Hospital data to improve the quality of care and patient safety in oncology
|
|
- Heather Baker
- 6 years ago
- Views:
Transcription
1 Symposium QUALITY AND SAFETY IN ONCOLOGY NURSING: INTERNATIONAL PERSPECTIVES Hospital data to improve the quality of care and patient safety in oncology Dr Jean-Marie Januel, PhD, MPH, RN MER 1, IUFRS, CHUV - UNIL
2 Summary To show the importance of routine data in measuring patient safety in hospital To describe the current state of the project to develop Patient Safety Indicators (PSI) at international level o Example of the PSI for postoperative pulmonary embolism and deep vein thrombosis Top establish the interest of PSI and their perspectives to evaluate care in oncology
3 From contemplative medicine to interventional medicine From the Antiquity to the end of Middle-age o Contemplative medicine in reference to the «Malade imaginaire» from Molière 1 Claude Bernard ( ) o Physiological medicine and principles of interventional medicine o Increasing of iatrogenic risks 1 Shuster E. Lancet 1998; 351:
4 Content of the quality of care Efficiency Patient centered Safe Timeless QUALITY Fair Efficient Crossing the Quality Chasm, IOM. 2001
5 Patient safety Care ability not to be iatrogenic (not to be harmful, not causing complications). To take measures to prevent the occurrence of hospital adverse events associated with care (HAE) Or to reduce hospitalization consequences in terms of complications 5
6 Epidemiology of HAE 10% of hospitalizations 43% avoidable International and ubiquitary issue o AE occurrence : 3% to 19% 1 o Variations due to the definition used to identify AE mainly 6 1 De Vries, et al. Qual Saf Health Care 2008;17:
7 Scale of risks according usual exposures in the life Transfusion accident HAE (10% of hospitalizations) Incidence of road injury Aircraft accident Cancer incidence (total (incidence per fly) population) Chemical industry accident Ultra safe Risky Unsafe * De Vries, et al. Qual Saf Health Care 2008;17:
8 Limits of ad hoc study Need of important resources (prevalence survey) Cannot be repeated with high frequency Small sample size Dependant of quality of patient record / agreement across observers to identify outcomes using chart review To use hospital routine data?
9 Example of indicators based on hospital routine data To use administrative data (diagnostic codes based on the international classification of diseases, ICD) to identify HAE potentially associated to health care (= outcome indicators) Indirect measurement of a selection of HAE
10 PSI algorithm 1 PSI = 1 HAE Algorithm of diagnostic codes PSI = Codes for secondary diagnoses (SD) corresponding to HAE clinical definition At risk population defined using DRG codes, diagnosis codes, and/or procedure codes McDonald K, Romano P, et al. AHRQ Publication No Rockville, MD: Agency for Healthcare Research and Quality
11 Precision of PSI measurement (criterion validity) Heterogeneous PPV according to PSI Chronology in assessing HAE (code for «present on admission») Version of the ICD that is used in countries Others factors that contribute to quality of coding for ICD data
12 PSI /1000 stays Robustness of PSI measurement (reliability) PSI /1000 stays H H F F [18-40[ [40-65[ [65-75[ [75-85[ >= 85 ans 0 1 [2-4[ [4-8[ [8-15[ [15-22[ [22-29[ >= 29 PSI 12 - Categories of age PSI 12 - Lenght of stay (days) Januel J.M. et al. Série Sources et Méthodes. Ministère de la Santé, DREES, Etudes & Recherches, 2011.
