About Minnesota s hospitals

Transcription

1 2017 About Minnesota s hospitals Minnesota s 142 hospitals and health systems have earned a national reputation for delivering safe, high-quality care and for meeting the needs of our communities. It takes more than 200,000 Minnesotans to meet the public s critical care needs 24 hours a day, seven days a week, 365 days a year. Multiple independent quality organizations rank Minnesota among the top for health care quality The federal Agency for Healthcare Quality and Research (AHRQ) has ranked Minnesota among the best states overall for health care quality in the nation. This report is considered the gold standard for measuring the health care quality performance of states. Minnesota is ranked second in the nation for health care access, quality and outcomes by the Commonwealth Fund, a private foundation. Minnesota was one of only two states rated in the avoidable hospital use and cost, healthy lives, and category of healthy lives, which includes measures and obesity. If all states performed as well as Minnesota, there would be approximately 90,000 fewer premature deaths before age 75 for conditions that can be detected early and A report from the Centers for Medicare and Medicaid Services (CMS) shows that Minnesota is among the lowest cost states for hospital care. Adding these quality and cost factors together, value of any state in the nation. According to the Centers for Medicare and Medicaid Services, on average, Minnesota health care spending is 10.3 percent less costly maintaining high quality. over Minnesota Hospital Association University Ave. W., Ste. 350-S, St. Paul, MN (651)

2 Leading in patient safety As part of the federal Partnership for Patients Hospital Engagement 24,065 events Network, prevented Minnesota hospitals and health systems 9,843 adverse events prevented have prevented more than 24,000 13,459 readmissions prevented patients from $211.5 million in cost savings harm and saved more than $211 million as a result of a reduction The Minnesota Hospital Association (MHA) was selected by CMS as one of 16 hospital associations and health system organizations in the country to acquired conditions and readmissions. adverse health events by hospital. Minnesota hospitals commitment to transparency, public reporting and collaboratively learning and sharing is making care safer and improving quality. MHA, in collaboration with other health care partners, is working to help hospitals create a culture of safety through the implementation of a road map of best practices across health care settings and serves as a foundation for successful patient safety Minnesota s hospitals and health systems provide needed access to health care Hospitals provide high-quality care to all patients regardless of their ability to pay. In 2015, Minnesota s hospitals provided $536 million to patients who didn t have health insurance or the uncompensated care (charity care and bad debt) has increased 5.2 percent. Minnesota s hospitals and health systems want Minnesotans to have meaningful insurance coverage for all essential health care services, including preventive care, mental health care, routine screenings and other health care throughout a person s lifetime. There are hour emergency rooms in the state. All of Minnesota hospitals emergency rooms treat anyone who enters. Minnesota s hospitals and health systems meet patient needs during 1.9 million emergency room visits per year, 521,302 inpatient visits per year and more than 12.7 million outpatient visits per year. In rural Minnesota, maintaining access to quality care is of critical importance to maintaining a healthy state. There are 78 rural hospitals with the federal Critical Access Hospital designation to preserve access to care in rural areas of Minnesota. Rising to meet a mental health crisis, Minnesota s hospitals and health systems provide mental and behavioral health services across the continuum of care. Hospitals partner with communitybased outpatient services to provide care to patients in their own communities. Minnesota s community hospitals have 1,124 inpatient mental health beds statewide: 960 for adults, 164 for children/adolescents. Minnesota s state-operated nonforensic hospitals have 238 beds, including 16 for children/adolescents. In 2015, Minnesota hospitals and health systems contributed over $4.5 billion in programs and services smoking cessation to weight loss, and from medical research to educating a future health care workforce. MHA members are pioneering accountable care organizations to improve patient health while lowering costs. Minnesota s hospitals are supporting evidence- unnecessary care while achieving better outcomes for patients.

3 Ensuring patient safety and quality of care Minnesota s leadership on quality and patient safety is recognized throughout the nation, and other states look to the Minnesota Hospital Association in creating their own patient safety programs. Multiple independent quality organizations continually rank Minnesota among the top for health care quality: The federal Agency for Healthcare Quality and Research (AHRQ) has ranked Minnesota among the best states overall for health care quality.this report is considered the gold standard for measuring the health care quality performance of states. access, quality and outcomes by the Commonwealth Fund, a private foundation. Minnesota was the only prevention and treatment, avoidable hospital use and cost, healthy lives, and equity. The state ranks to lead long and healthy lives like rates of smoking, premature death and obesity. If all states performed as well as Minnesota, there would be approximately 84,000 fewer premature deaths before age 75 for treated with good follow-up care. MHA received the 2015 Dick Davidson Quality Milestone Award from the American Hospital Association. The award recognized state, regional or metropolitan hospital associations that demonstrate leadership and innovation in quality improvement and contribute to national health care MHA was among organizations honored on Dec. 13 at the 2016 Centers for Medicare and Medicaid Services (CMS) Quality Conference, Aligning for Innovation and Outcomes. The award recognized diligent work; authentic collaboration with patients, clinicians and partners; and unprecedented national impact on patient safety in all U.S. hospitals. and health systems alongside other national, regional and state hospital associations, quality improvement organizations and health system organizations have saved 87,000 lives, prevented 2.1 million instances of patient harm and yielded $19.8 billion in cost savings nationwide. over Minnesota Hospital Association University Ave. W., Ste. 350-S, St. Paul, MN (651)

