HRET HIIN Readmissions Virtual Event Fishbowl Event #1: Swim and Learn May 25, 2017 1
Shereen Shojaat, MS Program Manager, HRET WELCOME AND INTRODUCTIONS 2
Summary Disclosure & Accreditation Statement AHA/HRET Hospital Improvement Innovation Network (HIIN) Reducing Readmissions Fishbowl Event #1: Swim and Learn Online Live Webinar May 25, 2017 The planners and faculty of the HRET HIIN Reducing Readmissions Fishbowl Event #1: Swim and Learn webinar have indicated no relevant financial relationships to disclose in regard to the content of this presentation. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical education through the joint providership of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) and Health Research & Education Trust (HRET). ABQAURP is accredited by the ACCME to provide continuing medical education for physicians. The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. ABQAURP is an approved to provide continuing education for nurses. This activity is designated for 1.0 Nursing Contact Hours through the Florida Board of Nursing, Provider # 50-94. 3
Webinar Platform Quick Reference Mute computer audio Today s presentation Chat with participants Download slides/resources Register for upcoming events 4
Poll: 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 5
Today s Agenda 11:00 11:03 a.m. Welcome and Introductions Describe the purpose and goals of the fishbowl series. 11:03 11:07 a.m. HRET HIIN Readmissions Data Update The HRET HIIN readmissions data will be shared inclusive of baseline and initial monitoring data. 11:07 11:50 a.m. Up with the Curtain! Let s Start Watching the Fish! Introductions of the teams who will be working on reducing readmissions strategies designed in the fishbowl over the next five months. Each hospital team will explain: Their readmission reduction aim Their target population An inventory of their readmission reduction efforts What they would most like to improve, test and implement this year Shereen Shojaat, MS Program Manager, HRET Julia Heitzer, MS Data Analyst, HRET Amy Boutwell, MD Pat Teske, RN, MHA Improvement Advisors, Cynosure Health Participants will then develop their next test of change. 11:50 11:57 a.m. Open Dialogue All attendees Provide a synthesis of generalizable lessons learned for the listening audience. 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 for Fishbowl #2 on June 15 th. Program Manager, HRET 6
Julia Heitzer, MS Data Analyst, HRET READMISSIONS DATA UPDATE 7
Overall HRET HIIN Progress Data submitted to HRET as of: 5/1/2017 8
Amy Boutwell, MD, MPP and Pat Teske, RN, MHA Improvement Advisors, Cynosure Health UP WITH THE CURTAIN: LET S START WATCHING THE FISH! 9
Readmissions Team NCH Baker Hospital Florida Lead: Jenny Louwsma, BSN, RN Assistant Nurse Manager 3N/4N 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) Other team members: Rebecca Holly, MSN, RN, CEN CCRN Nurse Manager II Jonathan Page 3N/4N charge nurse AIM for the fishbowl Reduce readmissions for cardiac patients (post cath, CHF, AF) by 15% by the end of 2017. 10
Hancock Regional Hospital Indiana Readmissions Team Lead: Misty Essex, BSN, RN Senior Clinical Care Coordinator About Us 69 beds General acute care hospital 4 star, HCAHPS Transitions of Care A rating on Leapfrog Other team members: Sally Carlton, RHIA Quality Director Angela Jenner, BSN, RN Clinical Performance Analyst Michael Fletcher, MD, MBA Vice President Medical Staff Services/Chief Medical Officer Tammy Strunk, BSN, RN AVP Nursing 11 AIM for the fishbowl Reduce readmissions for COPD patients by 2% by the end of 2017.
Ransom Memorial Hospital Kansas Readmissions Team Lead: Dorothy Rice Quality Director Other team members: Stacy Steiner Chief Clinical Officer Kelli Boetel Assistant Chief Nursing Officer Cris Speaks UR Julie Janssen Social Services Dave Bowers Pharmacy Director Kristen Kiehl- Flanary Charge Nurse Angie Welch ED Director Cindy Casey EMS Coordinator 12 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.
Greenwood Leflore Hospital Mississippi Readmissions Team Lead: Gloria Boyd, Director of Clinical Care Management Other team members: Dodie McElmurray COO Sybil Lucic Director of Clinical Data Analytics Tina Sanders Transition of Care Nurse Morgan Richardson Clinical Care Manager April May Clinical Specialist About Us 13 200 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.
Memorial Medical Center New Mexico Readmissions Team Lead: Anthony W. Tony Baird, Executive Director, MSO, Clinical Quality Other team members: Julie Howard, RN Director, Quality Jay Sundheimer, RN, MSN ACNO Patty Mathews Director, Case Management 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. 14
All OPEN DIALOGUE 15
Shereen Shojaat Program Manager, HRET ACTION ITEMS AND NEXT STEPS 16
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. 17
Improving care transitions across the continuum. Stories for you, by you. www.huddleforcare.org
Stories by Topics Program Challenges Motivating the team Building commitment for care transitions Coordinating care across the whole team Coordinating with outpatient care Making follow-up calls or home visits Patient and Family Challenges Going to follow-up appointments Patient empowerment Not receptive to home visits Not receptive to our help Next steps after leaving hospital Medication instructions Social challenges Low health literacy General Started After-hospital care Effective teamwork Establishing a program Identifying causes of readmission Measuring and improving Organizational buy-in Patient engagement Using resources effectively
Questions? Jennie Situ, MPH Program Manager Huddle for Care www.huddleforcare.org
Readmissions Resources Change Package Readmissions Change Package Link 21
Readmissions Resources- Top Ten Checklist Readmissions Top Ten Checklist Link 22
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. 23
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 24
Upcoming Readmissions Fishbowl Series Events All from 11 a.m.- 12 p.m. CT Reducing Readmissions Fishbowl Series 2 June 15 Reducing Readmissions Fishbowl Series 3 July 13 Reducing Readmissions Fishbowl Series 4 August 10 Reducing Readmissions Fishbowl Series 5 September 14 25
Thank You! Find more information on our website: www.hret-hiin.org Questions or Comments: HIIN@aha.org 26