Infection Prevention Update 2016
|
|
- Toby Anthony
- 5 years ago
- Views:
Transcription
1 Stacy Norris BSN, RN Midas+ Infection and Risk Product Manager Amanda DeGraeve Midas+ Care Management Product Manager Objectives This lecture session provides an overview of what is happening in the Infection Prevention arena today. Learners will explore key regulatory requirements and the impact of those requirements, as well as how technology can assist with Infection Prevention compliance and success Midas+ Symposium May Tucson, AZ 1
2 What s Happening in the Industry? Hot Topics 3 Antimicrobial Stewardship PCAST 2017 deadline recommendation for COP 2015 with implementation 2017 $1.2 billion in funds dedicated to this effort CMS: Requirements and Information Gathering for Acute Inpatient Facilities CMS: ASC Surveyor guidance Midas+ Symposium May Tucson, AZ 2
3 Antimicrobial Stewardship: Other Related Reporting Antimicrobial Utilization Antimicrobial Resistance Meaningful Use 3 5 Emerging Pathogens WHO We aren t immune Zika Remember H1N1? How did you track Control measure compliance Illness reports Employee health Lab data Midas+ Symposium May Tucson, AZ 3
4 Endoscope Reprocessing HELP committee report How do you track this at your facility? How do you report to FDA effectively? 7 NPSGs Midas+ Symposium May Tucson, AZ 4
5 Value-Based Purchasing Infection Prevention and Control significance What changed in the measures for 2016? For Fiscal Year (FY) 2016, CMS has added the following measures: IMM-2, Influenza Immunization (Clinical Process of Care domain) CAUTI, Catheter-Associated Urinary Tract Infection (Outcome domain) SSI, Surgical Site Infection Colon Surgery & Abdominal Hysterectomy (Outcome domain) For Fiscal Year (FY) 2016, CMS has removed the following measures: PN-3b, Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital SCIP-Inf-1, Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIP-Inf-4, Cardiac Surgery Patients with Controlled 6AM Postoperative Serum Glucose 9 Value-Based Purchasing % reduction. How much will you get back?? Experience of Care/Care Coordination = 25% Cleanliness measure Safety = 20% AHRQ PSI 90 HAIs (CLABSI, CAUTI, SSIs, Cdiff, MRSA) Efficiency and Cost Reduction = 25% Clinical Care = 25% Process = Influenza Immunization Outcome = Pneumonia Midas+ Symposium May Tucson, AZ 5
6 Serious Reportable Events 2A. Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided by the healthcare setting (updated) 4I. Patient death or serious injury resulting from failure to follow up or communicate laboratory, pathology, or radiology test results (new) Potential future item: CLABSI-related death or serious injury. It was not added in most recent update but NQF noted it is still on the table for future consideration 11 Patient Safety Organization Currently (v1.2) Hospital Acquired Infections are reportable safety events to PSO v2 (not yet released) eliminates HAI reporting as a safety event to PSO Midas+ Symposium May Tucson, AZ 6
7 What s New and Happening at Midas+? 13 Midas+ Care Management NHSN TOOLKITS Midas+ Symposium May Tucson, AZ 7
8 NHSN Device & MDRO/Cdiff Toolkit Phase 2 released on 3/21/2016 Updated to include new requirements for Labidentified event and population summary reporting New Clinical Document Architecture (CDA) version required to report 2016 events Details on the Midas+ Clients Only website Support > Knowledge Base > Downloads NHSN Device & MDRO/Cdiff Toolkit Summary of Modifications January NHSN Surgical Site Infection (SSI) Toolkit Performance Project Goal Deliverables: To modify the NHSN Mapper Process Focus Study to accommodate Hip/Knee Prosthesis ICD-10 secondary codes To modify the SSI Toolkit to support CPT coding structure To modify the NHSN SSI Extraction file Improving CBGC and CBGB Risk Group reporting The addition of the Surgery Module Surgeon field to the extraction file Create a new automated process to review diagnoses from the last 90 days and auto-answer If total or partial revision, was the revision associated with prior infection and index joint? field Goal Release: End of 2 nd quarter, Midas+ Symposium May Tucson, AZ 8
