Home Health Infection Prevention Toolkit
|
|
- Kerrie Long
- 5 years ago
- Views:
Transcription
1 Home Health Infection Prevention Toolkit Paula Sitzman, RN, BSN Great Plains Quality Innovation Network Judy Riggert, RN, MS Visiting Nurse Association of the Midlands
2 Map Great Plains Quality Innovation Network (GPQIN) includes: Quality Health Associates of North Dakota South Dakota Foundation for Medical Care Great Plains Quality Innovation Network- Nebraska Kansas Foundation for Medical Care
3 Great Plains QIN Partners in Healthcare Quality Improvement Mission: to use the collective knowledge and resources to achieve the aims of better healthcare, improved health, safer care and lower healthcare costs Collaborate with providers and communities on multiple quality initiatives to improve patient safety, reduce harm and improve clinical care Aspire to make health across the GPQIN the best in the nation 3
4 Great Plains QIN Programs for Quality Improvement Antibiotic Stewardship Cardiac Health Care Coordination Diabetes Care Health Information Technology Immunizations Medication Safety Nursing Home Care Quality Payment Program Sepsis Transforming Clinical Practice Initiative 4
5 Great Plains QIN Special Innovation Projects Colorectal Cancer Screening Home Health Infection Prevention and Control Reducing Sepsis Harm and Death Opioid Reduction (KS only) 5
6 The Issue: Infections in Home Health Care Estimates of infections occurring during home health episodes of care are as high as 1.2 million per year An initial evaluation of 2015 OASIS data was completed for 25 home health agencies across the Great Plains QIN In those 25 agencies, 24% of home health episodes of care ended with an acute care hospitalization related to respiratory, urinary tract and wound infections 6
7 Available Knowledge Life expectancy in the US population continues to increase and people with chronic conditions live longer Occurrence of infections in home care is an adverse event for patients and family caregivers and can potentially have a negative impact on patient outcomes 7
8 Home Health Infection Prevention (HHIP) Special Innovation Project (SIP) CMS special funding was received to develop home health specific infection prevention tools and resources Goals: o Adopt and/or create infection prevention and control tools, resources and best practices for the Home Health Infection Prevention Toolkit o Recruited home health agencies will test and implement tools available in the Toolkit o Achieve reduction of home health infection-related acute care hospitalizations 8
9 Recruitment of Home Health Agencies Across the GPQIN North Dakota 5 HH agencies South Dakota 6 HH agencies Nebraska 5 HH agencies Kansas 12 HH agencies 9
10 Home Health Agency Environmental Scan Conducted to identify current best practices and what was needed to reduce and manage infections in home health care Scan completed by 25 or 28 recruited home health agencies following receipt of signed participation agreements Results indicated there were opportunities for improvement 10
11 Development of Home Health Advisory Council Recruited Home Health Agencies participating in the Special Innovation Project Monthly Home Health Advisory Council meetings Home Health Advisory Council provided ideas, suggested tools and resources for the Home Health Infection Prevention Toolkit 11
12 Home Health Infection Prevention Toolkit Team Home Health Advisory Council members A representative from each state in the GPQIN Home Health Quality Improvement (HHQI) National Campaign staff 12
13 Coaching Calls with Recruited Home Health Agencies Monthly coaching calls with home health agencies in each state Quarterly regional coaching calls with recruited home health agencies 13
14 Home Health Infection Prevention Toolkit Development Identify and collect infection prevention and control resources for home health agencies GPQIN development of tools and resources that did not exist for home health agencies Assistance of the Home Health Advisory Council Input and technical expertise from staff with the HHQI National Campaign 14
15 HHIP Initiative e-newsletter Provide participating agencies with updates on project status, upcoming WebEx education, success stories and data E-Newsletters distributed quarterly, beginning on March 1,
16 CMS Home Health Quality Improvement National Campaign Provided technical expertise during development of the Home Health Infection Prevention Toolkit Best Practice Intervention Packages (BPIPs) Provides free education for home health agencies, home health aides, social work and therapy 16
17 Launch of Home Health Infection Prevention Toolkit Officially launched April 3, 2018 E-Newsletters Social Media Trade associations HHQI National Partners/Wound BPIP National HHQI Network Coordinators Call QIN Times Newsletter [June 2018] 17
18 Home Health Infection Prevention Toolkit Content Antibiotic Stewardship Hand Hygiene Immunizations Injection Safety Patient and Family Education Respiratory Infection Sepsis Urinary Tract Infection Disaster Preparedness Home Health Aide Infection Precautions Nursing Bag Technique QAPI Risk Assessment & Surveillance Teach-Back Wound Infection 18
