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WELCOME TO HEN 2.0!ALASKA’S KEYS TO SUCCESS
Charisse Coulombe, MS, MBA, CPHQVice President, Clinical QualityHealth Research & Educational Trust (HRET)
OBJECTIVES
• Review who we are and our structure• Recap HEN 1.0 successes and opportunities• Review HEN 2.0 goals and deliverables• Discuss our support • Highlight Alaska’s HEN data• Summarize the keys to success in this 12 (now 6) month sprint!
FIRST THINGS FIRST…CONGRATULATIONS!!
Results are a cumulative effort but have been spurred in part by Medicare payment incentives and catalyzed by the Partnership for Patients (PfP) initiative.
AHA/HRET ORIGINAL HEN RESULTS:TOTAL HARMS PREVENTED AND COSTS SAVINGS
AHA/HRET HEN ACHIEVEMENTS OF TARGET (JANUARY 2012 – NOVEMBER 2014)
HOW HEN WAS CREATED
Affordable Care Act (ACA) is signed, with a sub-focus on quality
The Center for Medicare & Medicaid Innovation (CMMI) is
created
CMMI creates the PfP, a public/private
partnership to achieve the 40/20 aims
To achieve the 40/20 aims, CMS creates a Request for Proposal
(RFP): Hospital Engagement Network
(HEN) 1.0
We bid, we received the contract and 25
other HENs are awarded contracts
AHA/HRET contracts with 31 state and territory
hospital associations and 1,400+ hospitals
We work VERY HARD for three years. We achieve
AMAZING results!
CMS releases the HEN 2.0 RFP, we bid, we
received the contract and here we are
(again)!
We, along with 33 other states, ASHNHA and
YOU, have the potential to positively impact
patients…the true core of our work
HEN 2.0 - WHO WE ARE
RECRUITMENT AND RETENTION
1 AK, AL, AR, AZ, CA, CO, CT, FL, ID, IN, KS, KY, LA, MA, MO, MS, MT, ND, NE, NH, NM, OK, OR, PR, RI, SD, WV, WY
2 DE, VA3 DFW, GA, TX, WI
HEN 2.0 - COMMITTED A/C/C HOSPITALS
HEN 2.0 CORE ADVERSE EVENT AREAS (AEAS):40% REDUCTION GOAL
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1. Adverse Drug Events (ADE)2. Catheter-associated Urinary Tract Infections (CAUTI)3. Central Line-associated Blood Stream Infections (CLABSI)4. Early Elective Deliveries (EED) and Obstetrical (OB) Harm5. Injuries from Falls and Immobility6. Pressure Ulcers (PrU)7. Surgical Site Infections (SSI)8. Venous Thromboembolisms (VTE)9. Ventilator-associated Events (VAE)10. Readmissions (20% reduction)
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1. Airway Safety2. Clostridium difficile (C. diff)3. Culture of Safety4. Failure to Rescue5. Iatrogenic Delirium6. Radiation Exposure7. Sepsis
HEN 2.0 ALL OTHER AREAS OF HARM:40% REDUCTION
National focus on C. diff, sepsis
SPECIAL TOPICS OF FOCUS
• Patient and Family Engagement (PFE)– Looking at best practices to assist hospitals (e.g., bedside huddles with
patient participation vs. having a conversation near the patient bed)– Our HEN is focused on looking for implementation tips and resources vs
philosophical discussions that occurred in original HEN; • Health Care Disparities (HCD)
– Looking at different aspects of disparities (i.e., race, age, ethnicity, language) through the quality lens (e.g., readmissions stratified by age)
– Our HEN is focused on increasing cultural competencies, increasing collection of RACE, and increasing diversity in governance and leadership
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WHAT WE DO AT THE NATIONAL LEVEL TO SUPPORT YOU
NATIONAL EDUCATION EVENTS - JANUARY
• 20 fellows from Alaska out of 1,167 total
ACTION LEADERSHIP FELLOWSHIP
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• 5/24 hospitals have taken the #123forequity pledge
HEALTH CARE DISPARITIES
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KEY RESOURCES AVAILABLE ON HEN WEBSITE
• Data– Encyclopedia of Measures– CDS Quick Start Guide
• Fellowship– Decision Tree– Agendas
• Topic Specific– Change Packages – Checklists– ADE Fact Sheet
• PFE Compendium
NATIONAL RESOURCES AVAILABLE TO YOU ON THE HEN WEBSITE (WWW.HRET-HEN.ORG)
NATIONAL RESOURCES AVAILABLE TO YOU ON THE HEN WEBSITE (WWW.HRET-HEN.ORG)
CURRENT NATIONAL RESULTS THRU FEBRUARY 9
CURRENT NATIONAL RESULTS THRU FEBRUARY 9
BOLD AIMS
12-month SPRINT (now 6 months!) to reduce all-cause preventable inpatient harm by 40% and readmissions by 20%
1. Be in action to support your patients and their families by working on this project
2. Work to reduce harm across the board 3. Learn together by sharing your hospital stories, including
successes and opportunities4. Ensure that data are the foundation for all of your
improvement
OUR COMMITMENT TO YOU!