9 Future Midas+ NHSN Toolkit Releases NHSN moved to one major release per year Interim service packs deployed by NHSN No protocol changes until January 1, 2017 CDA vendor webinar being planned for late May for details 17 Midas+ Juvo Infection Surveillance Midas+ Symposium May Tucson, AZ 9
10 Midas+ Symposium May Tucson, AZ 10
11 Midas+ Symposium May Tucson, AZ 11
12 Midas+ Symposium May Tucson, AZ 12
13 And AUR is coming! 25 Thank you for attending. Any questions? Stacy Norris, BSN, RN Midas+ Infection and Risk Product Manager Amanda DeGraeve Midas+ Care Management Product Manager 2016 Midas+ Symposium May Tucson, AZ 13
June 24, Dear Ms. Tavenner:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 24, 2013 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid
More informationFY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar
FY 2014 Inpatient PPS Proposed Rule Quality Provisions Webinar May 23, 2013 AAMC Staff: Scott Wetzel, swetzel@aamc.org Mary Wheatley, mwheatley@aamc.org Important Info on Proposed Rule In Federal Register
More informationQuality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment
Quality Care Amongst Clinical Commotion: Daily Challenges in the Care Environment presented by Sherry Kwater, MSM,BSN,RN Chief Nursing Officer Penn State Hershey Medical Center Objectives 1. Understand
More informationFacility State National
Percentage Summary Report Page 1 of 5 Data As Of: 07/27/2016 Total Performance Facility State National 35.250000000000 37.325750561167 35.561361414483 Unweighted Domain Weighting Weighted Domain Clinical
More informationMedicare Value Based Purchasing Overview
Medicare Value Based Purchasing Overview Washington State Hospital Association Apprise Health Insights / Oregon Association of Hospitals and Health Systems DataGen Susan McDonough Lauren Davis Bill Shyne
More informationMedicare Value Based Purchasing August 14, 2012
Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare
More informationHOSPITAL QUALITY MEASURES. Overview of QM s
HOSPITAL QUALITY MEASURES Overview of QM s QUALITY MEASURES FOR HOSPITALS The overall rating defined by Hospital Compare summarizes up to 57 quality measures reflecting common conditions that hospitals
More informationJune 27, Dear Ms. Tavenner:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 27, 2014 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid
More informationValue-based incentive payment percentage 3
Report Run Date: 07/12/2013 Hospital Value-Based Purchasing Value-Based Percentage Payment Summary Report Page 1 of 5 Percentage Summary Report Data as of 1 : 07/08/2013 Total Score Facility State National
More informationMedicare Value Based Purchasing Overview
Medicare Value Based Purchasing Overview South Carolina Hospital Association DataGen Susan McDonough Bill Shyne October 29, 2015 Today s Objectives Overview of Medicare Value Based Purchasing Program Review
More informationNOTE: New Hampshire rules, to
NOTE: New Hampshire rules, 309.01 to 309.08 Email Request: Selected Items in Table of Contents: (8) Time Of Request: Sunday, August 07, 2011 18:11:07 EST Send To: MEGADEAL, ACADEMIC UNIVERSE UNIVERSITY
More informationInpatient Quality Reporting Program for Hospitals
Inpatient Quality Reporting Program for Hospitals Candace Jackson, RN Project Lead, Hospital Inpatient Quality Reporting (IQR) Program Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR)
More informationMedicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years
julian.coomes@flhosp.orgjulian.coomes@flhosp.org Medicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years 2018-2020 October 2017 Table of Contents Value Based Purchasing (VBP)
