Glossary, Acronyms and Abbreviations Unit Type and Name. Acronyms and Abbreviations

Size: px
Start display at page:

Download "Glossary, Acronyms and Abbreviations Unit Type and Name. Acronyms and Abbreviations"

Transcription

1 Unit Type Med Surg Tele Med Surg Niche Med Surg Med Surg Oncology Med Surg Niche Glossary, Unit Type and Name Unit Type and Name Unit Name 4 East 5 East 5 West 6 East 6 West A AACN American Association of Colleges of Nursing AAD Antibiotic Associated Diarrhea ABCDS Fall assessment criteria: Age, Bone, Coagulation, Delirium, Surgery/Stroke/Syncope ACD Assistant Clinical Director Shift supervisor responsibilities ADA Assistant Department Administrator/Assistant Department Manager Shift supervisor responsibilities ADC Average daily Census AND Associate Degree in Nursing AHRQ Agency for Healthcare Research and Quality ALOS Average Length of Stay AMP Advanced Management Program ANA American Nurses Association ANCC American Nurses Credentialing Center AONE American Organization of Nurse Executives AORN Association of Perioperative Registered Nurses APHON Association of Pediatric-Hematology/Oncology Nurses APIC Association for Professionals in Infection Control and Epidemiology APRN Advanced Practice Registered Nurse Asst. Assistant AWHONN Association of Women s Health, Obstetrics, and Neonatal Nurses Magnet Document - Page 1

2 B BCMA BEACON BHMT BRN C CALNOC CAM CANS CANS IT Bar Code Medication Administration Platform within the electronic medical record for managing chemotherapy order sets Ben Hudnall Memorial Trust Board of Registered Nursing Collaborative Alliance for Nursing Outcomes The nation s first registry dedicated to reporting nursingsensitive measures at the unit level and related to hospital performance and patient safety. Confusion Assessment Method Tool used for assessing for presence of delirium Clinical Alarms Notification System - communication system Clinical Alarms Notification System Information Technology team Community Acquired Pressure Ulcer Catheter Associated Urinary Tract Infection Critical Care Registered Nurse Competency and Credentialing Institute Critical Care Services (ICU, DOU) Clinical Director Centers for Disease Control and Prevention CAPU CAUTI CCRN CCI CCS CD CDC C. DIFF. Clostridium Difficile CDI Clostridium Difficile Infection CDPH California Department of Public Health CE DIRECT CEO CEU Charge RN CHG CHNA CLABSI Clinical RN CN CNA Resource that provides Continuing Education and certification review courses for healthcare professionals Chief Executive Officer Continuing Education Units Registered Nurse with responsibilities for daily unit operations in addition to proving direct patient care for a minimum of 50% of the time Chlorhexidine Gluconate Community Health Needs Assessment Central Line Associated Blood Stream Infection Staff RN or registered nurse who provides direct patient care Charge Nurse Certified Nurse Assistant Magnet Document - Page 2

3 CNE Chief Nurse Executive CNM Certified Nurse Midwife CNS Clinical Nurse Specialist COO Chief Operations Officer C & P Credentials and Privileges Committee CPHQ Certified Professional in Healthcare Quality CRNA Certified Registered Nurse Anesthetist C/S Cesarean Section CVC Central Venous Catheter CWK Consecutive Weekend CWOCN Certified Wound Ostomy Continence Nurse D, E, F DA Department Administrator DAISY Diseases Attacking the Immune System DHS Department of Health Services DOU Definitive Observation Unit step down level of care DNR/DNI Do Not Resuscitate/Do Not Intubate EBP Evidence-Based Practice ED Emergency Department EKG Electrocardiogram EVS Environmental Services EMR Electronic Medical Record FCC Family Care Center FTE Full Time Equivalent FT Full Time (employee) G, H, I GSOC Girl Scouts of Orange County HAI PI Hospital Acquired Infections Performance Improvement Team HAPU Hospital Acquired Pressure Ulcers HCAHPS Hospital Consumer Assessment Of Healthcare Providers And Systems HealthConnect Kaiser Permanente s comprehensive electronic medical record HLOC Higher Level Of Care HR Human Resources IA Improvement Advisor ICOUNT I Connect, Own, Understand, Nurture, Thrill behaviors/principles that represent each employee s commitment to our patients, community and each other ICP Infection Control Professional ICU Intensive Care Unit Magnet Document - Page 3

