Improving Patient Outcomes through Quality Transitions

Size: px
Start display at page:

Download "Improving Patient Outcomes through Quality Transitions"

Transcription

1 Improving Patient Outcomes through Quality Transitions

2

3 Founded in 1892, Union Hospital began as a 20 bed facility and has grown into a 380 bed not-for-profit hospital Union Hospital is a Regional Referral Center serving patients in west-central Indiana and east-central Illinois The Union Health System also includes Union Hospital Clinton and several facilities dedicated to specific service offerings, patient groups, and physician groups Union Health Systems is the largest provider of health care services between Indianapolis, IN and St. Louis, MO, providing quality care to all, regardless of ability to pay.

4 Pam Alexander Lennie Blythe Dr. John Bolinger Myrna Dienhart Shad Goodman Terri Hill Lori Horrall Sherri Kannmacher Dawn Jolliff Dr. Steven McDonald Amy McHenry Annette Smith Jana Smith Rhonda Smith Andrea Spendal Jeanette Spradlin Stacy Street Debbie Stuck Kristi Williams Kerry Wilson Marina Wolfe

5 Readmission Numbers Above National Average All Cause Medicare Readmission Rates to Union Hospital % % Medicare CHF Readmission Rates to Union Hospital % % *CHF Readmissions Identified as First Priority*

6 Pilot began October 1, 2012 A Registered Nurse used in Coaching Role Identification of CHF Patient on Admit and Initiation of CHF Education Began Teach Back Method of Education was Utilized Assist with Discharge Planning Coordination with Next Level of Care More Timely Follow-up with PCP Increase Communication with PCP Office

7 Developed as Monthly Meeting Coordination and Communication Includes: Long term care facilities Home health Care Hospices Area Agencies Durable medical equipment companies Purpose Enhance quality of care Define gaps in care Improve communication and coordination to next level of care

8 Universal Heart Failure Color Zone Soarian Report Built to Identify CHF Patients Heart Failure Education Packet Developed 30 Day Readmission Report Built CHF Calendar Revised to Include Monthly Tips SBAR Tool Education Collaboration with Area 7 Counsel for Aging Increased Referrals to Support Agencies

9 Root Cause Identification of Patient Diagnosis was Inadequate December, 2012, 37 of 54 CHF Patients Were Identified During Admission Identified Problems 1) Computer Systems Do Not Interface 2) Data Fields Free Text Rather than Discrete Fields 3) Duplication of Efforts Identifying Patients

10 1) Consistent Process to Identify Primary Diagnosis Upon Admission Quality of Care Improvement Appropriate Patient Education Effective Discharge Planning 2) Establish Method Where ALL Departments Use Same Process 3) Aid in the Process of Concurrent Chart Review for CMS Measures

11 Streamlined and Standardized the Report Generation Process All Disciplines Receive Same Report from the Same Source

12 Delayed End of Life Discussions Teaching Versus Motivational Interviewing Physician Buy-In Culture Difficulty in Diagnosis Recognition

13 Building Good Community Relationships (Partnership with Area 7) Value of Coordinated Care Ensuring Timely Inpatient Intervention as Well as Post Hospital Follow-up Need for Open/Honest End of Life Discussion

14 Formation of Palliative Care Team Community Support Group for CHF Patients and Caregivers Continued Community Care Transitions -Work on Gaps in Care- Integration with ACO Care Management Collaboration with ER Case Management Incorporation of Physician Advisor

15 40% UNION HOSPITAL CHF Readmission Rates All CHF 35% Pilot Program 30% 25% *National Average CHF Readmit % 15% 10% 5% 0% Oct Nov Dec Jan 2013 Feb Mar Apr May

16 19.5% Medicare 30 day Readmissions All Diagnosis/All Cause 19.2% 19.0% 18.9% 18.5% 18.0% 17.5% 17.0% 16.9% 16.5% 16.0% 15.5% FY 2011 FY 2012 FY 2013

17 19.0% Medicare 30 Day Readmissions AMI 18.5% 18.0% 18.2% 18.4% 17.5% 17.0% 16.5% 16.0% 15.8% 15.5% 15.0% 14.5% 14.0% FY 2011 FY 2012 FY 2013