More informationNational Provider Call: Hospital Value-Based Purchasing
National Provider Call: Hospital Value-Based Purchasing Fiscal Year 2015 Overview for Beneficiaries, Providers, and Stakeholders Centers for Medicare & Medicaid Services 1 March 14, 2013 Medicare Learning
More informationObjectives. Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004
Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004 Session: C658 2013 ANCC National Magnet Conference Thursday, October 3, 2013
More informationKANSAS SURGERY & RECOVERY CENTER
Hospital Reporting Period for Clinical Process Measures: Fourth Quarter 2012 through Third Quarter 2013 Discharges Page 2 of 13 Hospital Quality Measures Your Hospital Aggregate for All Four Quarters 10
More informationInfectious Diseases- HAI Tennessee Department of Health, Healthcare Associated Infections and Antimicrobial Resistance Program/ CEDEP
Infectious Diseases- HAI Tennessee Department of Health, Healthcare Associated Infections and Antimicrobial Resistance Program/ CEDEP Nashville, Tennessee Assignment Description The Fellow will be located
More informationQuality Based Impacts to Medicare Inpatient Payments
Quality Based Impacts to Medicare Inpatient Payments Overview New Developments in Quality Based Reimbursement Recap of programs Hospital acquired conditions Readmission reduction program Value based purchasing
More informationFY 2014 Inpatient Prospective Payment System Proposed Rule
FY 2014 Inpatient Prospective Payment System Proposed Rule Summary of Provisions Potentially Impacting EPs On April 26, 2013, the Centers for Medicare and Medicaid Services (CMS) released its Fiscal Year
More informationK-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2
Outcome Measure for Any One of the Following: Outcome Measures Meeting Either A or B: Adverse Drug Events (ADE) All measures are surveillance data Hospital Collected Anticoagulant (ADE-12) Opioid (ADE-111)
More informationCMS in the 21 st Century
CMS in the 21 st Century ICE 2013 ANNUAL CONFERENCE David Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco November 15, 2013 The strategy is to concurrently pursue
More informationFinancial Policy & Financial Reporting. Jay Andrews VP of Financial Policy
Financial Policy & Financial Reporting Jay Andrews VP of Financial Policy 1 Members & Groups Supported Center for Healthcare Excellence Hospital Leadership & Quality Departments Hospital Finance Departments
More informationAugust 1, 2012 (202) CMS makes changes to improve quality of care during hospital inpatient stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE Contact: CMS Media Relations
More informationQ & A with Premier: Implications for ecqms Under the CMS Update
Q & A with Premier: Implications for ecqms Under the CMS Update Lori Harrington Senior Director, Quality and regulatory solutions Premier, Inc. Aisha Pittman Director, Quality policy and analysis Premier,
More informationHospital Inpatient Quality Reporting (IQR) Program Measures (Calendar Year 2012 Discharges - Revised)
The purpose of this document is to provide a reference guide on submission and Hospital details for Quality Improvement Organizations (QIOs) and hospitals for the Hospital Inpatient Quality Reporting (IQR)
More informationCare Coordination What Matters
Care Coordination What Matters Researchers, Improvers, Providers, Patients and Caregivers Jane Brock, MD, MSPH Telligen 2 A little background how did we get here? Transitional care/care coordination A
More informationSpectrum Health Infection Control and Prevention Review of Program Plan & Goals 2013
Spectrum Health Infection Control and Prevention Review of Program Plan & Goals 2013 Targeted Surveillance: 1. Hand Hygiene Wash In Wash Out Percent Compliance 2. Central Line Associated Bloodstream Infections
More informationThe Use of NHSN in HAI Surveillance and Prevention