4 IHT Inter-Hospital Transfer IPAT Infant Positioning Assessment Tool IPRN Infection Prevention Resource Nurse IQM Integrated Quality Management IRB Institutional Review Board IT Information Technology IV Intravenous J, K, L KFH Kaiser Foundation Hospitals KFHP Kaiser Foundation Health Plan KP Kaiser Permanente KPHC Kaiser Permanente HealthConnect electronic medical record KP Learn Kaiser Permanente s Enterprise wide learning management system KPA Kaiser Permanente Anaheim KP NRC Kaiser Permanente Nursing Research Committee KPOCA Kaiser Permanente Orange County Anaheim KPOC Kaiser Permanente Orange County KPPI Kaiser Positive Patient Identification System KPSC IRB Kaiser Permanente Southern California Institutional Review Board L & D Labor & Delivery LDI Leadership Development Institute organizational leadership development program for supervisors and managers LMP Labor Management Partnership LOA Leave of Absence LOS Length of Stay LVN Licensed Vocational Nurse M, N, O MCH Maternal Child Health labor & delivery and family centered care units MDRHAPUs Medical Device Related Hospital Acquired Pressure Ulcers MDROs Multi-Drug Resistant Organisms MediCopia Lattice MediCopia application software for bedside specimen collection and labeling system. MMP 2.0 Middle Management Program 2.0 MRSA/VRE Methicillin-Resistant Staphylococcus Aureus/Vancomycin Resistant Enterococcus MSAAT Member Services Area Administration Team MSC Medication Safety Committee Magnet Document - Page 4

5 MSQA Masters of Science in Quality Assurance MST Medical, Surgical, Telemetry MBI-LCBI Mucosal Barrier Injury Lab Confirmed Bloodstream Infection NCSBN National Council of State Boards Of Nursing NDNQI National Database of Nursing Quality Indicators nurse satisfaction vendor NHSN National Healthcare Safety Network provides infection related nurse quality indicators NICHE Nurses Improving Care of Healthsystem Elders NICU Neonatal Intensive Care Unit NKE Nurse Knowledge Exchange NNLC National Nursing Leadership Council leads the efforts in professional nursing practice at Kaiser Permanente NPCS National Patient Care Services NPUAP National Pressure Ulcer Advisory Panel NQC Nursing Quality Council NQSC Nursing Quality & Safety Council (formerly NQC) NRC National Research Corporation - patient satisfaction vendor NLT Nursing Leadership Team/Committee OCA Orange County Anaheim used interchangeably with Kaiser Permanente Anaheim OC ACNL Orange County (chapter) Association of California Nurse Leaders OR Operating Room OT Over Time OWL Oxygen Within Limits OSHA Occupational Safety and Health Administration P PACU Post Anesthesia Care Unit PAPR Powered Air Purifying Respirator PDSA Plan, Do, Study, Act a continuous improvement methodology PEDS Pediatrics PERIOP Perioperative Services inclusive of inpatient and ambulatory operating rooms and post anesthesia care unit PEWS Pediatric Early Warning Score PHI Patient Health Information PI Process Improvement or Performance Improvement PICC Peripherally Inserted Central Catheter Magnet Document - Page 5

6 PICO Patient/Population/Problem, Intervention, Comparison for Intervention, Outcomes model for clinical research questions PICU Pediatric Intensive Care Unit PIP Performance Improvement Plans PIV Peripheral Intravenous PNT Pharmacy And Therapeutics Committee PMG Permanente Medical Group PPACA Patient Protection and Affordable Care Act PPE Personal Protective Equipment PPM Professional Practice Model PRE-OP Preoperative PRN Pain Resource Nurse PTO Personal Time Off PT Part Time PU Parent University Q, R, S QUEST Kaiser Permanente business strategic initiatives Quality, Utilization, Expansion, Service, Teamwork QPOC Quality and Performance Oversight Committee RCA Root Cause Analysis ROP Retinopathy of Prematurity RPSM Remote Patient Safety Monitoring SCAL (Kaiser Permanente) Southern California Regional Group made up of 13 service areas SCR Schwartz Center Rounds SEIU-UHW Service Employees International Union United Healthcare Workers West; statewide union SFAP Student Financial Aid Program SHEA Society of Healthcare Epidemiology of America SIRS Systemic Inflammatory Response Syndrome SPH Safe Patient Handling STAFF RN Clinical RN or registered nurse who provides direct patient care STEM Science, Technology, Engineering and Math Surgical Center Ambulatory operating room and post anesthesia care unit used interchangeably with Surgicenter T, U, V TJC The Joint Commission UBT Unit Based Team UNAC United Nurses Associations of California UNAC/UHCP United Nurses Associations of California/Union of Healthcare Professionals Magnet Document - Page 6