18 45.0% Medicare 30 Day Readmissions CHF FY % 36.6% 38.5% 35.0% 32.5% 30.0% 25.0% 23.5% 25.6% 20.0% 20.0% 19.4% 18.8% 15.0% 13.3% 10.0% 5.0% 0.0% Sep Oct Nov Dec Jan Feb Mar Apr May

19 30.0% Medicare 30 Day Readmissions COPD 26.1% 26.0% 25.0% 20.0% 19.4% 15.0% 10.0% 5.0% 0.0% FY 2011 FY 2012 FY 2013

20 22.0% Medicare 30 Day Readmissions Pneumonia 21.8% 21.5% 21.0% 20.6% 20.5% 20.0% 19.9% 19.5% 19.0% FY 2011 FY 2012 FY 2013

21 o Raised Awareness Hospital Staff Physicians Community o Increased Communication Hospital Staff Physicians Community o Coordination Hospital Staff Physicians Community

22

Quality Management Report 2017 Q2

Quality Management Report 2017 Q2 Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance

More information

Overcoming Psycho-Social Hurdles to Transitional Care

Overcoming Psycho-Social Hurdles to Transitional Care Overcoming Psycho-Social Hurdles to Transitional Care Matt Eisenhower Director, Community Health Development Peter Rice, M.D. Medical Director Overcoming Psycho-Social Hurdles to Transitional Care This

More information

PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management

PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication

More information

Executive Summary MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q STATE OF CALIFORNIA

Executive Summary MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q STATE OF CALIFORNIA MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q3 2013 Executive Summary STATE OF CALIFORNIA The Centers for Medicare & Medicaid Services (CMS) has tasked Health Services Advisory

More information

Integrating Quality Into Your CDI Program: The Case for All-Payer Review

Integrating Quality Into Your CDI Program: The Case for All-Payer Review 7th Annual Association for Clinical Documentation Improvement Specialists Conference Integrating Quality Into Your CDI Program: The Case for All-Payer Review Katy Good, RN, BSN, CCDS, CCS CDI Program Coordinator

More information

Readmission Reduction: Patient Interviews. KHA Quality Conference March, 2018

Readmission Reduction: Patient Interviews. KHA Quality Conference March, 2018 Readmission Reduction: Patient Interviews KHA Quality Conference March, 2018 Initial Driver Diagram Use Data and Root Cause Analysis to drive Continuous Improvement Analyze data to inform targeting approach

More information

Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):

Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET): Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune

More information

COPD & Pneumonia Readmission Reduction Program. October 25, 2017

COPD & Pneumonia Readmission Reduction Program. October 25, 2017 COPD & Pneumonia Readmission Reduction Program October 25, 2017 Susan J. Bowers, MBA, BSN, RN Chief Quality Officer Mercy Health - Lorain 2 Locations Mercy Health Lorain Hospital Lorain, Ohio 250 bed community

More information

thequalitypost in this issue Get Out of Your Comfort Zone Edward Tufte s Principles for Effective Presentations Get Out of Your Comfort Zone

thequalitypost in this issue Get Out of Your Comfort Zone Edward Tufte s Principles for Effective Presentations Get Out of Your Comfort Zone thequalitypost Edward Tufte s Principles for Effective Presentations Get Out of Your Comfort Zone Multidiciplinary Care for COPD Going Above and Beyond Division Incentive Metrics Monthly Quality Improvement

More information

CAUTI Reduction A Clinton Memorial Presentation

CAUTI Reduction A Clinton Memorial Presentation CAUTI Reduction 2016 A Clinton Memorial Presentation Clinton Memorial Statistics Rurally situated in a primarily agricultural community with a population of 42,000 The hospital is licensed for 165 beds

More information

Baptist Health System Jacksonville, FL

Baptist Health System Jacksonville, FL Baptist Health System Jacksonville, FL Baptist Health System Community Leader in Healthcare Five (5) Hospital System Serving greater Jacksonville area and SE Georgia Children s Hospital Primary Care Facilities

More information

A collaborative approach to Specialist Palliative Care and the difference this is making in Dudley