The Use of NHSN in HAI Surveillance and Prevention Catherine A. Rebmann Division of Healthcare Quality Promotion (DHQP) Centers for Disease Control and Prevention (CDC) January 12, 2010 Objectives What
More informationConnecting the Revenue and Reimbursement Cycles
Connecting the Revenue and Reimbursement Cycles Tuesday, August 19 th, 2014 Toni G. Cesta, Ph.D., RN, FAAN Consultant and Partner Case Management Concepts New York Office And Bev Cunningham, MS, RN Vice
More informationAMERICAN COLLEGE OF SURGEONS Inspiring Quality: Highest Standards, Better Outcomes
AMERICAN COLLEGE OF SURGEONS Inspiring Quality: Highest Standards, Better Outcomes SSI Measure Harmonization ACS NSQIP and CDC NHSN Bruce Lee Hall, MD, PhD, MBA, FACS 2012 ACS NSQIP National Conference
More informationHAI Learning and Action Network February 11, 2015 Monthly Call. Overview of HAI LAN
HAI Learning and Action Network February 11, 2015 Monthly Call 1 Overview of HAI LAN CLABSI, CAUTI, CDI, VAE Conferred Rights through NHSN Monthly meetings/webex/teleconferences Antimicrobial Stewardship
More informationOVERVIEW OF THE FY 2018 IPPS FINAL RULE. Published in the Federal Register August 14 th Rule to take effect October 1 st
OVERVIEW OF THE FY 2018 IPPS FINAL RULE S UM M ARY OF CALCULATI ON ELEMENTS Published in the Federal Register August 14 th Rule to take effect October 1 st INDEX TO FFY 2018 CHANGES IN IPPS FACTORS Payment
More informationJune 30, Dear Ms. Tavenner:
June 30, 2014 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Room 445-G Hubert H. Humphrey Building 200 Independence Avenue, SW
More informationThe Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle
The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle Kim Charland, BA, RHIT, CCS Senior Vice President Clinical Innovation and Publisher VBPmonitor
More informationWelcome and Instructions
Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.
More informationImproving quality of care during inpatient hospital stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Communications FACT SHEET FOR IMMEDIATE RELEASE Contact:
More informationHIT Incentives: Issues of Concern to Hospitals in the CMS Proposed Meaningful Use Stage 2 Rule
HIT Incentives: Issues of Concern to Hospitals in the CMS Proposed Meaningful Use Stage 2 Rule Lori Mihalich-Levin, J.D. lmlevin@aamc.org; 202-828-0599 Jennifer Faerberg jfaerberg@aamc.org; 202-862-6221
More information(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE April 30, 2014 Contact: CMS Media
More informationCenters for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2020 Payment Update
ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) CMS s - Fiscal Year 2020 Centers for Medicare & Medicaid Services (CMS) Improvement s for Acute
More informationState of California Health and Human Services Agency California Department of Public Health
State of California Health and Human Services Agency California Department of Public Health MARK B HORTON, MD, MSPH Director ARNOLD SCHWARZENEGGER Governor AFL 10-07 TO: General Acute Care Hospitals SUBJECT:
More informationHealth Care Associated Infections in 2015 Acute Care Hospitals
Health Care Associated Infections in 2015 Acute Care Hospitals Alfred DeMaria, M.D. State Epidemiologist Bureau of Infectious Disease and Laboratory Sciences Katherine T. Fillo, Ph.D, RN-BC Quality Improvement
More informationFINAL RECOMMENDATION REGARDING MODIFYING THE QUALITY- BASED REIMBURSEMENT INITIATIVE AFTER STATE FY 2010
FINAL RECOMMENDATION REGARDING MODIFYING THE QUALITY- BASED REIMBURSEMENT INITIATIVE AFTER STATE FY 2010 Health Services Cost Review Commission 4160 Patterson Avenue Baltimore, MD 21215 (410) 764-2605
More informationFFY 2018 IPPS PROPOSED RULE CHA MEMBER FORUM
FFY 2018 IPPS PROPOSED RULE CHA MEMBER FORUM June 1, 2:00 3:30 p.m. (PT) Dial-in: 1-888-317-6003 Passcode: 7542838 Adobe Connect: http://connect1.calhospital.org/ipps/ Objectives Review proposed changes