7 UOR-O Unusual Occurrence Report Online VON Voice of Nursing mechanism for socialization, education and dissemination of the professional practice model W, X, Y WCH WCC WCHPAC WPS/SPH WHO WOCN Women s & Children Health Wound Care Certified Women and Children Health Patient Advisory Council Work Place Safety/Safe Patient Handling Committee World Health Organization Wound, Ostomy and Continence Nurse Magnet Document - Page 7

President Kaiser Permanente Southern California. Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience

President Kaiser Permanente Southern California. Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience Benjamin K. Chu, MD, MPH President Kaiser Permanente Southern California Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience The triple aim : A blueprint for a more satisfying

More information

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey The Leapfrog Hospital Survey Scoring Algorithms Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey 2017 Leapfrog Hospital Survey Scoring Algorithms Table of Contents 2017 Leapfrog Hospital

More information

State 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 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 information

2014 Partnership in Prevention Award. November 21, :00-1:00PM EST. Introduction

2014 Partnership in Prevention Award. November 21, :00-1:00PM EST. Introduction 2014 Partnership in Prevention Award November 21, 2014 12:00-1:00PM EST Introduction Don Wright, MD, MPH Deputy Assistant Secretary for Health (Disease Prevention and Health Promotion) U.S. Department

More information

CMS and NHSN: What s New for Infection Preventionists in 2013

CMS and NHSN: What s New for Infection Preventionists in 2013 CMS and NHSN: What s New for Infection Preventionists in 2013 Joan Hebden RN, MS, CIC Clinical Program Manager Sentri7 Wolters Kluwer Health - Clinical Solutions Objectives Define the current status of

More information

Improving the Health of Our Patients and Our Communities:

Improving the Health of Our Patients and Our Communities: Jason Jones, PhD Executive Director Kaiser Permanente, Southern California Patti Harvey, RN, MPH, CPHQ Senior Vice President Kaiser Permanente, Southern California Improving the Health of Our Patients

More information

Transforming Care at the Bedside: Climbing the Clinical Ladder

Transforming Care at the Bedside: Climbing the Clinical Ladder Transforming Care at the Bedside: Climbing the Clinical Ladder Rebecca Springer, MSN, RN Chief Nursing Officer, Nurse Executive Temiela Blackman, MA Quality Manager Hendry Regional Medical Center April

More information

Welcome and Instructions

Welcome 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 information

Better to Best Quality Excellence Achievement Awards. Recognizing Illinois Hospitals Leading in Quality and Innovation COMPENDIUM

Better to Best Quality Excellence Achievement Awards. Recognizing Illinois Hospitals Leading in Quality and Innovation COMPENDIUM Better to Best 2011 Quality Excellence Achievement Awards COMPENDIUM Recognizing Illinois Hospitals Leading in Quality and Innovation 2011 Quality Excellence Achievement Awards Overview IHA s Quality Care

More information

OHA HEN 2.0 Partnership for Patients Letter of Commitment

OHA 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 information

Health Care Associated Infections in 2015 Acute Care Hospitals

Health 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 information

New 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 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 information

Clinical Nurse Specialist (CNS)

Clinical Nurse Specialist (CNS) Clinical Nurse Specialist (CNS) Paula Halcomb, MSN, DNP, APRN, ACNS-BC paula.halcomb@uky.edu Jill Dobias, MSN, APRN, ACCNS-AG, OCN, AOCNS jill.dobias@uky.edu Dee Sawyer, MS, APRN, MLDE, AGCNS-BC, BC-ADM,

More information

Patient 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) 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 information

Hospital Acquired Conditions. Tracy Blair MSN, RN

Hospital Acquired Conditions. Tracy Blair MSN, RN Hospital Acquired Conditions Tracy Blair MSN, RN A hospitalacquired infection (HAI), also known as a nosocomial infection, is an infection that is acquired in a hospital or other health care facility Hospital

More information

MBQIP ABBREVIATIONS. Angiotensin Converting Enzyme Inhibitor. American Congress of Obstetricians and Gynecologists

MBQIP 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 information

GLOSSARY OF TERMS UNIT TYPE AND NAME UNIT TYPE UNIT NAME GERIATRIC/PSYCHIATRIC MEDICAL/SURGICAL SENIOR BEHAVIORAL HEALTH CENTER MEDICAL

