HRET HIIN Readmissions Virtual Event. Fishbowl Event #5: The Fish Finale September 14, 2017

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HRET HIIN Readmissions Virtual Event Fishbowl Event #5: The Fish Finale September 14, 2017 1

Shereen Shojaat, MS Program Manager, HRET WELCOME AND INTRODUCTIONS 2

Poll 1: How did you get here? How did you hear about today s virtual event? a. HRET HIIN flyer b. HRET HIIN website c. HRET LISTSERV d. State hospital association e. QIN-QIO f. Your organization/colleague g. Other, please specify 3

Poll 2: Have you attended the readmissions fishbowl series prior? I have attended: a. All of the readmission fishbowl sessions (this is the fifth session) b. Some of the sessions more than one, less than all c. This is my first readmission fishbowl session 4

Today s Agenda 11:00 11:03 a.m. Welcome and Introductions Introduction to today s event and agenda overview. Shereen Shojaat, MS Program Manager, HRET 11:03 11:57 a.m. The Fish Finale! The readmissions hospital teams will report back in follow-up to the August 10th fishbowl with lessons learned and receive active coaching. Key learnings will be shared with all participants from the entire fishbowl series. Amy Boutwell, MD Pat Teske, RN, MHA Improvement Advisors, Cynosure Health 11:57 a.m. 12:00 p.m. Action Items and Next Steps Close today s event with action items and next steps. Shereen Shojaat, MS Program Manager, HRET 5

Amy Boutwell, MD, MPP and Pat Teske, RN, MHA Improvement Advisors Cynosure Health CATCH AND RELEASE READMISSIONS! 6

NCH Baker Hospital Florida About Us 2 hospitals 716 beds An alliance of 732 physicians, 213 mid-level providers and medical facilities throughout Collier County and Southwest Florida Retirement community/very seasonal census (higher in the winter months) 7 AIM for the fishbowl Reduce readmissions for cardiac patients (post cath, CHF, AF) by 15% by the end of 2017.

Hancock Regional Hospital Indiana About Us 69 beds General acute care hospital 4 star, HCAHPS Transitions of Care A rating on Leapfrog AIM for the fishbowl Reduce readmissions for COPD patients by 2% by the end of 2017. *Reduce one readmission every other month to reach goal 8

Ransom Memorial Hospital Kansas About Us Small PPS hospital 44 licensed beds 7 Bed ED/Trauma Center Services include: surgicalortho, EENT, gynecology, urology, podiatry, OB, urology medical-neuro, internal medicine, pulmonology, cardiology and nephrology AIM for the fishbowl Reduce all cause readmissions to 5% by December 2017. *Reduce one readmission/month to reach goal 9

Greenwood Leflore Hospital Mississippi About Us 200 Bed rural, acute care hospital located in the heart of the Mississippi Delta. Services include emergency care, OB/GYN, newborn, neurosurgery, orthopedics, nephrology, gastroenterology, general surgery, pediatrics, pulmonology, urology, cardiology, neurology, interventional radiology, pain management, internal medicine and family practice Operate 22 health clinics, 4 of which are rural health clinics AIM for the fishbowl Reduce readmissions for our Heart Failure and Sickle Cell Anemia populations by 20% by the end of 2017. 10

Memorial Medical Center New Mexico About Us LifePoint Facility 199 beds General acute, regional referral center for seven smaller facilities New colorectal surgical program, new PICU, new bariatric surgical program AIM for the fishbowl Overall reduction in readmissions by 5 % by the end of 2017. 11

Shereen Shojaat Program Manager, HRET ACTION ITEMS AND NEXT STEPS 12

Continuing Education Credits Launch the evaluation link in the bottom left hand corner of your screen. If viewing as a group, each viewer will need to submit separately through the CE link. 13

Improving care transitions across the continuum. Stories for you, by you. www.huddleforcare.org

Readmissions Resources Change Package Readmissions Change Package Link 15

Readmissions Resources- Top Ten Checklist Readmissions Top Ten Checklist Link 16

Readmissions Resources- Whiteboard Video Series The 11-part series is delivered by readmissions expert Dr. Amy Boutwell, HRET HIIN Readmissions SME and developer of the newly released AHRQ Hospital Guide to Designing and Delivering Whole-Person Transitional Care. The purpose of these whiteboard videos is to focus and align with the material in the HRET HIIN Preventable Readmissions change package and top ten checklist. To view the video series, visit Readmissions Whiteboard Video Series Link. 17

Readmissions Resources - LISTSERV Join the LISTSERV Ask questions Share best practices, tools and resources Learn from subject matter experts Receive follow-up from this event and notice of future events Huddle for Care Discussion Forum 18

Thank You! Find more information on our website: www.hret-hiin.org Questions or Comments: HIIN@aha.org 19