More informationMedicare Payment Strategy
Data and Analytics Medicare Payment Strategy CMS Inpatient Pay For Performance Program Update Eric Fontana, Practice Manager, Data and Analytics Group analytics@advisory.com 2011 THE ADVISORY BOARD COMPANY
More informationHospital Value-Based Purchasing (VBP) Program
Fiscal Year (FY) 2018 Percentage Payment Summary Report (PPSR) Overview Questions & Answers Moderator Maria Gugliuzza, MBA Project Manager, Hospital VBP Program Hospital Inpatient Value, Incentives, and
More informationNational Patient Safety Goals & Quality Measures CY 2017
National Patient Safety Goals & Quality Measures CY 2017 General Clinical Orientation 2017 January National Patient Safety Goals 1. Identify Patients Correctly 2. Improve Staff Communication 3. Use Medications
More informationAPIC NHSN Webinar. Kathy Allen-Bridson, Janet Brooks, Cindy Gross, Denise Leaptrot, Susan Morabit, & Eileen Scalise Subject Matter Experts
APIC NHSN Webinar Kathy Allen-Bridson, Janet Brooks, Cindy Gross, Denise Leaptrot, Susan Morabit, & Eileen Scalise Subject Matter Experts April 27, 2015 National Center for Emerging and Zoonotic Infectious
More informationNoCVA SSI/VTE Safe Surgery Collaborative
NoCVA SSI/VTE Safe Surgery Collaborative Orientation Webinar #3 Measures and Data Collection July 19, 2012 Presented by: Jan Mangun, MT(ASCP), MSA, CPHRM Executive Director, Quality and Patient Safety
More informationNational Healthcare Safety Network (NHSN) Reporting for Inpatient Acute Care Hospitals
National Healthcare Safety Network (NHSN) Reporting for Inpatient Acute Care Hospitals In a time when clinical data are being used for research, development of care guidelines, identification of trends,
More informationPerformance Scorecard 2013
NORTHWESTERN LAKE FOREST HOSPITAL Performance Scorecard 2013 updated May 2013 Northwestern Lake Forest Hospital is committed to providing the communities we serve the highest quality health care through
More informationProgram Summary. Understanding the Fiscal Year 2019 Hospital Value-Based Purchasing Program. Page 1 of 8 July Overview
Overview This program summary highlights the major elements of the fiscal year (FY) 2019 Hospital Value-Based Purchasing (VBP) Program administered by the Centers for Medicare & Medicaid Services (CMS).
More informationAppendix A: Encyclopedia of Measures (EOM)
Appendix A: Encyclopedia of Measures (EOM) Great Lakes Partners for Patients HIIN Hospital Improvement Innovation Network (HIIN) Program Evaluation Measures Adapted from Version 1.0 AHA/HRET HEN 2.0 HIIN
More informationAugust 28, Dear Ms. Tavenner:
August 28, 2013 Ms. Marilyn Tavenner Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Room 445-G Hubert H. Humphrey Building 200 Independence Avenue,
More informationScoring Methodology SPRING 2018
Scoring Methodology SPRING 2018 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 6 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician
More informationUnderstanding Hospital Value-Based Purchasing
VBP Understanding Hospital Value-Based Purchasing Updated 12/2017 Starting in October 2012, Medicare began rewarding hospitals that provide high-quality care for their patients through the new Hospital
More informationHospital-Acquired Condition Reduction Program. Hospital-Specific Report User Guide Fiscal Year 2017
Hospital-Acquired Condition Reduction Program Hospital-Specific Report User Guide Fiscal Year 2017 Contents Overview... 4 September 2016 Error Notice... 4 Background and Resources... 6 Updates for FY 2017...
More informationSCORING METHODOLOGY APRIL 2014
SCORING METHODOLOGY APRIL 2014 HOSPITAL SAFETY SCORE Contents What is the Hospital Safety Score?... 4 Who is The Leapfrog Group?... 4 Eligible and Excluded Hospitals... 4 Scoring Methodology... 5 Measures...
