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HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN)
Jessica Rowden, MHA, BSN, R.N., CPHQ
Director of Clinical Quality
HIIN Hierarchy
Centers for Medicare & Medicaid Services
15 other prime HIIN contractors
American Hospital Association/Health Research and Educational Trust
31 other state hospital associations
1,600 hospitals
Missouri Hospital Association
86 hospitals*
Survey Data
Needs Assessment
One-time
Survey Monkey – for submission
Patient and Family Engagement
Quarterly
HIDI Quality Collections
Needs Assessment
Hospital Demographics
Comparative Groups
EHR Vendor
Topic Level Involvement
Patient and Family Engagement Questions
Additional Missouri Questions
Excel Support
Statistics Support
Data Support
QI Support
Patient and Family Engagement
Quarterly
HIDI Quality Collections
Abstracted Measures
HIINformational Data
Data Submission Assistance (encourage monthly)
Abstracted– Templates
– Quality Collections
Claims
NHSN
Reports
Baseline
Project
– Monthly
– Quarterly
Mission:20 percent harm reduction12 percent readmission reduction
Measures for ALL Hospitals
Measures for SPECIFIC Hospitals
Data Submission: Abstracted Measures
For abstracted measures, you have the choice to either submit data on the data submission excel templates and email to your Improvement Advisor on a monthly basis
OR You can submit your data directly into Quality Collections on a
monthly basis
Data Submission: Abstracted Measures
Data Submission Templates (monthly)
Data Submission: Abstracted Measures
HIDI Quality Collections
https://www.hidianalyticadvantage.com/Analytics/Home.aspx
Data Due Dates – HIIN Project Yr 1
Task
Deadline For Hospital to
Submit Data Data Included in DeadlineBaseline 17-Jan BaselineJanuary Monthly Monitoring Data 23-Jan Oct-DecFebruary Monthly Monitoring Data 20-Feb Oct-JanMid-Year Report 8-Mar Oct-JanMarch Monthly Monitoring Data 23-Mar Oct-FebApril Monthly Monitoring Data 20-Apr Oct-MarchMilestone 4 8-May Hard dealine for ALL data Oct-FebMay Monthly Monitoring Data 22-May Oct-AprilJune Monthly Monitoring Data 22-Jun Oct-MayJuly Monthly Monitoring Data 21-Jul Oct-JuneAugust Monthly Monitoring Data 23-Aug Oct-JulyTarget Report 6-Sep Oct-JulySeptember Monthly Monitoring Data 19-Sep Oct-AugMilestone 5 14-Sep Hard deadline for ALL data Oct-MayOctober Monthly Monitoring Data 23-Oct Oct-Sept
Data Submission: NHSN/Claims
NHSN
Confer rights
Ensure data is entered monthly
Ensure data is entered for HIIN measures
Claims
Hospital billing department sends data monthly/quarterly to HIDI
HIDI processes data quarterly to supply claims measure data for HIIN project
Confer Your NHSN Data to HIDI
Why?
To provide you the most robust data portfolio
To better assist you with more improvement opportunities
See the Instructional Guide
Improvement Calculator Harms prevented
Costs saved
Lives saved (NEW!)
Easier to use
Based on pivot tables (not macros)
Updated cost estimates
Reports
Baseline Data
Monthly Performance
– Current
– Aggregate/Project
Missing data
Topics meeting goal
Opportunities
Quarterly CEO dashboard
HIIN lead preview period of dashboard
Education
Data Education
Formal Quality and Process Improvement
Fellowships
IHI Open School
Webinars
Coaching Calls
Site Visits
HIINcredible Fellowship Opportunity
Additional benefits of participation including
Developing or deepening your skills in quality improvement
The opportunity to share with and learn from colleagues seeking to make similar improvements
Coaching from IHI Improvement Advisors
Access to the IHI Open School virtual courses
Efforts to create improvement leaders through the fellowship program are associated with improvement in outcomes
Two Fellowship Tracts
Foundations for Change Fellowship Accelerating Improvement Fellowship
Tailored to those who are new to quality improvement
Tailored to those with previous QI experience who are looking to deepen their knowledge and skills
Fellows will learn how to : deploy tools such as aim
statements, driver diagrams, and
run charts to initiate and nurture
improvement
galvanize others to participate in
your improvement efforts
develop and sustain momentum
mitigate common improvement
pitfalls
Fellows will learn how to : assess whether your QI efforts are set up
for success
utilize data to identify, drive, and sustain
performance improvement
ensure process reliability and
sustainability
plan for spread and scale
mitigate common improvement pitfalls
Patient and Family Engagement
FellowshipGoal is to get at least one fellow signed up per hospital
Quality Improvement
H11N 8Y TH3 NUM83R5
HIIN Stats
86 Participating Hospitals
73 ACC
13 Rehab/Psych/LTAC
CAH/Rural numbers
–25 CAH
–43 Rural
Needs Assessments: 100% of ACC
Site Visits: 15/73 = 21%
About 75% of the remaining are scheduled
Fellowship Numbers
Quality Improvement
Basic/Foundational = 16
Advanced/Accelerated Improvement = 11
Patient and Family Engagement = 6
Please sign up by end of February
Administration will receive a memo within the next 10 business days
ListServ
Missouri HIIN Participants = 46
Please sign up and DELEGATE!