19 HHIP Learning and Action Network (LAN) Events in HHIP Toolkit Infection Prevention and Control Strategies Related to C. difficle, Norovirus and MRSA The Next Big Adventure: Prevention of Pneumonia in the Home Utilizing Your Home Health CASPER Report in the QAPI Process: Focus on ACH Utilizing You Home Health CASPER Report to Succeed in a Value- Based Purchasing Environment: Focus on Immunizations Utilizing Agency Data to Reduce ACH: Focus on Infection Control No Longer Baptism by Fire : Developing An Infection Control Plan in the Home Environment No Longer Baptism by Fire : Implementation of the Infection Prevention and Control Plan: Part 2 19
20 Partnerships Home Health Agencies Home Health Advisory Council Home Health Quality Improvement National Campaign Team State Home Health Care Trade Associations 20
21 Visiting Nurse Association of the Midlands Home Health Services Nursing Physical, Occupational and Speech Therapy Medical Social Work Registered Dietitian Home Health Aide Volunteer Care Transitions Coach Telemonitoring Pharmacy Services Hospice & Palliative Care also includes the following services: Physician Bereavement Chaplain Service Areas Nebraska: Douglas, Sarpy, Washington, Burt; parts of Cass and Saunders Counties Iowa: Pottawattamie, parts of Mills and Harrison Counties 21
22 VNA Assessment and On-Going Risk Assessment Tool Monitoring Tools Hand Hygiene Nurse Bag Technique & Equipment Management Competency 22
23 VNA 2018 Risk Assessment 23
24 Hand Hygiene Competency 24
25 Bag Technique and Equipment Management Competency 25
26 VNA Patient/Caregiver and Staff Education Signs of Infection & Sepsis in the Home Fluid Needs of Adults C Diff Laundry and Cleaning Teach-Back 26
27 Signs of Infection and Sepsis at Home 27
28 Fluid Need of Adults 28
29 C Diff Laundry and Cleaning 29
30 As part of a pilot initiative to identify and develop infection prevention tools and resources for HHAs; 2 years We were one of 28 agencies throughout 4 states; Kansas Nebraska North Dakota South Dakota Access the Toolkit at
31 Opportunities for Improvement The initiative, led by the Great Plains QIN, worked towards reducing Acute Care Hospitalizations related to wound, urinary tract and respiratory infections Greatest opportunity was to reduce hospitalizations due to UTI s VNAM Baseline 6.36% in 2015 Q we were at 4.71% Q we were at 6.77% We were specifically tasked with reducing our Q results by 5%, from 6.77% to at least 6.44% Achieved a Q rate of 2.76% (with a rolling year rate of 5.0%)
32 Greatly exceeded results for state and combined members in the GPQIN group I do think we will see a slight increase in our Q2 results [perhaps around 4%[, but still significantly below where we were %, which means we need to continue to stay focused on hydration, early recognition of s/s and care team collaboration for our highest risk patients.
33 Home Health Agency Successes The Home Health Infection Prevention Toolkit has been extremely helpful. We have utilized the documents under Risk Assessment and Surveillance, specifically the Risk Assessment template. During our last Joint Commission Survey, we were told that we need to be using a template very similar to the tool included in the toolkit. Honestly, the Risk Assessment template from the Home Health Infection Prevention Toolkit is more comprehensive than the example provided to us by the JC surveyor. - North Dakota We have been working on falls/ambulation along with reducing Urinary Tract Infections (UTIs). The Toolkit has helped to have PT/OT at least do an evaluation for mobility issues. The nurses are focused on the patient s hydration and any UTI symptoms at each skilled nursing visit. We have not had a fall or UTI in over a month. We are going over the items in the Toolkit weekly and having a weekly focus of one of the issues. We have found the Toolkit very helpful. - Kansas 33
34 Successes From Other organizations I showed some of the Toolkit patient education resources to a few physicians in our antibiotic stewardship committee and they were very impressed and requested copies to hand out to their patients from the clinic. They especially liked the Cleaning the Nebulizer and CPAP Machine tools but were impressed with many of the resources. - South Dakota GPQIN team member We really like the patient and family education tools in the Toolkit, especially the ones for Cleaning the Nebulizer and CPAP Machine. We will use these when we discharge patients from our facility. We see some very dirty Nebulizers and CPAP machines at admission; it s no wonder they have pneumonia. - Nebraska SNF 34
35 Home Health Infection Prevention Process Measures Agencies utilize CASPER data to track ACH and ED visits related to respiratory, urinary and wound infections Agencies implement at least two best practices/tools from the HHIP Toolkit Agencies implement an agency-wide Infection Prevention Program in their QAPI Plan Agencies participate in the HHIP WebEx training Agencies participate in HHIP Coaching Calls 35