GLOSSARY OF TERMS UNIT TYPE AND NAME UNIT TYPE UNIT NAME GERIATRIC/PSYCHIATRIC MEDICAL/SURGICAL SENIOR BEHAVIORAL HEALTH CENTER MEDICAL GLOSSARY OF TERMS UNIT TYPE AND NAME UNIT TYPE AND NAME UNIT TYPE UNIT NAME GERIATRIC/PSYCHIATRIC MEDICAL/SURGICAL MEDICAL/SURGICAL MEDICAL/SURGICAL SENIOR BEHAVIORAL HEALTH CENTER MEDICAL/SURGICAL ACUTE

More information

The Global Quest for Practice-Based Evidence An Introduction to CALNOC

The Global Quest for Practice-Based Evidence An Introduction to CALNOC The Global Quest for Practice-Based Evidence An Introduction to CALNOC Presented on Behalf of the CALNOC TEAM by Diane Brown RN, PhD, FNAHQ, FAAN Nancy Donaldson RN, DNSc, FAAN CALNOC Strategic Overview

More information

Nursing Excellence - Nursing Excellence is the practice of professional nursing through shared

Nursing Excellence - Nursing Excellence is the practice of professional nursing through shared Nursing Excellence - Nursing Excellence is the practice of professional nursing through shared leadership/governance, our professional practice model, and monitoring of nursing sensitive quality indicators

More information

Joint Commission NPSG 7: 2011 Update and 2012 Preview

Joint Commission NPSG 7: 2011 Update and 2012 Preview Joint Commission NPSG 7: 2011 Update and 2012 Preview Pharmacy OneSource Webinar June 1, 2011 Louise M. Kuhny, RN, MPH, MBA, CIC The Joint Commission Objectives Upon completion of this program, participants

More information

National Healthcare Safety Network (NHSN) Reporting for Inpatient Acute Care Hospitals

National 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 information

Hospital-Acquired Infections Prevention is in Your Hands. Rachel L. Stricof

Hospital-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 information

Risk Assessment. Developing an Infection Prevention plan

Risk 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 information

QUALIS HEALTH HONORS WASHINGTON HEALTHCARE PROVIDERS

QUALIS HEALTH HONORS WASHINGTON HEALTHCARE PROVIDERS LEADERSHIP IN IMPROVING HEALTHCARE Harborview Medical Center Code Sepsis: Improving Survival in Sepsis with Early Identification and Activation of a Critical Care Team Sepsis, one of the highest causes

More information

Objectives. Integrating Performance Improvement with Publicly Reported Quality Metrics, Value-Based Purchasing Incentives and ISO 9001/9004

Objectives. 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 information

Global Nursing Perspectives and Professionalism

Global Nursing Perspectives and Professionalism Global Nursing Perspectives and Professionalism Mary C. Barkhymer, MSN, MHA, RN, CNOR Vice President, Patient Care Services & Chief Nursing Officer UPMC St. Margaret Today s Topics UPMC Nursing Vision/Strategic

More information

Infection Control: Reducing Hospital Acquired Central Line Bloodstream Infections

Infection Control: Reducing Hospital Acquired Central Line Bloodstream Infections The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library Geschke Center Master's Projects and Capstones Theses, Dissertations, Capstones and Projects Spring 5-19-2017 Infection

More information

4/28/17. New Jersey Antimicrobial Stewardship Learning Action Collaborative. Antimicrobial Stewardship Efforts in New Jersey. Update May 10, 2017

4/28/17. New Jersey Antimicrobial Stewardship Learning Action Collaborative. Antimicrobial Stewardship Efforts in New Jersey. Update May 10, 2017 New Jersey Antimicrobial Stewardship Learning Action Collaborative Update May 10, 2017 Antimicrobial Stewardship Efforts in New Jersey Acute Care Hospitals Outpatient Settings (ED, physician practices)

More information

LABORATORY-IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE. National Healthcare Safety Network (NHSN)

LABORATORY-IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE. National Healthcare Safety Network (NHSN) LABORATORY-IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE National Healthcare Safety Network (NHSN) CMS PARTICIPATION Acute care hospitals, Long Term Acute Care (LTACs),IP Rehabilitation

More information

Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability

Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation

More information

Consumers Union/Safe Patient Project Page 1 of 7

Consumers Union/Safe Patient Project Page 1 of 7 Improving Hospital and Patient Safety: An overview of recently passed legislation and requirements towards improving the safety of California s hospital patients June 2009 Background Since 2006 several

More information

Health Care Associated Infections in 2017 Acute Care Hospitals

Health 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 information

CDPH HAI Program Overview

CDPH HAI Program Overview CDPH HAI Program Overview San Diego APIC Chapter San Diego January 11, 2017 Lynn Janssen, Chief Healthcare-Associated Infections Program Center for Health Care Quality California Department of Public Health

