Florida Hospital Association Hospital Engagement Network (HEN) Pharmacy Round Table Tuesday, August 20, 2013 Audio for today s presentation is broadcast via phone access only: Please Dial-in - 866.740.1260 (Access Code - 8416230) We will begin momentarily... thank you for standing by as we allow participants to connect
CMS Partnership for Patients Overview of HRET/FHA Hospital Engagement Network Florida Hospital Association August 2013
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Timeline for Quality Initiatives Medicare readmission penalties Medicare Shared Savings Program Hospital Value-Based Purchasing Program Payment adjustment for HACs 2010 2011 2012 2013 2014 2015 Expansion of pilot programs to evaluate bundling payment for an episode of care Medicaid Pediatric ACO Demonstration ACA = Affordable Care Act, HAC = hospital acquired condition. Sources; The Henry J. Kaiser Foundation. Health Reform Implementation Timeline www.kff.org/healthreform/8060.cfm. 3
State Performance-Overall Score [Process Quality+Readmissions+Mortality+HCAHPS] Blue=Top Quartile / Green=Second Quartile / Orange=Third Quartile / White=Bottom Quartile Blue=Top Quartile (83.6% 84.5%) Green=Second Quartile (82.8% 83.5%) Orange=Third Quartile (82.4% 82.8%) White=Bottom Quartile (79.8% 82.4%) 4
Partnership for Patients: Better Care, Lower Costs 1. Keep patients from getting injured or sicker. By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over the next three years. 2. Help patients heal without complication. By the end of 2013, preventable complications during a transition from one care setting to another would be decreased so that all hospital readmissions would be reduced by 20% compared to 2010. Achieving this goal would mean more than 1.6 million patients would recover from illness without suffering a preventable complication requiring re-hospitalization within 30 days of discharge. Potential to save up to $35B over three years. 6
40/20 Goal Adverse Drug Events (ADE) Injuries from Falls and Immobility Central Line Associated Blood Stream Infections (CLABSI) Ventilator Associated Pneumonia (VAP) Pressure Ulcers Reduce Harm by 40% and Reduce Readmissions by 20% Catheter Associated Urinary Tract Infection (CAUTI) Venous Thromboembolism (VTE) Safe Surgery / Surgical Site Infections Obstetrical Harm Readmissions Improving culture and board/leadership engagement
Who is HRET Healthcare Research & Education Trust (HRET) An affiliate of AHA Created in 1944, the HRET: Actively synthesizes and translates research into actionable knowledge, strategies, and tools: Hospitals in Pursuit of Excellence (HPOE) Contracts with: Educates on best practices Develops evidence-based tools and guides Provides leadership development through fellowships Engages hospitals in national improvement projects CMS and AHRQ 8
HRET/FHA HEN The HRET/AHA team includes 31 state hospital associations subject matter experts and quality improvement organizations such as the Cynosure Health and IHI other partners providing planning, clinical, and improvement expertise. Nearly 1,600 hospitals are involved in the HRET national Hospital Engagement Network (HEN) Affinity groups for pediatric, psychiatric, rehab and rural hospitals 76 Florida hospitals are participating in Florida 9
Pharmacy Round Table Objectives Collaboration within the discipline Engagement with multi-stakeholders to accomplish goals Decrease harm to patients Share knowledge and experience Share resources, methods, tools Increase skill in the science of improvement Set a course of direction for short term initiatives Establish a collaborative that will endure the journey over time.
Focus Areas for Engagement ADEs Falls Readmissions Surgical site infections VTE VAEs