A collaborative approach to Specialist Palliative Care and the difference this is making in Dudley A collaborative approach to Specialist Palliative Care and the difference this is making in Dudley Dr Joanne Bowen, Dudley Foundation Trust Nicole Woodyatt, Macmillan Cancer Support The Midhurst Macmillan

More information

VNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE. Training Slides

VNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE. Training Slides VNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE Training Slides 061015 Why Take Action to Prevent Readmissions? Better patient care and patient experience Home

More information

BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS

BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,

More information

EXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results

EXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results briefopinion: Hospital Readmissions Survey EXECUTIVE SUMMARY: Purpose & Methods The purpose of this survey was to collect information about hospital readmission rates and practices. The survey was available

More information

Improving Patient Safety Across Michigan and Illinois

Improving Patient Safety Across Michigan and Illinois Improving Patient Safety Across Michigan and Illinois Grand Rounds April 6, 2016 1 Agenda Grand Rounds Overview and Questions Care Transitions Vignette Fairfield Memorial s Care Check Program Grand Rounds

More information

CHF Readmission Initiative. Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana

CHF Readmission Initiative. Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana CHF Readmission Initiative Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana St. Vincent 86 th Street Campus Heart Failure Program History

More information

National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions

National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions Michael Kanter, MD, Medical Director Quality and Clinical Analysis Patti Harvey, RN,

More information

FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018

FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018 FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge July 24, 2018 Welcome & Overview How are we doing on Reducing Readmissions? Peer Sharing Presentation:

More information

QIO Care Transitions Activity: the Good News so far

QIO Care Transitions Activity: the Good News so far QIO Care Transitions Activity: the Good News so far Kim Irby, MPH; kirby@cfmc.org Senior Project Director Colorado Foundation for Medical Care www.cfmc.org/integratingcare This material was prepared by

More information

Reducing Readmissions One-caseat-a-time Using Midas+ Community Case Management

Reducing Readmissions One-caseat-a-time Using Midas+ Community Case Management Reducing Readmissions One-caseat-a-time Using Midas+ Community Case Management John Playford, Senior Midas+ Solutions Advisor Barb Craig, Midas+ SaaS Advisor The Problem Historically, up to 25% of patients

More information

Patient Interview/Readmission Chart Review. Hospital Review:

Patient Interview/Readmission Chart Review. Hospital Review: Appendix: Readmission Review Form Patient Interview/Readmission Chart Review Patient Name: Previous Hospital Admission Date Account Number Previous Hospital D/C Date: D/C MD: Previous Hospital Discharge

More information

PARAMEDIC-NURSE READMISSION PROJECT VALLEY AMBULANCE- REGIONAL WEST MEDICAL CENTER

PARAMEDIC-NURSE READMISSION PROJECT VALLEY AMBULANCE- REGIONAL WEST MEDICAL CENTER PARAMEDIC-NURSE READMISSION PROJECT VALLEY AMBULANCE- REGIONAL WEST MEDICAL CENTER PROJECT PURPOSE To reduce hospital readmissions for CHF, pneumonia patients To improve patient satisfaction with the discharge

More information

Heart Failure Order Sets. Standardizing Care for the Heart Failure Patient 2012

Heart Failure Order Sets. Standardizing Care for the Heart Failure Patient 2012 Heart Failure Order Sets Standardizing Care for the Heart Failure Patient 2012 Objectives: Standardize care for all heart failure patients in Legacy Base Practice on American Heart Association Guidelines

More information

1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%

1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5% PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN

More information

Re-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready. Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting

Re-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready. Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting Re-Hospitalizations and the Bottom Line: What SNFs Can Do to Get Ready Maureen McCarthy, RN, BS, RAC-CT, CPRA President & CEO Celtic Consulting OBJECTIVES Define Rehospitalization and discuss current statistics

More information

USING ACUTE CARE PLANS TO IMPROVE COORDINATION AMONG ED HIGH UTILIZER PATIENTS MASSACHUSETTS GENERAL HOSPITAL Publication Year: 2014

USING ACUTE CARE PLANS TO IMPROVE COORDINATION AMONG ED HIGH UTILIZER PATIENTS MASSACHUSETTS GENERAL HOSPITAL Publication Year: 2014 USING ACUTE CARE PLANS TO IMPROVE COORDINATION AMONG ED HIGH UTILIZER PATIENTS MASSACHUSETTS GENERAL HOSPITAL Publication Year: 2014 SUMMARY: High utilizer patients often get a full work-up every time