More informationQuality Health Indicators: Measure List. Clinical Quality: Monthly
Clinical Quality: Monthly Healthcare Associated Infections per 100 Inpatient Days *Core Measure* Unassisted Patient Falls per 100 Inpatient Days *Core Measure* Readmission within 30 days (All Cause) -
More informationHospital Acquired Conditions: using ACS-NSQIP to drive performance. J Michael Henderson Jackie Matthews Nirav Vakharia
Hospital Acquired Conditions: using ACS-NSQIP to drive performance J Michael Henderson Jackie Matthews Nirav Vakharia Your Team: Quality & Patient Safety Institute Cleveland Clinic Mike Henderson: Chief
More informationThe Data Game. Vicky A. Mahn-DiNicola RN, MS, CPHQ VP Research & Market Insights
The Data Game Vicky A. Mahn-DiNicola RN, MS, CPHQ VP Research & Market Insights My Primary Objective Today: Review Upcoming Regulatory Changes Review of Proposed IPPS Rule for FY 2016 CMS-1632-P 45 CFR
More informationHAI Learning and Action Network January 8, 2015 Monthly Call
HAI Learning and Action Network January 8, 2015 Monthly Call GPQIN Website greatplainsqin.org PATH: Website Initiatives Reducing HAI in Hospitals 2 HAI Page 3 4 5 Patient and Family Engagement Why should
More informationAccreditation, Quality, Risk & Patient Safety
Accreditation, Quality, Risk & Patient Safety Accreditation The Joint Commission (TJC) Centers for Medicare & Medicaid Services (CMS) Wyoming Department of Health (DOH) Joint Commission: - Joint Commission
More informationNew Mexico Hospital Association
New Mexico Hospital Association Hospital Quality Reporting Guide Revised: November 2014 TABLE OF CONTENTS Regulatory Landscape at a Glance... 4 Key Terms and Undserstanding Timeframes... 5 Hospital Inpatient
More informationHealth Care Associated Infections in 2017 Acute Care Hospitals
Health Care Associated Infections in 2017 Acute Care Hospitals Christina Brandeburg, MPH Epidemiologist Katherine T. Fillo, Ph.D, RN-BC Director of Clinical Quality Improvement Eileen McHale, RN, BSN Healthcare
More informationCMS Quality Program- Outcome Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018
CMS Quality Program- Outcome Measures Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018 Philosophy The Centers for Medicare and Medicaid Services (CMS) is changing
More informationHospital Inpatient Quality Reporting (IQR) Program
FY 2019 IPPS Proposed Rule Acute Care Hospital Quality Reporting Programs Overview Questions and Answers Speakers Grace H. Snyder, JD, MPH Program Lead, Hospital IQR Program and Hospital Value-Based Purchasing
More informationQuality Based Impacts to Medicare Inpatient Payments
Quality Based Impacts to Medicare Inpatient Payments Brian Herdman Operations Manager, CBIZ KA Consulting Services, LLC July 30, 2015 Overview How did we get here? Summary of IPPS Quality Programs Hospital
More informationTroubleshooting Audio
Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
More information(1) Ambulatory surgical center--a facility licensed under Texas Health and Safety Code, Chapter 243.