13 Fréquence, N Citations of «PSI» in PubMed Année
14 PSI as a standard to assess health system performance In USA, Canada, Australia (program at national level) France: ongoing development of the PSI 12 (postoperative pulmonary embolism and deep vein thrombosis) in patients undergoing hip / knee arthroplasty (by the end of 2015)
15 International comparisons based on PSI IMeCCHI International Methodology Consortium for Coded Health Information - An independent consortium - Subgroup on PSI (CA, CH, F, GER, AUS, USA) - Adaptation of 15 PSI from ICD-9-CM to ICD-10 AHRQ - First project - 20 PSI (ICD-9-CM) OECD - HCQI Project - A sélection of PSI - ICD-9-CM / ICD-10 - International comparisons Januel et al. Rev Epidemiol Sante Publique 2011
16 PSI Interest for international comparisons Performance of health systems o Comparisons (benchmarking) o To learn from others To show differences o Health system organization o Practices of coding o Healthcare practices
17 International comparisons of the PSI 12 (postoperative pulmonary embolism [PE] / deep vein thrombosis [DVT]) To propose a new approach to perform comparative study using an evidence basedbenchmark (corresponding to the state of art practices in healthcare) To develop and to test a such approach to HAE that occur in postoperative (example based on postoperative PE/DVT)
18 A three steps study To establish an external benchmark to be used as a reference value for comparisons (evidence based practice) To compare the rate of PE/DVT that occurs in hospitalized patients undergoing hip replacement using hospital routine data (PSI measurement) across several countries To explore potential factors that could explain differences between countries (as confounding factors in comparisons interpretation = potential bias)
19 To choose a clinical benchmark = Evidence-Based Practice Hip arthroplasty % (95% CI) I² P Total LMWH (Observational + RCT) 0.58 ( ) 51.8% LMWH (Observational) 0.83 ( ) 67.3% LMWH (RCT) 0.51 ( ) 45.4% Direct inhibitor of IIa/Xa factors (EC) 0.31 ( ) 32.8% Indirect inhibitor of IIa/Xa factors (EC) 0.68 ( ) 0.0% TOTAL 0.53 ( ) 49.4% <0.001 Januel et al. JAMA 2012
20 A cross-sectional study Hospitalized patients ( 18 yrs) undergoing hip arthroplasty 5 countries (Switzerland, France, Canada, New-Zealand, the U.S. State of the California) Patient Safety Indicator (PSI) 12 to measure postoperative PE/DVT (= venous thromboembolism, VTE) A priori confounding factors (stratification) o Length of stay o Number of coding secondary diagnoses o Procedure codes for ultrasound that was used to screen DVT systematically
21 PSI algorithm to identify postoperative PE/DVT 1,2 NUMERATOR DENOMINATOR Procedure codes N PSI Inclusions Inclusions Exclusions Exclusions 12 Postoperative Secondary Procedure codes Principal Stent in the PE / DVT diagnoses of for total or partial diagnosis of cava vena PE / DVT hip prosthesis PE/DVT (recurrent PE) 18 yrs MDC 14 1 Januel JM, et al. Rev Epidemiol Sante Publique 2011; 59: OECD Health Technical Report. N 19. DELSA/ELSA/WD/http 2008.
22 Hospital length of stay (LOS)
23 Hospital length of stay (LOS)
24 Hospital length of stay (LOS)
25 Number of coded secondary diagnoses =< Number of Second Diagnoses Coding Fields Switzerland France Canada New-Zealand California-US
26 Number of coded secondary diagnoses
27 DVT and Procedure codes of ultrasound (France) VTE DVT (only) PE (only) DVT+PE Type of thromboembolic events stratified by quartile (Q) for systematic ultrasound Q1 Q2 Q3 Q4
28 Factors associated to ultrasound coded Quartiles Proportion of stay with ultrasound by hospital, Median [IQR, 25 th 75 th percentiles] [0 0] [ ] [ ] [ ] % of stays with PE/DVT (95% CI) ( ) ( ) ( ) ( ) Volume of hip arthroplasty by hospital, Median [IQR, 25 th 75 th percentiles] [40 140] [97 228] [74 228] [72 238] Type of hospital Public hospital and assimilated, n (%) 503 (42.70) 269 (22.84) 277 (23.51) 129 (10.95) For profit private hospital, n (%) 354 (24.65) 181 (12.60) 377 (26.25) 524 (36.49) LOS, Median [IQR, 25 th 75 th percentiles] [ ] [ ] [ ] [ ] Number of secondary diagnoses, Median [IQR, 25 th 75 th percentiles] [ ] [ ] [ ] [ ]
29 PSI as standard metrics At international level o Standard (for comparisons) o Comparability, factors to explain differences potentially At national level o Improving healthcare quality remains the fundamental and principal objective o Complementarily between PSI and ad hoc study (± electronically patient records)