More information

Succeeding in a New Era of Health Care Delivery

Succeeding in a New Era of Health Care Delivery March 14, 2012 Succeeding in a New Era of Health Care Delivery Building Value-Based Partnerships LeadingAge Pennsylvania Kathleen Griffin, PhD, National Director Post-Acute and Senior Services 1 Your Presenter

More information

Telecare Services 7/19/2017

Telecare Services 7/19/2017 Telecare Services 7/19/2017 Rebecca Sienko, RN Manager, Nurse Care Line 15,000 Employees 1,900 MDs/APCs 15 Hospitals 17 Clinics 7 Long Term Care Facilities 2 Assisted Living 4 Independent Living 5 Ambulance

More information

Reducing Medicaid Readmissions

Reducing Medicaid Readmissions Reducing Medicaid Readmissions Webinar 1: Medicaid Readmissions 101 Amy E. Boutwell, MD MPP Co-Principal Investigator AHRQ Reducing Medicaid Readmissions Project February 25 2015 Agenda Introduction to

More information

Compliance Division Staff Report

Compliance Division Staff Report Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association

More information

Medicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015

Medicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015 Medicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015 Steve Neorr Chief Administrative Officer, Triad HealthCare Network Jeff Jones Chief Financial Officer, Cone Health

More information

Health Care Systems - A National Perspective Erica Preston-Roedder, MSPH PhD

Health Care Systems - A National Perspective Erica Preston-Roedder, MSPH PhD Health Care Systems - A National Perspective Erica Preston-Roedder, MSPH PhD Outline Quality Overview Overview and discussion of CMS programs Increasing transparency Move from P4R to P4P Expanding beyond

More information

Advancing Popula/on Health and Consumerism

Advancing Popula/on Health and Consumerism Advancing Popula/on Health and Consumerism 44,954 Senior Enrollees 274,345 Commercial Enrollees 66,070 Commercial ACO Members Popula/on Health Risk Stra/fica/on: Keep Pa/ents Healthy, Happy & at Home Tier

More information

Low Acuity Emergency Department Visits. Joanna Cohen, MD June 2018

Low Acuity Emergency Department Visits. Joanna Cohen, MD June 2018 Low Acuity Emergency Department Visits Joanna Cohen, MD June 2018 Goals and Objectives Identify and quantify low acuity ED visits Analyze challenges associated with low acuity ED visits Assess the impact

More information

Improving Patient Safety Across Michigan and Illinois

Improving Patient Safety Across Michigan and Illinois Improving Patient Safety Across Michigan and Illinois Readmissions Collaborative Kickoff January 20, 2016 1 Agenda Readmissions Collaborative Structure and Overview Business case for readmissions Using

More information

REDUCING READMISSIONS

REDUCING READMISSIONS REDUCING READMISSIONS - 2015 Expanding efforts to drive to hospital-wide results Amy E. Boutwell, MD, MPP Collaborative Healthcare Strategies January 2015 Objectives What are hospitals with hospital-wide

More information

Behavioral Health Division JPS Health Network

Behavioral Health Division JPS Health Network Behavioral Health Division JPS Health Network Macro Trends 1 in 5 Adults in America experience a mental illness Diversion of Behavioral Health patients from jail Federal Prisons Mental Illness State Prison

More information

THE BRIDGE MODEL. Walter Rosenberg, MSW, LCSW Manager of Transitional Care Rush University Medical Center Health and Aging

THE BRIDGE MODEL. Walter Rosenberg, MSW, LCSW Manager of Transitional Care Rush University Medical Center Health and Aging THE BRIDGE MODEL Walter Rosenberg, MSW, LCSW Manager of Transitional Care Rush University Medical Center Health and Aging "If patient engagement were a drug, it would be the blockbuster drug of the century,

More information

Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery

Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery Betty Shephard Lead VP, Care Management HealthCare Partners National Health Policy Forum October 19, 2012 HCP