More information

NHSN: An Update on the Risk Adjustment of HAI Data

NHSN: An Update on the Risk Adjustment of HAI Data National Center for Emerging and Zoonotic Infectious Diseases NHSN: An Update on the Risk Adjustment of HAI Data Maggie Dudeck, MPH Zuleika Aponte, MPH Rashad Arcement, MSPH Prachi Patel, MPH Wednesday,

More information

5/9/17. Healthcare-Associated Infections Cultural Shift. Background. Disclosures and Disclaimers

5/9/17. Healthcare-Associated Infections Cultural Shift. Background. Disclosures and Disclaimers National Center for Emerging and Zoonotic Infectious Diseases HAIs in Healthcare Settings: How Did We Get Here & What s Being Done to Address the Issue? Joseph Perz, DrPH MA Team Leader, Quality Standards

More information

Nurse involvement in quality

Nurse involvement in quality Magnet Excellence Creating and sustaining a clinical environment of nursing excellence By Renee Roberts-Turner, DHA, MSN, RN, NE-BC, CPHQ; Lael Coleman, BA; Gen Guanci, MEd, RN-BC, CCRN; Tina Kunze Humbel,

More information

June 24, Dear Ms. Tavenner:

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 information

The Nexus of Quality and Finance

The Nexus of Quality and Finance The Nexus of Quality and Finance Kristen Geissler Pat Ercolano March 4, 2014 Transition from Volume to Value: IHI Triple Aim IHI Triple Aim Improve patient experience of care (quality & satisfaction) Improve

More information

Impacting quality outcomes: Utilizing an innovative unit-based nursing role. Kaitlin Lindner, BSN, RN, CCRN Stacey Trotman, MSN, RN, CMSRN, RN-BC

Impacting quality outcomes: Utilizing an innovative unit-based nursing role. Kaitlin Lindner, BSN, RN, CCRN Stacey Trotman, MSN, RN, CMSRN, RN-BC Impacting quality outcomes: Utilizing an innovative unit-based nursing role Kaitlin Lindner, BSN, RN, CCRN Stacey Trotman, MSN, RN, CMSRN, RN-BC Outcomes Identify opportunities for improving quality outcomes

More information

Scoring Methodology FALL 2016

Scoring 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 information

The Iowa Healthcare Collaborative - HEN Measure Descriptions

The 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 information

CCHS: Quality and Patient Safety. J Michael Henderson, MD Guido Bergomi

CCHS: Quality and Patient Safety. J Michael Henderson, MD Guido Bergomi CCHS: Quality and Patient Safety J Michael Henderson, MD Guido Bergomi Outline Integrated Quality & Safety structure Quality Goals and Performance Improvement Quality data sources Quality Reporting The

More information

Accreditation, Quality, Risk & Patient Safety

Accreditation, 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 information

Scoring Methodology FALL 2017

Scoring 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 information

Nexus of Patient Safety and Worker Safety

Nexus of Patient Safety and Worker Safety Nexus of Patient Safety and Worker Safety Jeffrey Brady, MD, MPH & James Battles, PhD Agency for Healthcare Research and Quality October 25, 2012 Diagnosing the Safety Problem is One Challenge The fundamental

More information

CSR Hospital Compass Newsletter

CSR Hospital Compass Newsletter CSR Hospital Compass Newsletter December 2009 A quarterly newsletter for CSR members in more than 740 member organizations across the United States Volume 4, Number 4 Edited by Maureen Burger Countdown

More information

Foundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0

Foundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0 Foundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0 Hospital NHSN Workshop February 22, 2017 Greg Vasse Anne Diefendorf Our charge is clear:

More information

Star Rating Method for Single and Composite Measures

Star 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 information

Fee: The fee for the 12-month renewal is $10,000.

Fee: The fee for the 12-month renewal is $10,000. CHILDHOOD CANCER AND BLOOD DISORDERS NETWORK 2017 RENEWAL TOOLS HOW TO Renew To renew, simply submit a completed Childhood Cancer & Blood Disorders Network Renewal Form to Gena Paulk via email at gena.paulk@childrenshospitals.org.

More information

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2018 Leapfrog Hospital Survey

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2018 Leapfrog Hospital Survey The Leapfrog Hospital Survey Scoring Algorithms Scoring Details for Sections 2 9 of the 2018 Leapfrog Hospital Survey 2018 Leapfrog Hospital Survey Scoring Algorithms Table of Contents 2018 Leapfrog Hospital

More information

Welcome to the HSAG HIIN Initiative

Welcome to the HSAG HIIN Initiative Welcome to the HSAG HIIN Initiative Let s get started! We are excited that you have agreed to participate in the HSAG HIIN initiative. Together, we will continue to expand national progress toward better

More information

Spectrum Health Infection Control and Prevention Review of Program Plan & Goals 2013

Spectrum 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 information

Passing the Baton: Best Practices in Handoff Communication October 9, :00 1:00 p.m.