30 N Patient Safety Indicators (PSI) de la AHRQ (CIM-9-CM) IMeCCHI OECD 1. Complications of anesthesia X X 2. Lower DRG mortality Decubitus ulcer X X 4. Failure to rescue Body left during procedure X X 6. Iatrogenic pneumothorax X X 7. Central venous catheter bloodstream infection X X 8. Postoperative hip fracture X X 9. Postoperative hemorrhage or hematoma Postoperative physiological and metabolic disorders X Postoperative respiratory failure - X 12. Postoperative pulmonary embolism and deep vein thrombosis X X 13. Postoperative septis X X 14. Abdominal-pelvic surgical wound dehiscence Technical difficulty - laceration or accidentally puncture during care X X 16. Transfusion reaction X X 17. Birth Trauma - trauma in newborn X X 18. Obstetric trauma during a vaginal delivery (with instrument) X X 19. Obstetric trauma during a vaginal delivery (without instrument) X X 20. Obstetric trauma during a cesarean X X
31 Interest and perspectives in oncology PSI = HAE with avoidable criteria o Oncology patients are excluded of some AHRQ PSI (denominator) To refine interesting PSI for oncology care o Also include patients with cancer in the denominator o To develop new PSI (specific)
32
Conditions of Use & Reporting Methods of Patient Safety Indicators in OECD Countries
CONSORTIUM LOIRE-ATLANTIQUE AQUITAINE RHÔNE-ALPES POUR LA PRODUCTION D INDICATEURS EN SANTE TE Conditions of Use & Reporting Methods of Patient Safety Indicators in OECD Countries State of knowledge Dr
More informationReplication analysis of the validity and comparability of Patient Safety Indicators (PSI): the impact of AHRQ exclusions
Replication analysis of the validity and comparability of Patient Safety Indicators (PSI): the impact of AHRQ exclusions by Vladimir Stevanovic and Lihan Wei The OECD HCQI Expert Group Meeting Paris, 3
More informationARS Toscana Firenze, 7 maggio 2015
ARS Toscana Firenze, 7 maggio 2015 Bernard Burnand Using routinely collected data to measure quality and safety in healthcare: international and Swiss developments IUMSP Institut universitaire de médecine
More informationClinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services
Clinical Documentation: Beyond The Financials Cheryll A. Rogers, RHIA, CDIP, CCDS, CCS Senior Inpatient Consultant 3M HIS Consulting Services Clinical Documentation: Beyond The Financials Key Points of
More informationMinnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
More informationSurgeon Champion: Getting Started, What You Need to Know
Surgeon Champion: Getting Started, What You Need to Know Ninh T. Nguyen, MD, FACS Professor of Surgery Surgeon Champion Vice-Chair, Dept Surgery University of California, Irvine, Medical Center, Orange,
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 informationImpacting Quality Initiatives through Documentation Improvement. Fran Jurcak, MSN, RN, CCDS Vice President of Clinical Innovation Iodine Software
Impacting Quality Initiatives through Documentation Improvement Fran Jurcak, MSN, RN, CCDS Vice President of Clinical Innovation Iodine Software Objectives The learner will be able to: Articulate the goals
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 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 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 information2016 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.
To Err Is Human: CDI Impact on Patient Safety Indicators Kathleen Shindle, RN, BSN, CCDS, CDIP Allison Clerval, RN, BSN, CCDS, CDIP Clinical Supervisors Thomas Jefferson University Hospital Philadelphia,
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 informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836
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 informationAdditional Considerations for SQRMS 2018 Measure Recommendations
Additional Considerations for SQRMS 2018 Measure Recommendations HCAHPS The Hospital Consumer Assessments of Healthcare Providers and Systems (HCAHPS) is a requirement of MBQIP for CAHs and therefore a
More informationComparing Patient Safety in Rural Hospitals by Bed Count
Comparing Patient Safety in Rural Hospitals by Bed Count Stephenie L. Loux, Susan M. C. Payne, Astrid Knott Abstract Objectives: Patient safety is an important national issue. To date, there has been little
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 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 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 information1. Recommended Nurse Sensitive Outcome: Adult inpatients who reported how often their pain was controlled.