More information

MEDICAID ACCELERATED EXCHANGE (MAX) SERIES ACCELERATE TRANSFORMATION AND LASTING CHANGE

MEDICAID ACCELERATED EXCHANGE (MAX) SERIES ACCELERATE TRANSFORMATION AND LASTING CHANGE MEDICAID ACCELERATED EXCHANGE (MAX) SERIES ACCELERATE TRANSFORMATION AND LASTING CHANGE Presented by: Linda Efferen, MD, MBA Medical Director Suffolk Care Collaborative 19 THE MAX SERIES SUPPORTS AN INTERDISCIPLINARY

More information

Combining Nursing Power and Quality Metrics to Influence Policy Development

Combining Nursing Power and Quality Metrics to Influence Policy Development Combining Nursing Power and Quality Metrics to Influence Policy Development Patricia Nevins, MSN/Ed, RN, FANAI Baylor Scott and White Hospital Patient Advisory Nursing Department Objectives Analyze financial

More information

Discharge and Follow-Up Planning. Presented by the Clinical and Quality Team

Discharge and Follow-Up Planning. Presented by the Clinical and Quality Team Discharge and Follow-Up Planning Presented by the Clinical and Quality Team After today s training you will be able to: Identify and summarize important information about discharge planning Have adequate

More information

Avoiding the Cap Trap What Every Hospice Needs to Know. Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc.

Avoiding the Cap Trap What Every Hospice Needs to Know. Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc. Avoiding the Cap Trap What Every Hospice Needs to Know Matthew Gordon, CPA Principal Consultant / Founder Cap Doctor Associates, Inc. Overview 11% of hospices exceeded the cap in 2012 with an average overage

More information

Emergency Department Visits After Inpatient Discharge in Massachusetts: Applying Insights from Data to Inform Improvement.

Emergency Department Visits After Inpatient Discharge in Massachusetts: Applying Insights from Data to Inform Improvement. Emergency Department Visits After Inpatient Discharge in Massachusetts: Applying Insights from Data to Inform Improvement November 15, 2017 Today Introductory Remarks Patricia M. Noga, PhD, RN, FAAN, Vice

More information

Winning at Care Coordination Using Data-Driven Partnerships

Winning at Care Coordination Using Data-Driven Partnerships Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker

More information

Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ. A Catholic healthcare ministry serving Ohio and Kentucky

Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ. A Catholic healthcare ministry serving Ohio and Kentucky Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ A Catholic healthcare ministry serving Ohio and Kentucky 1 Mission, Values and Promise Our Mission We extend the healing ministry of Jesus by improving

More information

Telligen. Making BIG Changes Attainable with Affinity Group Outreach June 3, 2016

Telligen. Making BIG Changes Attainable with Affinity Group Outreach June 3, 2016 Telligen Making BIG Changes Attainable with Affinity Group Outreach June 3, 2016 1 Telligen QIN-QIO 2 For today Assess the landscape Evaluate how your projects align with affinity group interests Tell

More information

STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018

STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available

More information

Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016

Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016 Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference

More information

Fall Prevention Program. St. Catherine Hospital East Chicago, Indiana Paula Swenson Chief Nursing Officer

Fall Prevention Program. St. Catherine Hospital East Chicago, Indiana Paula Swenson Chief Nursing Officer Fall Prevention Program St. Catherine Hospital East Chicago, Indiana Paula Swenson Chief Nursing Officer St. Catherine Hospital 189 bed community hospital, located in East Chicago Indiana Member of Community

More information

Creating Data-driven Strategies to Improve Hospital Outcomes

Creating Data-driven Strategies to Improve Hospital Outcomes Annual National Institute October 16, 2014 Creating Data-driven Strategies to Improve Hospital Outcomes A Case Manager s Guide Information Data Knowledge 1 2014 Conifer Health Solutions, LLC. All Rights

More information

A Care Transitions Project

A Care Transitions Project Hospital to Home: A Care Transitions Project Ann Roemen, MBA, CMPE Readmissions 1 in 5 elderly patients Resultsin23million 2.3 re-hospitalizations Annual cost to Medicare - $17 billion + Jencks SF,Williams

More information

Activity Based Cost Accounting and Payment Bundling

Activity Based Cost Accounting and Payment Bundling Activity Based Cost Accounting and Payment Bundling 1 Agenda Introduction of Speakers Fast Facts about Jewish Senior Life/Jewish Home of Rochester Determining the need and uses for an Activity Based Cost