4 Minnesota s hospitals are leading multiple quality and patient safety initiatives to improve care through evidence-based practices. A nation-leading adverse health events reporting system, multiple patient safety calls to action and development of new methods of measuring quality quality and patient safety. Through the federal Hospital Engagement Network (HEN) program, MHA members prevented 24,065 adverse events and more than 13,000 readmissions, which translates to $211 million in cost savings and 52,000 nights that patients were able to spend at home rather than in the hospital. The MHA HEN exceeded the CMS 20 percent reduction goal for readmissions (30 percent), early elective deliveries (55 percent), sepsis mortality (81 percent) and CAUTI (78 percent). MHA was selected as one of 16 Hospital Improvement Innovation Networks (HIIN) by CMS acquired conditions and readmissions. MHA Increased hospital members with a patient and family advisory committee or a patient representative on a hospital Quality and Patient Safety committee from 56 percent in January 2016 to 69 percent in December 2016 and increased hospital members percent in January 2016 to 69 percent in December an increasingly diverse population. Analyzing race, ethnicity and language (REL) data allows hospitals and health systems to help ensure that every individual receives the highest quality of care. MHA increased hospital members submitting REL data with their administrative claims data from 99 in January 2016 to 118 in December In partnership with the Minnesota Department of Health (MDH). MHA provided education to members to prevent workplace violence. 55 hospitals and health systems are completing the violence prevention road map in the MHA Quality and Patient Safety data portal. Six health systems were awarded grant support to work on workplace violence prevention initiatives.

5 June 201 Hospitals and nurses share the same goal delivering high-quality, safe patient care In 2016, the Minnesota Nurses Association (MNA) stated from the bargaining table to the Legislature. Minnesota hospitals and health systems oppose MNA/union efforts Hospitals and nurses share the same goal delivering high-quality, safe patient care. Minnesota s hospitals and health systems recognize that teamwork is critical to a strong safety culture. Nurses, physicians, pharmacists, therapists and staff from all disciplines work together to support a culture of safety. Minnesota s hospitals value the important and care. Every day, nurse leaders work with bedside and charge nurses to appropriately staff units based on individual patient needs and on the training, experience and capabilities of the care team. Hospitals and health systems have robust processes in place for nurses or other staff to raise and resolve patient safety concerns. Hospitals encourage all staff to report any potentially unsafe situation. Hospitals and health systems agree that quality care. team that includes more than nurses physicians, nursing assistants, therapists such as PT or respiratory, dietitians and more. There are many variables to consider in terms particular hospital unit. Every patient care unit is different based upon the types of patients cared for on that unit, and the way in which care is organized and delivered. The condition of the patient, the experience of the care team and the mix of the care team has as much to do with patient outcomes if not more as the number of nurses. Minnesota hospitals have processes in place to appropriately staff each unit. To ensure safe, high- on the basis of patient needs and the experienced judgment of the nurses on the unit. was a compromise to ratios in 2013 In 2013, legislators, hospitals and the nurses union agreed to a compromise to provide for greater transparency and Minnesota hospitals. employees. website,. plans. This information has been posted online over Minnesota Hospital Association University Ave. W., Ste. 350-S, St. Paul, MN (651)

6 In 2015, the Minnesota Department of Health (MDH) completed a report to the Legislature levels and patient outcomes. The commissioner of health wrote, Available studies do not prove causal relationship, or indicate that changes in patient outcomes are solely the unsafe or begin to have negative effects on outcomes. decisions and patient outcomes. However, despite multiple studies by academic Conducting his own from the University of St. Thomas showed that there is only a weak correlation, and it is not possible to determine the ideal mix or number of care providers including all of the other members of the care team such as physicians or nursing assistants for a given workload of patients. Hospitals are implementing workplace violence prevention and training Minnesota s hospitals are places of healing and hospitals want to ensure that they remain safe for all patients, visitors and staff. In 2014, MHA and MNA were part of a broad coalition of health care stakeholders developing prevention strategies and responses to workplace violence that included MDH, the Minnesota Medical Association, LeadingAge Minnesota and Care Providers of Minnesota. The coalition s work resulted in a road map for health care organizations to help identify risks for violence and put effective strategies in place. A link to this Workplace Violence Prevention road map can be found on MHA s website. The road map includes recommendations for hospitals to form interdisciplinary workplace violence prevention committees and conduct training. hospitals and health systems to have a violence prevention plan and a committee that includes front-line, direct care workers to review annual incidents of workplace violence. In addition, hospitals must provide workplace violence prevention training to new employees and annually to direct care employees. Minnesota is continually ranked among the top states for health care quality The federal Agency for Healthcare Quality and Research (AHRQ) has ranked Minnesota among nation. This report is considered the gold standard of states. Fund, a private foundation. Minnesota was the only dimensions measured access and affordability, prevention and treatment, avoidable hospital use which includes measures that affect people s ability to lead long and healthy lives like rates of smoking, premature death and obesity. A report from the Centers for Medicare and Medicaid Services (CMS) shows that Minnesota is among the lowest cost states for hospital care. Minnesota offers among the best health care value of any state in the nation.

7 2017 Minnesota provides high-quality, low-cost health care Minnesota is one of the states with the highest quality and lowest health care costs in the nation. According to the Centers for Medicare and Medicaid Services, on average, Minnesota health care spending is 10.3 percent less costly the national average.. over

8 Minnesota is ranked second in the nation for health care access, quality and outcomes Ranking summary 2017 scorecard Overall 2 3 Prevention & treatment 7 10 Health lives 1 Equity 5