Testimony of Judith Shindul-Rothschild, Ph.D., RNPC Associate Professor William F. Connell School of Nursing, Boston College ICU Nurse Staffing Regulations October 29, 2014 Good morning members of the
More informationPATH: Preview of indicators. A-L. Guisset World Health Organization regional office for Europe
PATH: Preview of indicators A-L. Guisset World Health Organization regional office for Europe agu@euro.who.int Preview of indicators Rationale, generic definition Results and lessons learnt from PATH-pilot
More informationUI Health Hospital Dashboard September 7, 2017
UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases
More informationVenous Thromboembolism Prophylaxis. Robert A. Thompson, MD, MBA Karen Bales, RN, BSN
Venous Thromboembolism Prophylaxis Robert A. Thompson, MD, MBA Karen Bales, RN, BSN 03.14.13 This is a complicated topic! Agenda Rob Thompson Overview Compelling case Karen Bales Protocols OFI process
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 informationThe Iowa Healthcare Collaborative - HEN Measure Descriptions
The Iowa Healthcare Collaborative - HEN Measure Descriptions Yellow Pink Purple Green Blue Legend Readmissions and Care Transitions Healthcare-associated Infections Hospital Acquired Conditions Safety
More informationUniversity of Illinois Hospital and Clinics Dashboard May 2018
May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last
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 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 informationPatient Safety Overview Muhammad H. Islam, MBBS, MS, MCH Director of Patient Safety & Patient Safety Officer SUNY Downstate Medical Center, UHB
Patient Safety Overview Muhammad H. Islam, MBBS, MS, MCH Director of Patient Safety & Patient Safety Officer SUNY Downstate Medical Center, UHB www.downstate.edu/patientsafety Definitions Patient Safety
More informationPatient Safety 2015 FINAL TECHNICAL REPORT. February 12, 2016
Patient Safety 2015 FINAL TECHNICAL REPORT February 12, 2016 This report is funded by the Department of Health and Human Services under contract HHSM-500-2012-00009I Task Order HHSM-500-T0008. 1 Contents
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)
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 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 informationIowa Healthcare Collaborative - HEN 2.0 Measures
Iowa Healthcare Collaborative - HEN 2.0 Measures Yellow Pink Purple Green Blue Legend Readmissions and Care Transitions Healthcare-associated Infections Hospital Acquired Conditions Safety Across the Board
More informationInpatient Quality Reporting Program
Hospital Value-Based Purchasing Program: Overview of FY 2017 Questions & Answers Moderator: Deb Price, PhD, MEd Educational Coordinator, Inpatient Program SC, HSAG Speaker(s): Bethany Wheeler, BS HVBP
More informationT he first and most critical obstacle in the
ii58 Administrative data based patient safety research: a critical review C Zhan, M R Miller... Administrative data are readily available, inexpensive, computer readable, and cover large populations. Despite
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 informationA health system perspective on patient safety
THE ECONOMICS OF PATIENT SAFETY STRENGTHENING A VALUE BASED APPROACH TO REDUCING PATIENT HARM AT NATIONAL LEVEL Most research on the cost of patient harm has focused on the acute care setting in the developed
More informationPatient Safety Overview
Patient Safety Overview Muhammad H. Islam, MBBS, MS, MCH, LSSBB Director of Patient Safety & Patient Safety Officer SUNY Downstate Medical Center, UHB www.downstate.edu/patientsafety Definitions Patient
More informationPatient Experience of Care Survey Results Hospital Consumer Assessment of Healthcare Providers and Systems (Inpatient)
Patient Experience of Care Survey Results Hospital Consumer Assessment of Healthcare Providers and Systems (Inpatient) HCAHPS QUESTION DESCRIPTION (April 2016 - March 2017) Patients who reported that their
More information2014 Inova Fairfax Medical Campus Quality Report
2014 Inova Fairfax Medical Campus Quality Report Overview Inova Fairfax Medical Campus is comprised of Inova Fairfax Hospital and Inova Children s Hospital. Inova Fairfax Hospital is a top-rated tertiary
More information2016 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.