36 Home Health Infection Prevention Number and rate of: Outcome Measures acute care hospitalizations respiratory infections related acute care hospitalizations urinary tract infections related acute care hospitalizations wound infections related acute care hospitalizations 36
37 Clinical Improvement the Data Quarter results reflect an overall increase from recent quarters in acute care hospitalizations related to the three identified infection measures combined. This was, in large part, due to the noted increase in respiratory-specific infections which is consistent with the time of year and what was noted in Quarter (12.5%). Quarter results for urinary tract and wound infections was noticeably decreased (improved) with both results exceeding the 5% goal (7.5% and 6.1% respectively) 37
38 Overall Acute Care Hospitalization Rates 38
39 Respiratory Infection Acute Care Hospitalization rates 39
40 Urinary Tract Infection Acute Care Hospitalization Rates 40
41 Wound Infection Acute Care Hospitalization Rates 41
42 Acknowledgement of HHIP Toolkit Team The 28 Home Health Agencies across the Great Plains QIN GPQIN Quality Improvement Advisors and Leaders GPQIN Communication and IT Staff CMS Home Health Quality Improvement Staff 42
43 Summary of HHIP Special Innovation Project Reduce infections occurring in the home health care setting Develop infection prevention tools, resources and best practices for home health agencies Develop infection prevention tools and resources for patients and families 43
44 Resources Great Plains QIN Home Health Infection Prevention Toolkit Great Plains Quality Innovation Network Home Health Quality Improvement National Campaign Centers for Disease Control and Prevention Association for Professionals in Infection Control and Epidemiology 44
45 Questions? 45
46 How to Get Involved 46
47 Contact Information Paula Sitzman, RN, BSN P: ; Ext 512 Judy Riggert, RN, MS P: This material was prepared the Great Plains Quality Innovation Network, the Medicare Quality Improvement Organization for Kansas, Nebraska, North Dakota and South Dakota, 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. 11S0W-GPQIN-NE-C3-122/0918
QAPI & Infection Prevention: Putting the Pieces Together
QAPI & Infection Prevention: Putting the Pieces Together Tammy Baumann, RN, LSSGB Quality Improvement Advisor Great Plains Quality Innovation Network Objectives Identify how QAPI intersects with infection
More informationCareTrek : Nebraska s Journey to Safe Care Transitions
CareTrek : Nebraska s Journey to Safe Care Transitions Audrey Paulman, MD, MMM Principal Clinical Coordinator CIMRO of Nebraska This material was prepared by CIMRO of Nebraska, the Medicare Quality Improvement
More informationAuthentic Agency Success Stories
Authentic Agency Success Stories Cindy Sun, MSN, RN, COS C Crystal Welch, MSN, RN Describe how to access Home Health Quality Improvement (HHQI) National Campaign tools and resources Identify three (3)
More informationMedication Safety Quality Improvement: Collaboration to Reduce Adverse Drug Events
Medication Safety Quality Improvement: Collaboration to Reduce Adverse Drug Events Jayme Steig, PharmD, RPh Quality Improvement Specialist - Pharmacy Quality Health Associates of North Dakota Disclosure
More informationInfection Prevention and Control: How to Meet the Conditions of Participation for Home Health
Infection Prevention and Control: How to Meet the Conditions of Participation for Home Health Mary McGoldrick, MS, RN, CRNI Home Care and Hospice Consultant Saint Simons Island, GA Nothing to Disclose
More informationInfection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study
Infection Control Performance Improvement Quality Assurance & Performance Improvement (QAPI) Case Study Happy Acres Nursing Center is a 99-bed skilled nursing facility (SNF). The facility is divided into
More informationHome Health Agencies & Reducing Readmissions. presented by Misty Kevech, RN, MS, COS C, CCP HHQI RN Project Coordinator WVMI & Quality Insights
Home Health Agencies & Reducing Readmissions presented by Misty Kevech, RN, MS, COS C, CCP HHQI RN Project Coordinator WVMI & Quality Insights Objectives Describe the benefits of collaborating and utilizing
More informationInfection Control, Still the Most Commonly Cited Tag in Texas
July 2016 Commitment to Care Quality Topic Infection Control, Still the Most Commonly Cited Tag in Texas F -441 continues to show up on the list of top 10 deficiencies every quarter here in Texas. During
More informationHAI Learning and Action Network February 11, 2015 Monthly Call. Overview of HAI LAN
HAI Learning and Action Network February 11, 2015 Monthly Call 1 Overview of HAI LAN CLABSI, CAUTI, CDI, VAE Conferred Rights through NHSN Monthly meetings/webex/teleconferences Antimicrobial Stewardship
More informationRehospitalizations: How Do You Measure Up?