Passing the Baton: Best Practices in Handoff Communication October 9, :00 1:00 p.m. ACNL Webinar Passing the Baton: Best Practices in Handoff Communication October 9, 2013 12:00 1:00 p.m. 1 Welcome and Introductions Brenda Brozek MAOL, RN ACNL Consultant Patricia McFarland MS, RN, FAAN

More information

Hospital-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 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 information

EHR Enablement for Data Capture

EHR Enablement for Data Capture EHR Enablement for Data Capture Baylor Scott & White (15 min) Bonnie Hodges, RN University of Chicago Medicine(15 min) Susan M. Sullivan, RHIA, CPHQ Kaiser Permanente (15 min) Molly P. Clopp, RN Tammy

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions Changes may be made to the 2014 Magnet Application Manual at any time. Applicants must use the most current edition of the Magnet Application Manual before preparing written

More information

Frequently Asked Questions (FAQ) CALNOC 2013 Codebook

Frequently Asked Questions (FAQ) CALNOC 2013 Codebook Frequently Asked Questions (FAQ) CALNOC 2013 Codebook Maternal/Child and ED Service Lines QUESTION: Are the ED and Maternal/Child measures mandatory? What are the ramifications if we choose not to add

More information

August Pressure Ulcers A Never Event

August Pressure Ulcers A Never Event August 2010 Pressure Ulcers A Never Event Pressure ulcers (PU) have recently evolved on the local and national scene to include much more than the historical decubitus ulcers of old. They have come to

More information

Collecting CALNOC Data

Collecting CALNOC Data Collecting CALNOC Data Presented on Behalf of the CALNOC TEAM by Mary Foley RN, MS, PhD(c) Carolyn Aydin PhD Getting Started First Step Interested hospitals should contact Patricia McFarland, CALNOC Executive

More information

Hospital Acquired Clostridium Difficile Infection Prevention

Hospital Acquired Clostridium Difficile Infection Prevention The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library Geschke Center Master's Projects and Capstones Theses, Dissertations, Capstones and Projects Spring 5-19-2017 Hospital

More information

2012 NDNQI RN Survey

2012 NDNQI RN Survey 2012 NDNQI RN Survey Practice Environment Scale For each item, please indicate the extent to which you agree that the item is PRESENT IN YOUR CURRENT JOB. Response options: strongly agree, agree, disagree,

More information

Competitive Benchmarking Report

Competitive 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 information

(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays

(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 information

The Use of NHSN in HAI Surveillance and Prevention

The 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 information

Survey of Nurse Employers in California 2014

Survey of Nurse Employers in California 2014 Survey of Nurse Employers in California 2014 Conducted by UCSF Philip R. Lee Institute for Health Policy Studies, California Institute for Nursing & Health Care, and the Hospital Association of Southern

More information

Accomplishments Fiscal Year UPMC Passavant

Accomplishments Fiscal Year UPMC Passavant Accomplishments Fiscal Year 2015 UPMC Passavant UPMC Passavant Summary of Significant FY15 Accomplishments Continue employee engagement initiatives that are aligned with UPMC Passavant s Mission, Vision,

More information

VOLUNTEERING FOR AACN: IT MATTERS AT THE BEDSIDE Presented by Charlene T. Trimeloni MSN, RN, CCRN, PCCN AACN Region 3 Chapter Advisor

VOLUNTEERING FOR AACN: IT MATTERS AT THE BEDSIDE Presented by Charlene T. Trimeloni MSN, RN, CCRN, PCCN AACN Region 3 Chapter Advisor 2 1 OBJECTIVES: VOLUNTEERING FOR AACN: IT MATTERS AT THE BEDSIDE Presented by Charlene T. Trimeloni MSN, RN, CCRN, PCCN AACN Region 3 Chapter Advisor At the end of this presentation the participant will

More information

QUALITY IMPROVEMENT & DATA REPORTING IN PUERTO RICO

QUALITY IMPROVEMENT & DATA REPORTING IN PUERTO RICO QUALITY IMPROVEMENT & DATA REPORTING IN PUERTO RICO Presented by: Yanira Valle, RN, MSN, Project Manager, PRHA Gabriela Gata, MPH, PRHA San Juan, P.R. September 1, 2016 PRHA Quality Initiatives CUSP MVP-VAP