Potentially Preventable Complications: Getting the Whole Picture Cheryl Manchenton, RN, BSN, CCDS Project Manager/Quality Services Lead 3M HIS Consulting Services Atlanta, GA 1 Learning Objectives At the
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 informationBuilding a Culture That Lasts
Building a Culture That Lasts Establishing a Leadership Legacy Quality Texas Foundation June 28, 2016 M. Michael Shabot, MD, FACS, FCCM, FACMI Executive Vice President System Chief Clinical Officer V2
More informationMinnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
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 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 informationSANTA ROSA MEMORIAL HOSPITAL AND AFFILIATED ENTITIES ONGOING PROFESSIONAL PRACTICE EVALUATION POLICY (OPPE)
SANTA ROSA MEMORIAL HOSPITAL AND AFFILIATED ENTITIES ONGOING PROFESSIONAL PRACTICE EVALUATION POLICY (OPPE) Discussion Draft August 6, 2017 Horty, Springer & Mattern, P.C. 250979.8 ONGOING PROFESSIONAL
More informationP4P Programs 9/13/2013. Medicare P4P Programs. Medicaid P4P Programs
P4P Programs Medicare P4P Programs Hospital Quality Reporting Programs (IQR and OQR) Hospital Value-Based Purchasing (VBP) Program Hospital Readmissions Reduction Program (HRRP) Hospital-Acquired Conditions
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 informationOverview of the Hospital Safety Score September 24, Missy Danforth, Senior Director of Hospital Ratings, The Leapfrog Group
Overview of the Hospital Safety Score September 24, 2013 Missy Danforth, Senior Director of Hospital Ratings, The Leapfrog Group Presentation Overview Who is getting a Hospital Safety Score? Changes to
More informationMastering the Mandatory Elements of the Affordable Care Act. Melinda Hancock Walter Coleman
Mastering the Mandatory Elements of the Affordable Care Act Melinda Hancock Walter Coleman 1 ACA Gains through 2019 Amounts in Billions Source:CBO and Joint Committee on Taxation, 2010 Projection 2 Current
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 informationAHRQ Quality Indicators. Maryland Health Services Cost Review Commission October 21, 2005 Marybeth Farquhar, AHRQ
AHRQ Quality Indicators Maryland Health Services Cost Review Commission October 21, 2005 Marybeth Farquhar, AHRQ Overview AHRQ Quality Indicators Current Uses of the Quality Indicators Case Studies of
More informationQuality Reporting in the Public Domain
Quality Reporting in the Public Domain Disclaimer This material is designed and provided to communicate information about inpatient coding, clinical documentation, and/or compliance in an educational format
More informationPatient Safety 2016 FINAL REPORT. March 15, 2017
Patient Safety 2016 FINAL REPORT March 15, 2017 This report is funded by the Department of Health and Human Services under contract HHSM-500-2012-00009I Task Order HHSM-500-T0008. Contents Executive Summary...4
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 informationOverview of the Spring 2016 Hospital Safety Score March 7, Missy Danforth, Vice President of Hospital Ratings, The Leapfrog Group
Overview of the Spring 2016 Hospital Safety Score March 7, 2016 Missy Danforth, Vice President of Hospital Ratings, The Leapfrog Group Presentation Overview Who is getting a Hospital Safety Score? Scoring
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 information266 QUALITY MANAGEMENT IN HEALTH CARE/VOLUME 19, ISSUE 3, JULY SEPTEMBER 2010
266 QUALITY MANAGEMENT IN HEALTH CARE/VOLUME 19, ISSUE 3, JULY SEPTEMBER 2010 federal quality standards. In 2003, the CMS instituted a pay-for-performance pilot program to reward hospitals with exemplary
More informationJune 25, Dear Ms. Tavenner,
AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS THOMAS A. MARSHALL, Executive Director 5550 Meadowbrook Drive Rolling Meadows, IL 60008 Phone: 888-566-AANS Fax: 847-378-0600 info@aans.org President WILLIAM
More informationEstablishing a Culture of Quality and Safety and the Journey to High Reliability
