality.

For more information, visit www.onthecuspstophai.org.

TeamSTEPPSAT A G L A N C E National implementation of TeamSTEPPS

for front-line care providers, to improve patient safety, teamwork and communication

Supported by the Agency for Healthcare Research and Quality

I M PA C T Trained nearly 700 individuals 521 people attended the TeamSTEPPS

national conference in 2013

For more information, visit teamsteppsportal.org.

SAFETY PROGRAM FORAMBULATORY SURGERY

AT A G L A N C E Goal is the reduction of surgical site

infections and complications Implementation of surgical checklists to

integrate clinical and safety culture practices

Supported by the Agency for Healthcare Research and Quality

I M PA C T In first year, two cohorts with 160 facilities and

24 states

For more information, visit www.ascsafetyprogram.org.

PATIENT SAFETY LEADERSHIP NETWORK

AT A G L A N C E In 2013, worked with more than 13,000 hospital

participants through collaboration with 38 state hospital associations

Supported by the Agency for Healthcare Research and Quality I M PA C T

Spread implementation of AHRQ safety tools to prevent readmissions (Project RED), use of MATCH toolkit for medication reconciliation, AHRQ Quality Indicators and many more resources

For more information, visit www.psl-network.org.

TRANSFORMING HEALTH

CARE

RESEARCH AND

EDUCATI

ON

H R E T : MA K I N

G AN I M

P A C T 20 1 3

EMPLOYEE HEALTH BENEFITS SURVEY

In 2013, the 15th annual Kaiser/HRET Employer Health Benefits Survey of more than 2,000 small and large employers provided a detailed picture of the status and trends of health insurance costs and coverage.

For more information, visit ehbs.kff.org.

For more information, visit ehbs.kff.org.

PATIENT SAFETY LEADERSHIP FELLOWSHIP

AT A G L A N C E 20 Fellows in 2013 4 in-person learning

retreats, 6 webinars, and an Action Learning Project by each Fellow

More than 350 leadership fellowship alumni

C L A SS 1 1

For more information, visit www.ahafellowships.org.

HEALTH CARE TRANSFORMATION FELLOWSHIP

16 Fellows in 2013 Theme: Solving the

Implementation Puzzle 3 in-person

conferences, 4 webinars, and an Action Learning Project by each Fellow

Will add photo?AT A G L A N C E

For more information, visitwww.hpoe.org/

HealthCareTranformationFellowship/HealthCareTransformationFellowship.shtml.

HEALTH SERVICES RESEARCHPublished six times a year with two special

supplements, Health Services Research is HRET's flagship publication and the official journal of AcademyHealth.

In 2013, with funding support from the Agency for Healthcare Research and Quality (AHRQ), HSR published a special issue on simulation methods in health services research, focusing on applications for policy management and practice, and a second on integrating mixed methods in health services and delivery system research.

HSR published the second installment of its featured special section – “The Best of the AcademyHealth Annual Research Meeting (ARM).” The collaborative effort between the journal and its supportive partner, AcademyHealth, showcases significant work in the health services research field that was presented at the ARM in June.

For more information, visit www.hsr.org.

Nationally recognized economist and former president of The Commonwealth Fund

HRET TRUST AWARD

2013 TRUST Award Recipient Karen Davis, PhD

For more information, visit www.hret.org/trust.

TRANSFORMING HEALTH

CARE

PARTNERSHIPS

H R E T : MA K I N

G AN I M

P A C T 20 1 3

HRET IN PARTNERSHIP WITH AHA

The AHA’s strategic platform to accelerate

performance improvement and support delivery system transformation

in U.S. hospitals and care systems.

For more information, visit www.hpoe.org.

HPOE.org now hosts more than 10,000 assets

More than 100,000 downloads of HPOE guides

17 HPOE webinars reached more than 3,800 participants in 2013

HOSPITALS IN PURSUIT OF EXCELLENCE

For more information, visit www.hpoe.org.

2013 AHA Committee on Performance Improvement

developed the report Managing an

Intergenerational Workforce: Strategies for Health Care

Transformation

2013 AHA Committee on Research developed the report Your Hospital’s Path to the Second Curve: Integration

and Transformation

COMMITTEE REPORTS

For more information, visit www.aha.org/cpi and www.aha.org/cor.

Priority areas include: Increasing the collection and use of race,

ethnicity and language preference data Increasing cultural competency training Increasing diversity in governance and

leadership

For more information, visit www.equityofcare.org.

EQUITY OF CARE

EQUITY OF CARE PARTNERS

For more information, visit www.equityofcare.org.

TRANSFORMING HEALTH

CARE

ABOUT HRET

H R E T : MA K I N

G AN I M

P A C T 20 1 3

For more information, visit hret.org.

HRET BOARD OF TRUSTEES

Michael G. Rock, MD, Chair

Chief Medical OfficerMayo Clinic Hospitals /

Mayo Foundation

Rhonda Anderson, RN, DNSc(h),

FAAN, FACHEChief Executive Officer

Cardon Children’s Medical Center Banner Health

Mary BluntAdministrator

Sentara Norfolk General Hospital

Lawrence P. Casalino, MD, PhDChief of the Division of Outcomes and Effectiveness Research;

The Livingston Farrand Professor of Public Health,Department of Healthcare Policy and Research

Weill Cornell Medical College

Michael Chernew, PhDProfessor, Department of

Health Care PolicyHarvard Medical School

Douglas A. Conrad, PhDProfessor, Department of Health

ServicesUniversity of Washington

Lorrie WarnerManaging Director

Citigroup Global Markets Inc.

Richard J. UmbdenstockPresident and CEOAmerican Hospital

Association

David P. TiltonPresident and CEO

AtlantiCare

Joseph R. Swedish, FACHEChief Executive Officer

WellPoint, Inc.

T.R. ReidAuthor

Douglas LeonardPresident and CEO 

Indiana Hospital Association

Raymond T. Hino, MPA, FACHEChief Executive Officer

Bear Valley Community Hospital

Daniel L. Gross, RN, DNScExecutive Vice President

Sharp HealthCare

Maryjane WurthPresident

Illinois Hospital Association

HRET STAFF

For more information, visit hret.org.

OUR WORK

HRET Senior Fellows

TRANSFORMING HEALTH CARE

THROUGH RESEARCH AND EDUCATION