RULE 200.1 Definitions The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise. (1) Ambulatory surgical center--a facility
More informationOHA HEN 2.0 Partnership for Patients Letter of Commitment
OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information
More informationScoring Methodology FALL 2016
Scoring Methodology FALL 2016 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 7 Process/Structural Measures... 7 Computerized Physician Order
More informationMEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP)
MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP) Began in September 2011 Key quality improvement activity within the Medicare Rural Hospital Flexibility grant program Goal of MBQIP: to improve
More informationHospital-Acquired Infections Prevention is in Your Hands. Rachel L. Stricof
Hospital-Acquired Infections Prevention is in Your Hands Rachel L. Stricof rstricof@gmail.com Morbidity 1.7 Million infections per year (estimate 2002) Mortality 99,000 deaths per year (estimate 2002)
More informationMBQIP ABBREVIATIONS. Angiotensin Converting Enzyme Inhibitor. American Congress of Obstetricians and Gynecologists
MBQIP ABBREVIATIONS A ACE-1 ACOG ARB ACA ADE AHA AHRQ AMI APIC Angiotensin Converting Enzyme Inhibitor American Congress of Obstetricians and Gynecologists Angiotensin Receptor Blocker Affordable Care
More informationScoring Methodology FALL 2017
Scoring Methodology FALL 2017 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician Order
More informationNHSN Updates. Linda R Greene RN, MPS, CIC
NHSN Updates Linda R Greene RN, MPS, CIC linda.greene@urmc.rochester.edu Objectives Describe changes to NHSN definitions Explain how these changes are consistent with the HHS action plan Identify new prevention
More informationCompetitive Benchmarking Report
Competitive Benchmarking Report Sample Hospital A comparative assessment of patient safety, quality, and resource use, derived from measures on the Leapfrog Hospital Survey. POWERED BY www.leapfroggroup.org
More informationNational Healthcare Safety Network Surgical Site Infection Reporting. Linda Johnson, MA, RN, CPHQ Felicia Alvarez, MPH Sherry Varley, RN, CIC
National Healthcare Safety Network Surgical Site Infection Reporting Linda Johnson, MA, RN, CPHQ Felicia Alvarez, MPH Sherry Varley, RN, CIC Objectives Describe the drivers of HAI reporting and improvement
More informationDisclosures Nothing to disclose
Joseph Scaletta, MPH, RN, CIC Director, KDHE Healthcare-Associated Infections Program Kay Brown, BS, CSSGB Quality Improvement Director, Heartland Kidney Network Joseph M. Scaletta, MPH, RN, CIC Disclosures
More informationOverview of Final Rule for FY 2011 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Overview of Final Rule for FY 2011 Revisions to the Medicare Hospital Inpatient Prospective Payment System The final rule regarding fiscal year (FY) 2011 revisions to the Medicare hospital inpatient prospective
More informationCMS and NHSN: What s New for Infection Preventionists in 2013 Part II
CMS and NHSN: What s New for Infection Preventionists in 2013 Part II Joan Hebden RN, MS, CIC Clinical Program Manager Sentri7 Wolters Kluwer Health - Clinical Solutions Objectives Define the two major
More informationHealthcare- Associated Infections in North Carolina
2018 Healthcare- Associated Infections in North Carolina Reference Document Revised June 2018 NC Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety Program NC Department of Health
More informationRisk Assessment. Developing an Infection Prevention plan
Risk Assessment Developing an Infection Prevention plan Success Depends on Preparation and Planning OBJECTIVES: Identify at risk services, populations, and procedures at your hospital Construct an IC Risk
More informationInnovative Coordinated Care Delivery
Innovative Coordinated Care Delivery The Arizona Readmissions Summit 2015, Mesa David W. Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco February 12, 2015 OUR STRATEGIC
More informationSAFER Care for Critical Access Hospitals
SAFER Care for Critical Access Hospitals Marilyn Grafstrom, BSN, MPA, CPHRM Rural Health Liaison, Stratis Health NRHA Critical Access Hospital Conference, Kansas City, MO Sept. 21-23, 2016 Five Six Good
More informationMeaningful Use Stage 2 Clinical Quality Measures Are You Ready?