Establishing a Culture of Quality and Safety and the Journey to High Reliability Becker s Hospital Review May 9, 2013 Charles D. Stokes System Chief Operating Officer M. Michael Shabot, M.D. System Chief
More informationAdmissions and Readmissions Related to Adverse Events, NMCPHC-EDC-TR
Admissions and Readmissions Related to Adverse Events, 2007-2014 By Michael J. Hughes and Uzo Chukwuma December 2015 Approved for public release. Distribution is unlimited. The views expressed in this
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 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 informationHospital Value-Based Purchasing (VBP) Program
Healthcare-Associated Infection (HAI) Measures Reminders and Updates Questions & Answers Moderator Maria Gugliuzza, MBA Project Manager, Hospital Value-Based Purchasing (VBP) Program Hospital Inpatient
More informationAnalysis of Final Rule for FY 2009 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Analysis of Final Rule for FY 2009 Revisions to the Medicare Hospital Inpatient Prospective Payment System The final rule regarding fiscal year (FY) 2009 revisions to the Medicare hospital inpatient prospective
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 informationRaising Awareness: Venous Thromboembolism Prevention and Reduction in the Orthopedic Patient Population
Raising Awareness: Venous Thromboembolism Prevention and Reduction in the Orthopedic Patient Population Unified Quality Improvement Symposium March 31, 2017 Background Venous thromboembolism (VTE) is a
More informationHealth Care Quality Indicators in the Irish Health System:
Health Care Quality Indicators in the Irish Health System Examining the Potential of Hospital Discharge Data using the Hospital Inpatient Enquiry System - i - Health Care Quality Indicators in the Irish
More informationAHRQ Quality Indicators Program Update OECD Health Care Quality Indicators Expert Group May 22, 2014
AHRQ Quality Indicators Program Update OECD Health Care Quality Indicators Expert Group May 22, 2014 Patrick S. Romano, MD MPH UC Davis Center for Healthcare Policy and Research 1 AHRQ s New Mission 1.
More informationReimbursement Policy Subject: Present on Admission Indicator for Health Care-Acquired Conditions 06/01/12 05/02/16 Administration Policy
Reimbursement Policy Subject: Present on Admission Indicator for Health Care-Acquired Conditions Committee Approval Obtained: Section: Effective Date: 06/01/12 05/02/16 Administration *****The most current
More informationOVERVIEW OF THE SPRING 2018 LEAPFROG HOSPITAL SAFETY GRADE
OVERVIEW OF THE SPRING 2018 LEAPFROG HOSPITAL SAFETY GRADE February 26, 2018 Missy Danforth Vice President of Health Care Ratings, The Leapfrog Group Presentation Overview 2 About the Leapfrog Hospital
More informationValue-Based Purchasing & Payment Reform How Will It Affect You?
Value-Based Purchasing & Payment Reform How Will It Affect You? HFAP Webinar September 21, 2012 Nell Buhlman, MBA VP, Product Strategy Click to view recording. Agenda Payment Reform Landscape Current &
More informationMarch 6, 2016 Cambridge, MA. Health Equity. Amy Reid, MPH
March 6, 2016 Cambridge, MA Health Equity Amy Reid, MPH Director areid@ihi.org @_amyjreid_ Agenda 1. What is health equity? 2. How does health equity relate to patient safety & health care quality? 3.
More information3M Potentially Preventable Complications (PPCs) Version 31.0 (effective 10/01/2013) Methodology Overview
3M Potentially Preventable Complications (PPCs) Version 31.0 (effective 10/01/2013) Methodology Overview 3 Copyright 2013 2008, 3M. All rights reserved. This product contains material and information that
More informationReimbursement Policy Subject: Present on Admission Indicator for Health Care-Acquired Conditions 01/01/14 Administration 05/02/16
Anthem BlueCross BlueShield Medicaid Reimbursement Policy Subject: Committee Approval Obtained: Effective Date: 01/01/14 Section: Administration 05/02/16 ***** The most current version of our reimbursement
More informationCME Disclosure. HCAHPS- Hardwiring Your Hospital for Pay-for-Performance Success. Accreditation Statement. Designation of Credit.