Rehospitalizations: How Do You Measure Up? National Nursing Home Quality Care Collaborative (NNHQCC) Health Services Advisory Group (HSAG) Today s Objectives Recognize the role skilled nursing facilities
More informationIntroduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance
Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance Diane Dohm MT, IP, CIC, CPHQ MetaStar February 6, 2018 IPC Open calls: Bi-weekly Series Surveillance What data should
More informationCDI Preventing and Managing Clostridium Difficile - A Provider's Perspective
Thank You for Joining! CDI Preventing and Managing Clostridium Difficile - A Provider's Perspective New England Nursing Home Quality Care Collaborative Webinar Will Begin Shortly. Call-In Number: (888)
More informationCareTrek : Nebraska s Journey to Safe Care Transitions
CareTrek : Nebraska s Journey to Safe Care Transitions Audrey Paulman, MD, MMM Principal Clinical Coordinator CIMRO of Nebraska This material was prepared by CIMRO of Nebraska, the Medicare Quality Improvement
More informationHAI Learning and Action Network January 8, 2015 Monthly Call
HAI Learning and Action Network January 8, 2015 Monthly Call GPQIN Website greatplainsqin.org PATH: Website Initiatives Reducing HAI in Hospitals 2 HAI Page 3 4 5 Patient and Family Engagement Why should
More informationWelcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one
Welcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one in a series of videos explaining the 13 quality measures
More informationAntimicrobial Stewardship Program in the Nursing Home
Antimicrobial Stewardship Program in the Nursing Home CAHF San Bernardino/Riverside Chapter May 19 th, 2016 Presented by Robert Jackson, Pharm.D. Pharmaceutical Consultant II, Specialist CDPH Licensing
More information3/30/2015. Objectives. Cooking Up a QAPI: Recipe for Success Under the new COPs Part 1
Cooking Up a QAPI: Recipe for Success Under the new COPs Part 1 Catherine Gill, MS, PT, MHA Director, North Kansas City Hospital Home Health Teresa Northcutt, BSN, RN, COS-C, HCS-D Consultant Objectives
More informationLearning Session 3: CDI Tracer and Assessment Tool
National Nursing Home Quality Care Collaborative (NNHQCC) II and the Clostridium difficile Infection (CDI) Initiative Learning Session 3: CDI Tracer and Assessment Tool Health Services Advisory Group (HSAG)
More informationCollaborative Approach to Improving Care and Reducing Readmissions
Collaborative Approach to Improving Care and Reducing Readmissions Edna Clifton, MBA, BSN, RN Associate Director, Care Coordination Health Services Advisory Group (HSAG) March 14, 2017 Presentation Objectives
More informationCollaborative Approach to Improving Care and Reducing Readmissions
Collaborative Approach to Improving Care and Reducing Readmissions Edna Clifton, MBA, BSN, RN Associate Director, Care Coordination Health Services Advisory Group (HSAG) March 14, 2017 Presentation Objectives
More informationThe Road Map to Success Implementation Checklist STEPS ACHIEVING THE MILESTONES RESOURCES TO SUPPORT YOU MILESTONE 1: JOIN & LEARN NOTES COMPLETION
STEPS ACHIEVING THE MILESTONES RESOURCES TO SUPPORT YOU MILESTONE 1: JOIN & LEARN DATE COMPLETED BARRIERS TO COMPLETION NOTES 1-1 Identify an agency champion & back up Questions to ask: 1) Who is timely
More informationSEPSIS RISK ASSESSMENT EVALUATION TOOL HEALTH QUALITY INNOVATORS
Sepsis during hospital stay preceding this admission History of sepsis Renal concerns Respiratory Gastrointestinal Chronic renal failure History of stones Recent UTI Foley catheter during preceding hospital
More information3/30/2015. Objectives. Rationale for QAPI. Cooking Up a QAPI: Recipe for Success Under the new COPs Part 2
Cooking Up a QAPI: Recipe for Success Under the new COPs Part 2 Catherine Gill, MS, PT, MHA Director, North Kansas City Hospital Home Health Teresa Northcutt, BSN, RN, COS-C, HCS-D Consultant Objectives
More informationMeet DEAN & EDNA: The Application of HHQI Resources in the Reduction of Avoidable Hospitalizations
Meet DEAN & EDNA: The Application of HHQI Resources in the Reduction of Avoidable Hospitalizations Cindy Sun, MSN, RN Objectives At the conclusion of this session, the participant will be able to: Access
More informationUpcoming Changes in Infection Prevention: What Skilled Nursing Facilities Need to Know
Upcoming Changes in Infection Prevention: What Skilled Nursing Facilities Need to Know Aimee Ford, QI Consultant, Qualis Health June 8, 2016 Qualis Health A leading national population health management
More informationClostridium difficile Infection (CDI) Intervention Kick-Off Webinar
Clostridium difficile Infection (CDI) Intervention Kick-Off Webinar Wednesday, January 17, 2018 National Nursing Home Quality Care Collaborative (NNHQCC) Health Services Advisory Group (HSAG) Introduction
More informationBenefits of Reporting in NHSN. April 24, 2018
Benefits of Reporting in NHSN April 24, 2018 HealthInsight Team Donna Thorson Project Manager Nevada Leah Brandis Project Manager Oregon Shannon Cupka Project Manager New Mexico Shylettera Davis Project
More informationOASIS ITEM ITEM INTENT
(M2400) Intervention Synopsis: (Check only one box in each row.) At the time of or at any time since the previous OASIS assessment, were the following interventions BOTH included in the physician-ordered
More informationAntibiotics - Are they OVERUSED? 4/6/2018. Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes. Pathway Health 1.
Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes Louann Lawson, BA, RN, RAC-CT, CIMT Nurse Consultant Clinical Reimbursement Team Leader/Clinical Education Manager Pathway Health
More informationHH Compare. IMPACT Act. Measure HHVBP
Measure HH Compare Star Rating Improvement in Bathing X X X Improvement in Bed Transferring X X X Improvement in Ambulation/Locomotion X X X Improvement in Management of Oral Medications X X Improvement
More informationND Partnership to Improve Dementia Care
ND Partnership to Improve Dementia Care Co-hosted by Michelle Lauckner & Jayme Steig Quality Health Associates of ND Darleen Bartz ND Department of Health Thursday, March 9, 17 Objectives/Agenda Review
More informationLeveraging External Improvement Resources for Success in HHVBP
Home Health Value-Based Purchasing (HHVBP) Leveraging External Improvement Resources for Success in HHVBP March 9, 2017 Prepared for CMS by the HHVBP Technical Assistance, contract number HHSM-500-2014-0033I.
More informationIs It Really a UTI? Do You Know It When You See It?
Is It Really a UTI? Do You Know It When You See It? Today s Objectives 1. Define Symptomatic UTI versus Asymptomatic Bacteriuria 2. Review RAI MDS Coding Manual Definition of UTI 3. Analyze UTI as a Quality
More informationHSAG the QIN-QIO NHQCC II and CDI Initiative Kick-off
(HSAG) the Quality Innovation Network-Quality Improvement Organization Ohio National Nursing Home Quality Care Collaborative II (NHQCC II) Introduction James H. Barnhart III, BSH, LNHA Quality Improvement
More informationPartner with Health Services Advisory Group
Partner with Health Services Advisory Group Bonnie Hollopeter, LPN, CPHQ, CPEHR Health Services Advisory Group (HSAG) Quality Improvement Lead Rosalie McGinnis, MS, RN HSAG Quality Improvement Lead November
More informationOASIS-B1 and OASIS-C Items Unchanged, Items Modified, Items Dropped, and New Items Added.
Items Added. OASIS-B1 Items UNCHANGED on OASIS-C OASIS-C Item # M0014 M0016 M0020 M0030 M0032 M0040 M0050 M0060 M0063 M0064 M0065 M0066 M0069 M0080 M0090 M0100 M0110 M0220 M1005 M1030 M1200 M1230 M1324
More informationCommunity Data Update Knoxville Community Readmissions Coalition January 25 th, 2018
Community Data Update Knoxville Community Readmissions Coalition January 25 th, 2018 Corley Roberts, MHA, CPHQ, ACSM EP-C, EIM Quality Improvement Advisor, Qsource/atom Alliance croberts@qsource.org Readmissions
More informationCMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents Phase 2--Payment Model
CMS Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents Phase 2--Payment Model The Revolving Door One fourth of all nursing home resident go the hospital each year - Some many
More informationPatient Identifiers: Facial Recognition Patient Address DOB (month/day year) / / UHHC. Month Day Year / / Month Day Year
Transfer (M0010) CMS Certification Number: 367549 (M0014) Branch State: OH (M0016) Branch ID Number: N/A Patient Identifiers: Facial Recognition Patient Address DOB (month/day year) / / UHHC (M0020) Patient
More informationQAPI Quality Assurance Process Improvement
QAPI Quality Assurance Process Improvement Presented by: Sharon M. Litwin, RN, BSHS, MHA, HCS D Senior Managing Partner 5 Star Consultants, LLC 2017 Final Rule in the Federal Register of January 13, 2017
More information2/23/2017. Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities. Objectives
Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities Aimee Ford, Qualis Health Patricia Montgomery, WA State Department of Health Washington Health Care Association Winter
More informationObjectives 2/23/2011. Crossing Paths Intersection of Risk Adjustment and Coding
Crossing Paths Intersection of Risk Adjustment and Coding 1 Objectives Define an outcome Define risk adjustment Describe risk adjustment measurement Discuss interactive scenarios 2 What is an Outcome?
More informationClinical Intervention Overview: Objectives
AHRQ Safety Program for Long-term Care: HAIs/CAUTI Clinical Intervention Overview: Preventing Infections to Enhance Resident Safety Cohort 5 Learning Session #1 Steven J. Schweon RN, CIC APIC Infection
More informationNebraska Emergency Treatment Orders (NETO): A New Tool for Advance Care Planning
(): A New Tool for Advance Care Planning Great Plains QIN Support 2 How to Get Involved 3 We Have Gone Social Like Us and Follow Us Be part of our conversation Twitter @GreatPlainsQIN http://twitter.com/greatplainsqin
More informationMedicare Quality Improvement Initiatives
Medicare Quality Improvement Initiatives Participation Opportunities in Minnesota February 2016 Achieve national quality goals in Minnesota. Join Stratis Health in working to achieve the Centers for Medicare
More informationBest Practices for Safety & Care Coordination
Best Practices for Safety & Care Coordination Thursday, February 23, 2016 Nicole Skyer-Brandwene MS, RPh, BCPS, CCP Adverse Drug Events Network Task Lead Andrew Miller, MD, MPH Care Coordination Network
More informationInfection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA)
Infection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA) The Facility Starview Convalescent Center is a 60-bed long-term care facility.