More information

L19: Improving Transitions from the Hospital to Post Acute Care Settings

L19: Improving Transitions from the Hospital to Post Acute Care Settings This presenter has nothing to disclose L19: Improving Transitions from the Hospital to Post Acute Care Settings Gail A. Nielsen December 8, 2013 25th Annual National Forum on Quality Improvement in Health

More information

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop

More information

Strategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections

Strategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections C10 This presenter has nothing to disclose Strategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections David Renfro, MS, RN NE BC Kelly Farnam, BSN, RN Gloria Martinez, MS, RN, NEA

More information

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1, Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907

More information

Central Valley/West Valley Care Coordination Coalitions. Quarterly Community Meeting

Central Valley/West Valley Care Coordination Coalitions. Quarterly Community Meeting Central Valley/West Valley Care Coordination Coalitions Ettie Lande, MS, RN Associate Director, Care Coordination (HSAG) Today s Agenda Welcome and Introduction Spotlight on Social Determinant of Health

More information

West Valley and Central Valley Care Coordination Coalitions

West Valley and Central Valley Care Coordination Coalitions West Valley and Central Valley Ettie Lande, MS, BSN, ACM-RN February 08, 2018 Thank You! For sponsoring today s breakfast AstraZeneca and Cyndi Black If you can sponsor breakfast at an upcoming community

More information

Rebekah Gardner, MD Senior Medical Scientist, Healthcentric Advisors Assistant Professor of Medicine, Brown University

Rebekah Gardner, MD Senior Medical Scientist, Healthcentric Advisors Assistant Professor of Medicine, Brown University Improving the Safety of Care Transitions through Best Practices and Community Collaboration The Rhode Island Experience Rebekah Gardner, MD Senior Medical Scientist, Healthcentric Advisors Assistant Professor

More information

Stakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from

Stakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes

More information

Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016

Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016 Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference

More information

Overview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy

Overview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital

More information

Program Development. Completion of Gap Analysis. Review of Data. Multi-disciplinary team

Program Development. Completion of Gap Analysis. Review of Data. Multi-disciplinary team Background Clinical Integration and Clinical Excellence Committee at the Ascension level developed the Preventing Readmissions Bundle. Six Ascension Health Ministries serving as alpha sites committed to

More information

COPPER COUNTRY MENTAL HEALTH SERVICES ANNUAL QUALITY IMPROVEMENT REPORT FY Introduction

COPPER COUNTRY MENTAL HEALTH SERVICES ANNUAL QUALITY IMPROVEMENT REPORT FY Introduction COPPER COUNTRY MENTAL HEALTH SERVICES ANNUAL QUALITY IMPROVEMENT REPORT FY 2017 Introduction Copper Country Mental Health Services (CCMHS) focuses on improving the quality of our services and identifying

More information

Clinical Integration and Clinical Excellence Committee at the Ascension level developed the Preventing Readmissions Bundle.

Clinical Integration and Clinical Excellence Committee at the Ascension level developed the Preventing Readmissions Bundle. Background Clinical Integration and Clinical Excellence Committee at the Ascension level developed the Preventing Readmissions Bundle. Six Ascension Health Systems serving as alpha sites committed to implementation

More information

Departments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence

Departments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence Coordination of Multiple Departments to Improve ED Throughput February 2011 Chad Faiella RN, Terri Martin RN 1 Agenda OhioHealth information Grant Medical Center facts Bed assignment process Key takeaways

More information

Quality Improvement Program Evaluation

Quality Improvement Program Evaluation Quality Improvement Program Evaluation 2013 Care Wisconsin 2013 Quality Improvement Program Evaluation INTRODUCTION Care Wisconsin s Quality Management Program uses the Home and Community-Based Quality

More information

National Trends Winter 2016

National Trends Winter 2016 National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn

More information

INTERACT for Assisted Living

INTERACT for Assisted Living INTERACT for Assisted Living Part 1 NYSHFA/NYSCAL 2014 Fall Conference & Trade Show LuAnne Leistner MS, RN, BC, NE, BC, CALN Director Clinical Services- Assisted Living/Brookdale November 20, 2014 1 Bio/Disclosures