CME Disclosure Accreditation Statement Studer Group is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Designation
More informationDisclosure of Proprietary Interest
HomeTown Health HCCS Hospital Consortium Project: Track 3- Clinical Documentation: Strategies for Sharpening Focus Jenan Custer RHIT, CCS, CPC, CDIP AHIMA Approved ICD-10-CM/PCS Trainer Director of Coding
More informationStar Rating Method for Single and Composite Measures
Star Rating Method for Single and Composite Measures CheckPoint uses three-star ratings to enable consumers to more quickly and easily interpret information about hospital quality measures. Composite ratings
More informationUnderstanding HSCRC Quality Programs and Methodology Updates
Understanding HSCRC Quality Programs and Methodology Updates Kristen Geissler, MS, PT, CPHQ, MBA Managing Director Beth Greskovich - Director Berkeley Research Group August 19, 2016 Maryland Waiver and
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 informationSubject: Hospital-Acquired Conditions (Page 1 of 5)
Subject: Hospital-Acquired Conditions (Page 1 of 5) Objective: I. To facilitate safe patient care for all Health Share/Tuality Health Alliance (THA) members. II. To encourage and support provider efforts
More information2017 Nicolas E. Davies Enterprise Award of Excellence
2017 Nicolas E. Davies Enterprise Award of Excellence Agenda Memorial Hermann Health System Overview Journey to High Reliability Case study review CLABSI Prevention 2 Memorial Hermann Health System Woodlands
More informationLow Molecular Weight Heparins
ril 2014 Low Molecular Weight Heparins FINAL CONSOLIDATED COMPREHENSIVE RESEARCH PLAN September 2015 FINALCOMPREHENSIVE RESEARCH PLAN 2 A. Introduction The objective of the drug class review on LMWH is
More informationProvider Preventable Conditions: Health Care Acquired Conditions and Present on Admission Policy
Provider Preventable Conditions: Health Care Acquired Conditions and Present on Admission Policy Policy Number 2018F7002A Annual Approval Date 3/14/2018 Approved By Reimbursement Policy Oversight Committee
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 informationReimbursement Policy Subject: Present on Admission Indicator for Health Care-Acquired Conditions 04/01/14 Administration 05/02/16
Reimbursement Policy Subject: Present on Admission Indicator for Health Care-Acquired Conditions Committee Approval Obtained: Effective Date: 04/01/14 Section: Administration 05/02/16 ***** The most current
More informationCompass Hospital Improvement Innovation Network (HIIN) Measure Set
Compass Hospital Improvement Innovation Network (HIIN) Measure Set * Statewide s National Safety Healthcare Network () * Self- f Focus Area Adverse Drug Event Rate Adverse Drug Events riginating During
More informationBundled Episode Payment & Gainsharing Demonstration
Bundled Episode Payment & Gainsharing Demonstration Tom Williams, Dr.PH, Integrated Healthcare Association (IHA) Principal Investigator AHRQ Grantees Meeting September 9, 2013 Project Objectives Test feasibility/scalability
More informationMEASURE APPLICATIONS PARTNERSHIP Safety and Care Coordination Task Force Convened by the National Quality Forum. Meeting Summary June 19-20, 2012
MEASURE APPLICATIONS PARTNERSHIP Safety and Care Coordination Task Force Convened by the National Quality Forum Meeting Summary June 19-20, 2012 An in-person meeting of the Measure Applications Partnership
More informationQuality Matters 2016
Quality Matters 2016 Dear Neighbor, At Inova, we strive to ensure our patients and our communities have quality of care information available to them to make their health care decisions easier. We take
More informationInpatient Hospital Compare Preview Report Help Guide
Inpatient Hospital Compare Preview Report Help Guide The target audience for this publication is hospitals. The document scope is limited to instructions for hospitals on how to access and interpret the
More informationVALUE. Acute Care & Critical Access Hospital QUALITY REPORTING GUIDE
better health care VALUE HEALTHIER POPULATIONS Acute Care & Critical Access Hospital QUALITY REPORTING GUIDE TABLE OF CONTENTS Missouri Quality Transparency Measures....4 Missouri Health Care-Associated
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 informationComments Received. Pre-evaluation comments. Post-evaluation comments
Memo TO: Patient Safety Standing Committee FR: NQF Members RE: Voting Draft Report: NQF Endorsed Measures for Patient Safety DA: October 21st, 2015 Background Patient Safety related events due to medical
More informationEffective Tools to Prevent and Manage Adverse Events
Effective Tools to Prevent and Manage Adverse Events Based on Office of Inspector General Adverse Events Report Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com Objectives Upon completion
More informationOVERVIEW OF THE FALL 2017 LEAPFROG HOSPITAL SAFETY GRADE
OVERVIEW OF THE FALL 2017 LEAPFROG HOSPITAL SAFETY GRADE September 20, 2017 Missy Danforth Vice President of Health Care Ratings, The Leapfrog Group Presentation Overview 2 About the Leapfrog Hospital
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 information