OHA HEN 2.0
Ohio Hospital Association/Ohio Patient Safety InstituteOctober 8, 2015
Nationwide public-private partnership to tackle all forms of harm to patients. The goals:
• 40% Reduction in Preventable Hospital Acquired Conditions over three years• 1.8 Million Fewer Injuries• 60,000 Lives Saves
• 20% Reduction in 30-Day Readmissions in Three Years• 1.6 Million Patients Recover Without Readmission
Potential to Save $
Partnership for Patients:Better Care, Lower Costs
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55% reduction of overall harm• Ventilator Associated Pneumonia – 100% reduction• Pressure Ulcers 66% reduction• CLABSI – 59% reduction• Falls – 49% reduction• Surgical Site infections – 36% reduction
SAVINGS – $100.2 Million
Successes of previous HEN
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• Low burden to participating hospitals/ health systems
• Intentional regard for integration of initiatives• Building a structure for ongoing quality
initiatives
Introduction
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OHA PfP Focus
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Base topics
Special topics
Foundational topics
The clinical areas to be addressed are:• Catheter-associated urinary tract infections (CAUTI) • Central line-associated blood stream infections (CLABSI) • Surgical site infections (SSI) • Ventilator-associated Events (VAE, IVAC, VAP) • Adverse drug events (ADE) – Opioid; anticoagulation;
glycemic management• Preventable readmissions • Pressure ulcers • Venous thromboembolism (VTE) • Injuries from falls and immobility • Obstetrical adverse events
Measures
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• Severe Sepsis and Septic Shock• Hospital Culture of Safety integrating worker and
patient safety• Iatrogenic Delirium• Clostridium difficile (antibiotic stewardship)• Undue Exposure to Radiation• Airway Safety
Special topics
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• Patient and Family Engagement• Leadership Engagement• Disparities• Cost Savings
Foundational topics
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Key Concepts
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Patient Centered Care
Integration
Individualization Huddles
Transparency
Regionalization
• Education programming• Regional Coordinators• Website• Wayfinder• Observations – hand hygiene
Resources
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Data Sources
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Outcome Data
• Administrative• NHSN• Electronic
submission• Data entry
Process Data
• Observation• Core measures• Data entry
Other Data
• Not sure yet i.e. Z-score
Where we started…WayFinder - Module 1
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-HEN Module in WayFinder• Track and compare measures• Sophisticated statistical analyses to identify high and
low risk variable pathways
-Data Entry incorporated into WayFinder platform
-Minimizing or eliminating cost for OHA HEN participating hospitals
-Sustain improvement and advancement of platform for future use
Wayfinder ToolHEN Module – Data Entry
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Where we are headed…New Modules
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HEN Module
EXISTING MEASURESPSI/IQI Indicators
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EXISTING MEASURESReadmissions Module
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USING FUNCTIONALITY FOR HENPSI/IQI Indicators
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Hospital 1 Hospital 2 HEN
USING FUNCTIONALITY FOR HENQI Dashboard
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HEN MEASURES
HEN MEASURES
USING EXISTING FUNCTIONALITY
PSI/IQI Indicators – Trend Data
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USING EXISTING FUNCTIONALITYTHE CART BEFORE THE HEN
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USING EXISTING FUNCTIONALITYTHE CART BEFORE THE HEN
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Node 59
Patient Characteristics
3: Race = Black7: DRG 491.22 COPD Acute Br = Yes14 Age = 65-7929: LOS = < 259: Zip Code = 43201
COMPOSITE DATA
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• Letter of Commitment due 10/30
• Begin immediately• Schedule meeting with
regional coordinator
• One year contract• Minimize data burden• Integrate initiatives• Sustainability
• Engagement awards
Next Steps
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Applying high reliability concepts in hospitals is not easy. (AHRQ)
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Ohio Hospital Association 155 East Broad Street, Suite 301Columbus, OH 43215-3640
T 614.221.7614 ohiohospitals.org
Questions?Quality Institute
Amy Andres – [email protected] Vice President of Quality & Data
James Guliano, MSN, RN-BC – [email protected] President, Quality Programs
Rosalie Weakland, RN, MSN, CPHQ, FACHE – [email protected] Director, Quality Programs
Lori Brohm - [email protected] Project Manager
Ryan Everett, MPH – [email protected], Population Health