More information

CAMDEN CLARK MEDICAL CENTER:

CAMDEN CLARK MEDICAL CENTER: INSIGHT DRIVEN HEALTH CAMDEN CLARK MEDICAL CENTER: CARE MANAGEMENT TRANSFORMATION GENERATES SAVINGS AND ENHANCES CARE OVERVIEW Accenture helped Camden Clark Medical Center, (CCMC), a West Virginia-based

More information

Using the BaldrigeCriteria to Achieve High Reliability

Using the BaldrigeCriteria to Achieve High Reliability Using the BaldrigeCriteria to Achieve High Reliability John Chessare MD, MPH President and CEO Carolyn Candiello Vice President for Quality and Patient Safety GBMC HealthCare System Organizational Profile:

More information

04/08/2015. Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists. Pharmacist Objectives. Technician Objectives

04/08/2015. Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists. Pharmacist Objectives. Technician Objectives 1 2 Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists Stacey Zorska, Pharm.D., MHA Director of Pharmacy Services Southwest General Middleburg Heights, OH Pharmacist Objectives

More information

Analysis of Incurred Claims Trend and Provider Payments

Analysis of Incurred Claims Trend and Provider Payments Analysis of Incurred Claims Trend and Provider Payments Board of Trustees Meeting May 24, 2013 Presentation Overview Trends in Incurred Claims Paid through March 31, 2013 Per Member Per Month (PMPM) By

More information

Optimizing Care for Complex Patients with COPD

Optimizing Care for Complex Patients with COPD Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System

More information

Reducing Hospital Readmissions: Home Care as the Solution

Reducing Hospital Readmissions: Home Care as the Solution Reducing Hospital Readmissions: Home Care as the Solution Kathy Duckett RN, BSN Sutter Center for Integrated Care ducketk@sutterhealth.org www.suttercenterforintegratedcare.org Learning Objectives 1 Review

More information

Northern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention

Northern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention Northern Health - Acute Services Evidence Based Practice Venous Thromboembolism Prevention (VTE) Jeannette Kamar Christine Lamotte, Liam Carter Improving Patient Safety Preventing and Managing Venous Thromboembolism

More information

Improve the Efficiency and Service of the Emergency Room at North Side Hospital

Improve the Efficiency and Service of the Emergency Room at North Side Hospital Improve the Efficiency and Service of the Emergency Room at North Side Hospital John Melton, VP and CEO Washington County Operations meltonjw@msha.com Kerry Vermillion, CFO Washington County Operations

More information

Referrals, Prior Authorizations, Medical Management, and Appeals

Referrals, Prior Authorizations, Medical Management, and Appeals Referrals, Prior Authorizations, Medical Management, and Appeals 1 An Independent Licensee of the Blue Cross Blue Shield Association 044506 (12-21-2017) 2017 Premera. Proprietary and Confidential. Referrals

More information

Hot Spotter Report User Guide

Hot Spotter Report User Guide PATIENT-CENTERED CARE Hot Spotter Report User Guide Overview The Hot Spotter Report is designed to give providers and care team members a heads up when their attributed patients appear to be at risk for

More information

Accountable Care Organizations Creating A Culture Of Engaged Physicians

Accountable Care Organizations Creating A Culture Of Engaged Physicians Accountable Care Organizations Creating A Culture Of Engaged Physicians Judith Miller, VP Medical Services & CI Advocate Physician Partners August 14, 2014 1 Sites Of Care Advocate Health Care 13 Hospitals

More information

4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS

4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional

More information

Florida Health Care Association 2013 Annual Conference

Florida Health Care Association 2013 Annual Conference Florida Health Care Association 2013 Annual Conference The Westin Diplomat Resort & Spa Session #53 Assess and Educate to Prevent Rehospitalizations Thursday, August 8 10:00 to 11:30 a.m. Regency 1 Upon

More information

Alaska Psychiatric Institute. Admissions & Demographic Annual Report

Alaska Psychiatric Institute. Admissions & Demographic Annual Report Alaska Psychiatric Institute Admissions & Demographic Annual Report (As of 8/2/27) 1 Total Admissions FY, FY4, FY, FY, FY7 18 1 Number Of 14 12 1 8 FY FY4 FY FY FY7 4 2 FY Admissions - 1,227 FY Admisions