• To leverage HEN 1.0 successes and learnings• To communicate early and often via our main
communication tools, the HRET HEN 2.0 website, LISTSERVs®, virtual and in-person meetings, etc.
• To support you and your hospital association in the best way possible to achieve the project goals
• To move as quickly as we can to achieve the 40/20 aims!
Speaking of YOU – Thank you!ALASKA A/C/C HOSPITALSAlaska Native Medical CenterAlaska Regional HospitalBristol Bay Area Health CorporationCentral Peninsula General HospitalCordova Community Medical CenterFairbanks Memorial HospitalManiilaq Health CenterMat-Su Regional Medical CenterNorton Sound Regional HospitalPetersburg Medical CenterProvidence Alaska Medical CenterProvidence Kodiak Island Medical CenterProvidence Seward Medical CenterProvidence Valdez Medical CenterSEARHC MT. Edgecumbe HospitalSitka Community HospitalSouth Peninsula HospitalWrangell Medical CenterYukon-Kuskokwim Delta Regional Hospital
AK – NEEDS ASSESSMENT RESULTS
AK – QI EXPERIENCE
MA – PFEAK – PFE
CAUTI BASELINE RESULTS
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CLABSI BASELINE RESULTS
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EED/OB BASELINE RESULTS
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FALLS BASELINE RESULTS
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PRESSURE ULCERS BASELINE RESULTS
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SSI BASELINE RESULTS
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VAE BASELINE RESULTS
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AHA/HRET Baseline Timeframes: Calendar year 2013, OR calendar year 2014, OR Jul - Sept 2015Data submitted to AHA/HRET as of: 1/8/2016
VTE BASELINE RESULTS
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ADE BASELINE RESULTS
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READMISSIONS BASELINE RESULTS
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SEPSIS BASELINE RESULTS
AHA/HRET Baseline Timeframe: CY 2014, or Jul-Sept 2015Data submitted to AHA/HRET as of: 02/26/2016
AK Hospitals All AHA/HRET HEN HospitalsMeasure Results # Hosps Reporting Results # Hosps Reporting
Overall sepsis rate Insufficient hospitals reporting data to report results 42.81 209
A focus of our current strategic
plan
A high priority for us in the HEN
project
Has a designated improvement
team
Working with other
organizations (e.g., QIO/QIN)
Not working in this area
29% 29% 43% 7% 21%
C. DIFFICILE BASELINE RESULTS
AHA/HRET Baseline Timeframe: CY 2013 or CY 2014, or Jul-Sept 2015Data submitted to AHA/HRET as of: 02/26/2016
AK Hospitals All AHA/HRET HEN HospitalsMeasure Results # Hosps Reporting Results # Hosps Reporting
Facility-wide C. difficile rate 3.96 5 6.35 999
A focus of our current strategic
plan
A high priority for us in the HEN
project
Has a designated improvement
team
Working with other
organizations (e.g., QIO/QIN)
Not working in this area
36% 29% 29% 21% 43%
HEN KEYS TO SUCCESS (DATA RELATED)
• Data submission and tracking within the hospital, since data drives quality improvement and identifies areas that are causing harm to patients
• Broad sharing and discussion of data within the hospitals – can have a lot of data, but no information
• Focus on measures where performance has the greatest opportunity to improve – once low hanging fruit is finished, move to the next topic of need
• Link PFE efforts to efforts to raise rates in targeted areas
HEN KEYS TO SUCCESS - OVERALL
• Ask questions • Provide feedback; let us know what resources you need to help reduce
patient harm and readmissions• Incorporate patients and families into your improvement • Focus on eliminating harm across the board to help track your overall
hospital harm• Utilize the national and association resources to support your quality and
patient-safety journey• Network, and share your best practices. You have 1,504 peer hospitals!
HOW TO GET HEN ASSISTANCE
• 1st: Your local association! Greta is a great resource. If she can’t answer your questions or defer you to us, then:– General questions: [email protected]– Data questions: [email protected]
• Clinical questions: Topic LISTSERVs
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QUESTIONS?
Thank YOU
