NNHQI Campaign. Safely Reduce Hospitalizations Tracking Tool Getting Started!
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1 NNHQI Campaign Safely Reduce Hospitalizations Tracking Tool Getting Started! This material was prepared by Telligen, National Nursing Home Quality Improvement Campaign contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-CO-NNHQIC-06/17-001
2 Getting Started Hospitalizations Tracking Tool This slide deck will help you: 1. Become familiar with the mechanics of the Hospitalizations Tracking Tool (Excel workbook), the specific data required to complete the tool, how to enter data, and how to check your data. 2. Know the kind of information produced by entering required fields only and how to use it. 2
3 Hospitalizations Tracking Tool Required Fields DAILY: Only for residents admitted to your home within 30 days of a hospital discharge Enter on the AdmittedWithRecentDischarge tab 1. Resident name 2. Date discharged from hospital 3. Date admitted to your nursing home 4. Status on admission to nursing home from hospital (Part A, Other) DAILY: Only For Residents Transferred to Hospital Enter on the TransferLog 1. Resident name 2. Purpose of nursing home stay (PAC-type Care/Chronic Long Term Care) 3. Date of transfer to hospital 4. Outcome of transfer MONTHLY: For Your Home Enter on the worksheet named Census 1. ADC (or mid-month census) by purpose of stay 3
4 Before You Start Look at your daily report/census. - How many of the required DAILY items does it already have? - Could it be modified to include more? Who could enter the data with the least impact on schedule? Remember, this will only be a few items each day Front desk/office staff? Medical records? Admissions staff? Get that daily report routed to the person entering the data daily. 4
5 Get your Tracking Tool (Excel workbook) & Illustrated Instructions From the website homepage click on the gear icon (Get Tracking Tools), and then Hospitalizations. The workbook is posted on that page -- you'll download the zipped file, open it, and once you are looking at the "Welcome" page of the actual tracking tool, save it to your computer. As you save it, change the name to include "2017" at the BEGINNING of the filename. SafelyReduceHospitalizationsTrackingTool.xls 5 SafelyReduceHospitalizationsINSTRUCTIONS.pdf
6 Workbook Set Up The DropDownLists tab You ll want to begin by browsing through each of the worksheets, including the Common Qs & As. Note that on every worksheet where action is required there are instructions, such as Step 1 and Step 2 in the screenshot below. Be sure to read all instructions on the page before beginning to enter data. 6
7 CRITICAL: Admitted with Recent Discharge Admitted with Recent Discharge means that the resident was admitted to your community with a recent discharge from an inpatient hospital stay. The resident may have come to you directly from the hospital. Or, they may come to you from another location, but had an inpatient hospital stay within 30 days prior to the date they are admitted to your home. It is VERY IMPORTANT that you do not use this sheet to record all admissions. 7
8 Information! Enter data on a daily basis, and use this sheet to identify residents at risk for a 30 / 90 day readmission. Residents highlighted yellow are on your Daily Hospital Walking Rounds. 8
9 Information! The person entering the data is responsible for copying the list of residents whose names are highlighted yellow (along with the date of their hospital discharge), and bringing it to morning standup. [Hint: Make a Word document with title and date. Then, each day, just copy and paste these three fields into your template.] 9
10 CRITICAL: TransferLog Record ALL unplanned transfers to the hospital, regardless of the outcome. You will be able to indicate whether the outcome is Admitted, inpatient or something else. Record unplanned transfers for ANY resident, not just those who had a recent hospital discharge. Unplanned transfers are transfers that weren t previously scheduled. (Examples of planned transfers are planned surgical revisions, chemotherapy, dialysis, etc.) 10
11 Information! 30-day readmissions are highlighted RED are. 90-day readmissions are highlighted GREEN. These deserve a special look. 11
12 Monthly Outcome Data Five outcomes are calculated for you each month. Each month s outcomes are displayed on a separate tab. Monthly outcome tabs are waaaaay over to the right. Use the arrows in the lower LEFT to move to the RIGHT. 12
13 Find Tracking Tool Click GOALS Choose Hospitalizations The Tracking Tool is on the Identify Baseline page, but don t forget the other pages as well! 13
14 Transfer Summary Data to the Website Each Month* * Note that your data are not ripe until your TransferLog is complete for 30 (and 90) days after the last day of the month. This step takes about 2 minutes. Just follow the directions on the worksheet. For more help, return to the Tools page, and get the document Submitting Data Instructions 14
15 Website Data Displays When you transfer your monthly outcomes to the website, you can get trend graphs that look like this -- Great for sharing with your Quality Council, Staff, and community. You can customize to choose the date range, add a target line, and compare your progress with other communities working on this goal. 15
16 We re here to help! 16
17 Thank You For making our nursing homes better places to live, work, and visit! 17
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