22nd Annual Midas+ User Symposium June 2 5, 2013 Tucson, Arizona Meaningful Use Stage 2 Clinical Quality Measures Are You Ready? Tuesday, June 4, 1:00 pm The transition from chart-abstracted legacy core
More informationGeneral information. Hospital type : Acute Care Hospitals. Provides emergency services : Yes. electronically between visits : Yes
General information 80 JESSE HILL, JR DRIVE SE ATLANTA, GA 30303 (404) 616 45 Overall rating : 1 out of 5 stars Learn more about the overall ratings General information Hospital type : Acute Care Hospitals
More informationHospital Quality Reporting Program Updates: An Overview of the CMS Final IPPS Rule for 2017
Hospital Quality Reporting Program Updates: An Overview of the CMS Final IPPS Rule for 2017 Presented by Vicky Mahn-DiNicola RN, MS, CPHQ VP Clinical Analytics & Research, Midas+, A Xerox Company Accessing
More informationNew Jersey State Department of Health and Senior Services Healthcare-Associated Infections Plan 2010
New Jersey State Department of Health and Senior Services Healthcare-Associated Infections Plan Introduction The State of New Jersey has been proactive in creating programs to address the growing public
More informationThe dawn of hospital pay for quality has arrived. Hospitals have been reporting
Value-based purchasing SCIP measures to weigh in Medicare pay starting in 2013 The dawn of hospital pay for quality has arrived. Hospitals have been reporting Surgical Care Improvement Project (SCIP) measures
More informationCMS and Joint Commission. Karen K Hoffmann RN MS CIC FSHEA FAPIC
CMS and Joint Commission Karen K Hoffmann RN MS CIC FSHEA FAPIC Disclaimer The views and opinions expressed in this lecture are those of this speaker and do not reflect the official policy or position
More informationGo for the Gold. Incorporating Regulatory Issues into the Quality Management Process. June 9 11, 2008 Starr Pass Resort Tucson, Arizona
Go for the Gold June 9 11, 2008 Starr Pass Resort Tucson, Arizona Incorporating Regulatory Issues into the Quality Management Process Recent regulatory changes have impacted the traditional hospital Quality
More informationQuality Health Indicators: Measure List. Clinical Quality: Monthly
Clinical Quality: Monthly Healthcare Associated Infections per 100 Inpatient Days *Core Measure* Unassisted Patient Falls per 100 Inpatient Days *Core Measure* Readmission within 30 days (All Cause) -
More informationInfection Prevention. Fundamentals of. March 21-23, 2017 Oregon Medical Association Portland, OR. oregonpatientsafety.org
Fundamentals of Infection Prevention A Comprehensive Training Course for Infection Prevention Professionals March 21-23, 2017 Oregon Medical Association Portland, OR oregonpatientsafety.org Course Information
More informationPerson-Centered Care and Population Health
Physician Leader Forum Person-Centered Care and Population Health ZIAD HAYDAR, MD, MBA Chief Medical Officer Ascension Health 2013 by the Catholic Health Association of the United States Outline Describe
More informationMinnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654
Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 DECEMBER 2017 APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 Minnesota
More informationCY 2012 Medicare Outpatient Prospective Payment System (OPPS) Final Rule
CY 2012 Medicare Outpatient Prospective Payment System (OPPS) Final Rule Lori Mihalich-Levin, J.D. (lmlevin@aamc.org; 202-828-0599) Jennifer Faerberg (jfaerberg@aamc.org; 202-862-6221) Jane Eilbacher (jeilbacher@aamc.org;
More informationValue-Based Purchasing: A Rural Hospital Perspective
Value-Based Purchasing: A Rural Hospital Perspective Stratis Health & MHA Quality & Patient Safety PPS Hospital Learning Action Network Day Glen Kegley, Hutchinson Health Tuesday, May 3, 2016 Mall of America-
More informationHealth Informatics. Health Informatics professionals treat technology as a tool that helps patients and healthcare professionals.
Health Informatics Health Informatics professionals treat technology as a tool that helps patients and healthcare professionals. 3.02 Understand health informatics 2 Health Informatics A career area that
More informationModel VBP FY2014 Worksheet Instructions and Reference Guide
Model VBP FY2014 Worksheet Instructions and Reference Guide This material was prepared by Qualis Health, the Medicare Quality Improvement Organization for Idaho and Washington, under a contract with the
More information