More informationHome Health Agency Partnership Development Guide Overview
Home Health Agency Partnership Development Guide Overview This Home Health Agency (HHA) Partnership Development Guide aims to help s hospitals identify, develop, and strengthen formal and informal partnerships
More informationEffective Tools to Prevent and Manage Adverse Events
Effective Tools to Prevent and Manage Adverse Events Based on Office of Inspector General Adverse Events Report Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com Objectives Upon completion
More informationIPC Open Calls - bi-weekly series
Introduction to Infection Prevention & Control (IPC) Open Call Series #6 Where can I find additional training for Infection Prevention and Control? Diane Dohm MT, IP, CIC, CPHQ MetaStar/Lake Superior QIN
More informationCare Transitions. Objectives. An Overview of Care Transitions Efforts in Arkansas
An Overview of Care Transitions Efforts in Arkansas June 6, 2013 Christi Quarles Smith, PharmD Manager, Quality Programs Care Transitions Project Lead Arkansas Foundation for Medical Care THIS MATERIAL
More informationStopping the Chain of Infection: Strategies for Preventing Sepsis in Long Term Care September 20, 2016
Stopping the Chain of Infection: Strategies for Preventing Sepsis in Long Term Care September 20, 2016 VHQC 1. Private, nonprofit healthcare consulting firm 2. Virginia s QIO since 1984; now the Quality
More informationNursing Home Walk of Fame Visiting What Really Works. Call in Number
Nursing Home Walk of Fame Visiting What Really Works Call in Number 877.442.2859 Enter to Win Book Giveaways! Type in a successful practice (one or two sentences) from your nursing home in the chat box.
More informationNew England Home Health Collaborative
New England Home Health Collaborative The Use of Aspirin in Heart Disease Kathryn D. Roby, M.Ed., M.S., CHCE, CHAP QIN-QIO Home Health Consultant April 8, 2015 The New England Quality Innovation Network
More informationDefining and Driving Value: Provider and Payer Perspectives
Defining and Driving Value: Provider and Payer Perspectives NAHC Financial Managers Meeting June 2013 Serving the Midcoast of Maine in Knox Waldo Lincoln Counties 1 Who we are... Medicare Certified & State
More informationSENTARA HEALTHCARE. Norfolk, VA
SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding
More informationQAA/QAPI Meeting Agenda Guide
QAA/QAPI Meeting Agenda Guide Date of Meeting The facility is required to have a QAA committee (do not need to use this name) that meets at least quarterly and as needed to coordinate and evaluate activities
More informationJanuary 2017 A GUIDE TO HOME HEALTH VALUE-BASED PURCHASING
January 2017 A GUIDE TO HOME HEALTH VALUE-BASED PURCHASING Copyright 2017 HEALTHCAREfirst. All rights reserved. 01/13/2017 2 A Guide to Home Health Value-Based Purchasing BACKGROUND In recent years, the
More informationFHA MTC HIIN Quarterly Virtual Meeting January 22, 2018
FHA MTC HIIN Quarterly Virtual Meeting January 22, 2018 Today s Agenda Purpose of the Call UP Campaign Review of the data Needs Assessment Feedback What do you Need? CMS HIIN GOALS GOALS: 20% Overall Reduction
More informationOutcome Based Case Conference
Outcome Based Case Conference Are You On the Train or On the Tracks? Michelle Funk, RN BS, COS C 15 years RN 13 years Home Health Clinician Case Manager Program Coordinator Supervisor QA Coordinator Special
More informationGet Moving on QAPI and Infection Control
KHCA Annual Meeting September 21, 2017 C4 Standing at the New CoPs Trailhead? Get Moving on QAPI and Infection Control PRESENTED BY: SHARON M. LITWIN, RN, BSHS, MHA, HCS D SENIOR MANAGING PARTNER Objectives
More informationBasic Training: Home Health Edition. OASIS and Outcomes. April 2, 2013
Basic Training: Home Health Edition OASIS and Outcomes April 2, 2013 Presented by: Rhonda Will, RN, BS, COS-C, BCHH-C, Assistant Director of the Competency Institute, Fazzi Associates, Inc. 243 King Street,
More informationHospice Care for the Person with Cancer
Hospice Care for the Person with Cancer Hospice is a special type of care designed to provide comfort, support and dignity to patients with a lifelimiting or terminal illness. For hospice purposes, a life-limiting
More informationDEVELOPMENT OF AN INFECTION CONTROL PROGRAM FOR LONG-TERM CARE FACILITIES. Evelyn Cook, RN, CIC Associate Director
DEVELOPMENT OF AN INFECTION CONTROL PROGRAM FOR LONG-TERM CARE FACILITIES Evelyn Cook, RN, CIC Associate Director Understanding Long-Term Care Varying terms and degrees of inclusiveness Difficult to have
More informationInfection 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 informationMeaningful Use Virtual Office Hours Webinar for Eligible Providers and Hospitals
Meaningful Use Virtual Office Hours Webinar for Eligible Providers and Hospitals Patti Kritzberger, RHIT, CHPS Tracey Regimbal, RHIT HIT-Quality Improvement Specialists Jane Stotts, BSN Quality Improvement