More information

LABORATORY IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE. National Healthcare Safety Network (NHSN)

LABORATORY IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE. National Healthcare Safety Network (NHSN) LABORATORY IDENTIFIED (LABID) EVENT REPORTING MRSA BACTEREMIA AND C. DIFFICILE National Healthcare Safety Network (NHSN) CMS PARTICIPATION Acute care hospitals, Long Term Acute Care (LTACs),IP Rehabilitation

More information

TOWN HALL CALL 2017 LEAPFROG HOSPITAL SURVEY. May 10, 2017

TOWN HALL CALL 2017 LEAPFROG HOSPITAL SURVEY. May 10, 2017 2017 LEAPFROG HOSPITAL SURVEY TOWN HALL CALL May 10, 2017 Matt Austin, PhD, Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine 2 Leapfrog Hospital Survey Overview Annual Survey

More information

Scoring Methodology SPRING 2018

Scoring 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 information

Unit Education Needs Assessment-1S Psych 2012

Unit Education Needs Assessment-1S Psych 2012 South - Inpt Psych Educational Needs Assessment OO9-7 Unit Education Needs Assessment-S Psych 22 Question : Job Title RN CNA UC Other (please specify) 2 4 5 6 7 8 9 2 Other (please specify) Mental health

More information

Magnet Designation : A Validation of Organizational Excellence. An Online Continuing Education Offering

Magnet Designation : A Validation of Organizational Excellence. An Online Continuing Education Offering Magnet Designation : A Validation of Organizational Excellence An Online Continuing Education Offering 2 Magnet Champion Bio: Leah Korkis, BSN, RN Leah Korkis, BSN, RN is a clinical nurse on the Resource

More information

HAI, NHSN and VBP: What s New and What You Need To Know

HAI, NHSN and VBP: What s New and What You Need To Know HAI, NHSN and VBP: What s New and What You Need To Know Christine Martini-Bailey RN, BSN, CSSGB Director, Quality Improvement and Patient Safety Health Services Advisory Group (HSAG) April 27, 2017 Objectives

More information

HOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program

HOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS (HACS) A medical condition or complication that a patient develops during

More information

2018 Press Ganey Award Criteria

2018 Press Ganey Award Criteria 2018 Press Ganey Award Criteria Guardian of Excellence Award SM This award honors clients who have reached the 95th percentile for patient experience, engagement or clinical quality performance. Guardian

More information

Iowa Healthcare Collaborative - HEN 2.0 Measures

Iowa 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 information

FY 13 Pillar Goal Update and FY 14 Pillar Goals

FY 13 Pillar Goal Update and FY 14 Pillar Goals FY 13 Pillar Goal Update and FY 14 Pillar Goals Summer Leadership Assembly C. Wright Pinson, MD, MBA Deputy Vice Chancellor, Health Affairs CEO, Vanderbilt Health System June 19, 2013 Staying Focused on

More information

Yale New Haven Health System Center for Healthcare Solutions

Yale New Haven Health System Center for Healthcare Solutions Table of Contents Yale New Haven Health System Center for Healthcare Solutions 2012 Winter/Spring Course Guide TOPICS center@ynhh.org www.ynhhs.org/chs Pages www.ynhhs.org/chs Page 0 Solutions for Healthcare

More information

11/3/2017. Infection Control Assessment and Response (ICAR) Tools. Infection Control Assessment and Response (ICAR) Tools

11/3/2017. Infection Control Assessment and Response (ICAR) Tools. Infection Control Assessment and Response (ICAR) Tools Infection Control Assessment and Response (ICAR) Tools Fresh Eyes Collaborative Approach Infection Control Assessment and Response (ICAR) Tools Comprehensive documents/questionnaires identify elements

More information

Infection Control Assessment and Response (ICAR) Tools. Fresh Eyes Collaborative Approach

Infection Control Assessment and Response (ICAR) Tools. Fresh Eyes Collaborative Approach Infection Control Assessment and Response (ICAR) Tools Fresh Eyes Collaborative Approach Infection Control Assessment and Response (ICAR) Tools Comprehensive documents/questionnaires identify elements

More information

Example 1: Non-Nutritive Suck and Cue-Based Feedings Instead of Scheduled Feedings in the Newborn Intensive Care Unit

Example 1: Non-Nutritive Suck and Cue-Based Feedings Instead of Scheduled Feedings in the Newborn Intensive Care Unit NK4EO Innovation in nursing is supported and encouraged. Provide two examples, with supporting evidence, of an improvement that resulted from an innovation in nursing. Supporting evidence must be submitted