More information

PSYCHIATRY SERVICES UPDATE

PSYCHIATRY SERVICES UPDATE PSYCHIATRY SERVICES UPDATE Mark Leary MD, Interim Chief Kathy Ballou RN, Director of Nursing Anton Nigusse Bland MD, PES Medical Director Emily Lee MD, Inpatient Psychiatry Medical Director TRUE NORTH

More information

M7: Improving Transitions and Reducing Avoidable Rehospitalizations. St. Luke s Hospital Member, Iowa Health System

M7: Improving Transitions and Reducing Avoidable Rehospitalizations. St. Luke s Hospital Member, Iowa Health System M7: Improving Transitions and Reducing Avoidable Rehospitalizations Peg M. Bradke, RN, MA St. Luke s Hospital, Cedar Rapids, Iowa This presenter has nothing to disclose. St. Luke s Hospital Member, Iowa

More information

A. Encounter Data Submission Requirements

A. Encounter Data Submission Requirements A. Encounter Data Submission Requirements APPLIES TO: A. This policy applies to all IEHP Medi-Cal Providers. POLICY: A. As of October 1, 2015, IEHP has transitioned to ICD-10 diagnosis and procedure coding

More information

CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.

CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04. PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017 Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency

More information

Using Facets of Midas+ Hospital Case Management to Support Transitions of Care. Barbara Craig, Midas+ SaaS Advisor

Using Facets of Midas+ Hospital Case Management to Support Transitions of Care. Barbara Craig, Midas+ SaaS Advisor Using Facets of Midas+ Hospital Case Management to Support Transitions of Care Barbara Craig, Midas+ SaaS Advisor What does Transitional Care Include? Transitional Care is the smooth conversion of a patient

More information

California s Health Homes Program

California s Health Homes Program California s Health Homes Program HPSM Network Webinar 9/05/18 Goals for Today: Health Homes Program overview CB-CME requirements Program readiness and implementation timeline Gather take-away questions

More information

Navigating Value Based Care with Crimson

Navigating Value Based Care with Crimson PROVIDER ENGAGEMENT Navigating Value Based Care with Crimson Eric Fontana Practice Manager Mark Schario System Director of Quality Mindy McStott Vice President of Quality Joan Rigby Crimson Coordinator

More information

PERFORMANCE IMPROVEMENT REPORT

PERFORMANCE IMPROVEMENT REPORT PERFORMANCE IMPROVEMENT REPORT First Quarter Fiscal Year 214 October-December, 213 Daniel Coffey, CEO 1 Executive Summary The Quarterly Performance Improvement Report summarizes the measures used to monitor

More information

Harm Across the Board Reporting: How your Hospital Can Get There

Harm Across the Board Reporting: How your Hospital Can Get There Harm Across the Board Reporting: How your Hospital Can Get There Presentation to KHA Annual Quality Conference March 19, 2014 Jackie Conrad RN, BSN, MBA Improvement Advisor Cynosure Health Objectives Upon

More information

REDUCING READMISSIONS FOR SNF PATIENTS

REDUCING READMISSIONS FOR SNF PATIENTS REDUCING READMISSIONS FOR SNF PATIENTS Amy E. Boutwell, MD, MPP President, Collaborative Healthcare Strategies New York State Partnership for Patients HIIN September 28, 2017 Objective Identify 3 practical

More information

Improving Care Transitions

Improving Care Transitions Care Transitions Collaborative Improving Care Transitions Laura Cole, RN South Carolina Partnership for Health SPECIFIC QUESTIONS WE WILL EXPLORE TODAY: Why the focus on care transitions? What strategies

More information

LESSONS LEARNED IN LENGTH OF STAY (LOS)

LESSONS LEARNED IN LENGTH OF STAY (LOS) FEBRUARY 2014 LESSONS LEARNED IN LENGTH OF STAY (LOS) USING ANALYTICS & KEY BEST PRACTICES TO DRIVE IMPROVEMENT Overview Healthcare systems will greatly enhance their financial status with a renewed focus

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016 Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department

More information

1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%

1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8% PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy

More information