More informationWest 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 informationDeveloping and Action Plan: Person Centered Dementia Care and Psychotropic Medications
Developing and Action Plan: Person Centered Dementia Care and Psychotropic Medications Lisa Bridwell Program Specialist Telligen QIN-QIO March 2018 Objectives Review interpretive guidance F758 (Free from
More informationProgram objectives; All patient care disciplines; Description of how the program will be administered and coordinated;
A self-assessment is conducted. Can be accomplished through methods such as review of current documentation, patient care, direction observation of clinical performance, operating systems or interviews
More informationClostridium difficile Prevention Strategies A Review of Our Experience
Clostridium difficile Prevention Strategies A Review of Our Experience Suzanne R. Anders, MHI, RN Director, Hospital Patient Safety Health Services Advisory Group (HSAG) February 26, 2015 What is a Quality
More information5D QAPI from an Operational Approach. Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Pathway Health 2013
5D QAPI from an Operational Approach Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Objectives Review the post-acute care data agenda. Explain QAPI principles Describe leadership
More informationIHA District Meetings February-March, : Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM
IHA District Meetings February-March, 2015 2015: Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM Looking Back 10 Years Ago IHA, AHA, CMS, IFMC, State of Iowa, JCAHO, AHRQ
More informationThe New Survey Process What To Expect Paula G. Sanders, Esq.
PHCA Webinar February 14, 2018 The New Survey Process What To Expect Paula G. Sanders, Esq. DEPARTMENT OF HEALTH ENFORCEMENT TRENDS How to Read State Tags DOH CMPs Per Year 2014-2017 2014 $79,250.00 2015
More information3/19/2013. Medicare Spending Per Beneficiary: The New Link Between Acute and Post Acute Providers
The New Link Between Acute and Post Acute Providers Carol Quiring, RN President and CEO, Home Care and Hospice Saint Luke s Health System Shauna Thompson, RHIT Senior Director, Quality & Patient Safety
More informationWelcome and Instructions
Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.
More informationOverview HOSPICE QUALITY REPORTING PROGRAM (HQRP) 10/10/2016
Hospice Quality Reporting Requirements and Using Reports in Your QAPI Program Octobe Overview Identify the current and 2017 CMS Hospice Quality Reporting Requirements. Identify the financial risk of failure
More informationOASIS QUALITY IMPROVEMENT REPORTS
6 OASIS QUALITY REPORTS GENERAL INFORMATION... 2 AGENCY PATIENT-RELATED CHARACTERISTICS (CASE MIX) REPORT... 4 AGENCY PATIENT-RELATED CHARACTERISTICS (CASE MIX) TALLY REPORT 9 HHA REVIEW AND CORRECT REPORT...13
More informationCNA SEPSIS EDUCATION 2017
CNA SEPSIS EDUCATION 2017 WHAT CAUSES SEPSIS? Sepsis occurs when the body has a severe immune response to an infection Anyone who has an infection is at risk for developing sepsis Sepsis occurs when the
More informationMedicare Beneficiary Quality Improvement Project (MBQIP)
Medicare Beneficiary Quality Improvement Project (MBQIP) Karla Weng, MPH, CPHQ November 14, 2017 Nebraska CAH Conference on Quality Kearney, NE Stratis Health Independent, nonprofit, Minnesota-based organization
More informationNeighborhoods, resources and capacity to improve
Neighborhoods, resources and capacity to improve Jane Brock, MD, MSPH Telligen QIN QIO National Coordinating Center This material was prepared by Telligen, the Quality Innovation Network National Coordinating
More informationOBQI for Improvement in Pain Interfering with Activity
CASE SUMMARY OBQI for Improvement in Pain Interfering with Activity Following is the story of one home health agency that used the outcome-based quality improvement (OBQI) process to enhance outcomes for
More informationWHAT IS HOSPICE? Hospice means Dignity and Comfort. Focus on comfort and symptom management
WHAT IS HOSPICE? Hospice means Dignity and Comfort Hospice is a philosophy of care Focus on comfort and symptom management Interdisciplinary team approach to providing end-of-life care Admission Criteria
More informationImplementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story
Pharmacy Roundtable Implementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story Presenter: Jon C. Francisco, Pharm.D, BCPS Clinical Specialist
More informationQuality Outcomes and Data Collection
Quality Outcomes and Data Collection Presented By: Joanne Jones Director, Clinical Consulting Services August 30, 2016 Quality Measurement in LTC CMS Nursing Home Compare 5 Star Rating System New measures
More informationTools for Better Health. Referral Toolkit. Health Care Providers
Tools for Better Health Referral Toolkit Health Care Providers A guide to working with providers to establish a referral system for evidence-based self-management programs. Table of Contents How to Use
More informationWhen Medications Hurt: Preventing Adverse Drug Events. Plan for today.