More information

ACLS Advanced Cardiac Life Support; course, certification in technique from the American Heart Association

ACLS Advanced Cardiac Life Support; course, certification in technique from the American Heart Association A AACN American Association of Critical Care Nurses ACLS Advanced Cardiac Life Support; course, certification in technique from the American Heart Association ACM Accredited Case Manager ACS American College

More information

Outline 1. Infection Prevention Program Bloodborne Pathogens/Exposure Prevention & Management Standard Precautions 2. Hand Hygiene 3. Isolation Precau

Outline 1. Infection Prevention Program Bloodborne Pathogens/Exposure Prevention & Management Standard Precautions 2. Hand Hygiene 3. Isolation Precau Erlanger Infection Prevention Resident and df Fellow Orientation June 2011 1 Outline 1. Infection Prevention Program Bloodborne Pathogens/Exposure Prevention & Management Standard Precautions 2. Hand Hygiene

More information

Quality Health Indicators: Measure List. Clinical Quality: Monthly

Quality 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 information

Columbus Regional Hospital Pressure Ulcer Prevention

Columbus Regional Hospital Pressure Ulcer Prevention Columbus Regional Hospital Pressure Ulcer Prevention Kathryn Jackson RN, MSN, CRRN Pressure Ulcer Prevention Columbus Regional Hospital, Columbus, IN Objectives & About Us Describe current pressure ulcer

More information

2015 YEAR END REPORT NATIONAL WORKFORCE PLANNING & DEVELOPMENT

2015 YEAR END REPORT NATIONAL WORKFORCE PLANNING & DEVELOPMENT NATIONAL WORKFORCE PLANNING & DEVELOPMENT Kaiser Permanente s National Workforce Planning & Development enables both individual and organizational success by providing career development and education

More information

Infectious 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 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 information

Value-Based Purchasing: A Rural Hospital Perspective

Value-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 information

Infection Prevention. Fundamentals of. March 21-23, 2017 Oregon Medical Association Portland, OR. oregonpatientsafety.org

Infection 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 information

CMS 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 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 information

Florida Hospital Orlando

Florida Hospital Orlando Transcript Florida Hospital Orlando Learner Name: OLIVER, KELLIE XXXXX XXXXXXXXX Hire : XXXXXX 07/14/2011 ECG AND PHARMACOLOGY REVIEW FOR ACLS Contact Hours - 7.00 ECG AND PHARMACOLOGY REVIEW FOR ACLS

More information

Improving Patient Experience, Safety and Progression through Care Model Redesign & Lean Management

Improving Patient Experience, Safety and Progression through Care Model Redesign & Lean Management Improving Patient Experience, Safety and Progression through Care Model Redesign & Lean Management Michelle Cline, RN, MSN, Care Model Redesign Manager Donna Litwinski, PT, Master Lean Fellow April 2018

More information

Quality Health Indicators: Measure List. Clinical Quality: Monthly

Quality 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 information

Inpatient Quality Reporting Program for Hospitals

Inpatient 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 information

ZION MEDICAL CENTER Updated 9/5/17

ZION MEDICAL CENTER Updated 9/5/17 ZION MEDICAL CENTER Updated 9/5/17 2 south 2 west Agency- Med Surg Focus/ Medical & surgical patients Shift Times student Rotation or Exience M-Su 8 Basic nursing care, appropriate for beginning level

More information

Springhill Medical Center. Infection Prevention and Control Plan. Submitted by: Beth Beck, MT (ASCP), CIC

Springhill Medical Center. Infection Prevention and Control Plan. Submitted by: Beth Beck, MT (ASCP), CIC Springhill Medical Center Infection Prevention and Control Plan 2015 Submitted by: Beth Beck, MT (ASCP), CIC Springhill Medical Center Infection Prevention and Control Plan 2015 I. Purpose: The purpose

More information

Appendix A: Encyclopedia of Measures (EOM)

Appendix 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 information

Reducing CAUTI by Decreasing Inappropriate Catheter Utilization

Reducing CAUTI by Decreasing Inappropriate Catheter Utilization Reducing CAUTI by Decreasing Inappropriate Catheter Utilization Reducing HAIs in Hospitals E. Eve Esslinger Jane Ehrhardt Heather Banker Debby Fosson Roddy Summers QIN-QIO Map HAIs Central Line-Associated

More information

NHSN: Information for Action

NHSN: Information for Action NHSN: Information for Action Reducing Healthcare Associated Infections: Tennessee Marion A. Kainer MD, MPH Director, Hospital Infections Program Tennessee Department of Health marion.kainer@tn.gov 1 Outline

More information