When Medications Hurt: Preventing Adverse Drug Events Rachel Crowe, MPH, BSN, RN Danielle Watford, CMQ OE, MS Patient Safety Academy September 8, 2016 This material was prepared by Healthcentric Advisors,
More informationDirect cause of 5,000 deaths per year
HOSPITAL ACQUIRED (NOSOCOMIAL) INFECTION Policies MRSA Policy Meningitis Policy Blood and body fluid Exposure Policy Disinfection Policy Glove Policy Tuberculosis Policy Isolation Policy DEFINITION: ANY
More informationObjectives. Industry Landscape. Infection Prevention and Control Changes, Updates and Quality Results!
Infection Prevention and Control Changes, Updates and Quality Results! Sue LaGrange, RN, BSN, NHA, CDONA, FACDONA, CIMT Director of Education Pathway Health 1 Objectives 1.Describe the recent industry
More information3/14/2014. Preventing Rehospitalizations How to Change Your When in Doubt, Send em Out Way of Thinking. Objectives. Background Information
Preventing Rehospitalizations How to Change Your When in Doubt, Send em Out Way of Thinking Jennifer Moore, RN Content Developer Objectives Describe two reasons why returns to the hospital are not desirable
More informationFOR LEADINGAGE POST-ACUTE AND LONG TERM SERVICES AND SUPPORTS
December 2016 MODEL SCORE CARD ELEMENTS FOR LEADINGAGE POST-ACUTE AND LONG TERM SERVICES AND SUPPORTS BACKGROUND The purpose of this scorecard is threefold: 1. To help organize quality measures into internal
More informationTelligen Update. Colorado s Medicare Quality Innovation Network- Quality Improvement Organization Christine LaRocca, MD.
Telligen Update Colorado s Medicare Quality Innovation Network- Quality Improvement Organization Christine LaRocca, MD April 27, 2018 Objectives (in 10 minutes or less) Who is Telligen? What do we do?
More informationInfection Prevention, Control & Immunizations
Infection Control: This facility task must be used to investigate compliance at F880, F881, and F883. For the purpose of this task, staff includes employees, consultants, contractors, volunteers, and others
More informationPave Your Path: How to Improve-Will, Ideas and Execution
Pave Your Path This presenter has nothing to disclose Pave Your Path: How to Improve-Will, Ideas and Execution Cory Sevin, RN, MSN, NP Director, IHI Kate Bones, MSW Director, IHI February 19, 2013 Organization
More informationHome Health Quality Improvement Campaign
Home Health Quality Improvement Campaign Description of Monthly Report for Improvement in Oral Medications Monthly Report for Improvement in Management of Oral Medications All data displayed illustrate
More informationA New Vision for the Quality Improvement Organization Program
A New Vision for the Quality Improvement Organization Program This material was prepared by Masspro, the Medicare Quality Improvement Organization for Massachusetts, under contract with the Centers for
More informationBridging the Gap Between Research and Practice in Long- Term Care An Innovative Model for Success
Bridging the Gap Between Research and Practice in Long- Term Care An Innovative Model for Success May 15, 2013 Sharon Bradley, RN, CIC Senior Infection Prevention Analyst Pennsylvania Patient Safety Authority
More informationWEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control
WEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control New England Nursing Home Quality Care Collaborative Webinar Will Begin Shortly. Call-In
More informationPhysician Performance Analytics: A Key to Cost Savings
Physician Performance Analytics: A Key to Cost Savings Session #90, February 21, 2017 Jim Gera, SVP of Business Development, Signature Medical Group, Inc. 1 Speaker Introduction Jim Gera, MBA SVP of Business
More informationNew Models in Payment: Joint Replacements. Sharon Eloranta, MD February 18, 2016
New Models in Payment: Joint Replacements Sharon Eloranta, MD February 18, 2016 Qualis Health A leading national population health management organization The Medicare Quality Innovation Network - Quality
More informationInterim Final Interpretive Guidelines Version 1.1
Interim Final Interpretive Guidelines Version 1.1 Big Changes from November 2008 to January 2009 418.54 Condition of participation: Initial and Comprehensive assessment of the patient L522 418.54(a) Standard:
More information