To prevent inbox clutter, create a “rule”
If you need help with this, ask your IA
Get access to other hospitals, subject matter experts, and other resources so you aren’t stuck reinventing the wheel
Delegation Tips
Think outside the box
Get nursing/direct patient care staff more involved in the “behind-the-scenes” work
Include nursing management and front-line staff in webinars, QI projects, listservs, fellowships
Build quality improvement education into the clinical ladder
Identify nurses/other staff furthering their education and are in need of projects for school
Encourage nurses/other staff to further their education and give them a project for school – contact us for HPOG grants!
Immersion Projects
In Progress
Antibiotic Stewardship Program
Workplace Violence
Coming CY 2017
Sepsis
Readmissions
Brainstorming – late 2017 or 2018
Lean/SS
Leadership
HAI
Up Campaign
Two foundational questions:
1. Is my patient awake enough to get up?
2. Have I protected my patient against infections?
Our National HIIN Team
National Project Team
Kimberly King, HRET – State Liaison
Julia Heitzer, HRET – Data Liaison
Betsy Lee, Cynosure Health – SME Liaison
New HRET Offerings/Resources
Strategic Innovation Engine (SIE) - Spreading Innovative Practices in Health Care Quality: CMS' Quality Improvement Organization program recently established the SIE to help advance quality and health care innovations. If your hospital has established a practice that has improved care in one of CMS' six quality strategy goals, we encourage you to email [email protected] or visit http://sie.qioprogram.org/ for more information.
New HRET Resources
New HRET Offerings/Resources
Safety Network to Accelerate Performance (SNAP): Enhanced Recovery After Colorectal Surgery: The first SNAP topic is enhanced recovery after surgery with a focus on colorectal surgery. This topic aligns well with HIIN SSI reduction efforts and links to the UP Campaign, specifically with the Get UP initiative to promote early progressive mobility. The SNAP page and application are now on the HRET HIIN website. Hospitals that are interested in participating in this SNAP should register for the informational call on February 2 at 2:00 p.m. CT. The registration link is available on the 'SNAP' and 'Upcoming Events' pages of the website.
New HRET Offerings/Resources
Fishbowl Series: HRET is hosting a fishbowl series for ADE and readmissions that will begin in April 2017 and run for five consecutive months. We are recruiting for three participating hospitals to be 'in the fishbowl' receiving real time coaching while other hospitals listen in each month. These hospitals should be able to commit to attend the virtual events over the five month period and be willing to share their struggles and successes in ADE reduction efforts
Be HIINvolved!
Share your stories!
Be HIIN the know!
Participate in webinars
– Delegate!
– Get your team involved!
Help us make HIIN a household name!
Ask your IA your hospital questions!
Let us visit and celebrate or work through barriers with you!
Help us HIINcrease safety and quality across the board
Upcoming HRET Webinars
NCD Pacing Event | Front-Line Staff Culture Change
January 26, 2017 | 12:00 p.m. - 1:00 p.m. CT | Register here.
HRET HIIN | CLABSI
January 26, 2017 | 11:00 a.m. - 11:50 a.m. CT | Register here.
HRET HIIN | ERAS SNAP Informational Call
February 2, 2017 | 2:00 p.m. - 3:00 p.m. CT | Register here.
HRET HIIN | VTE Virtual Event
February 7, 2017 | 11:00 a.m. - 12:00 p.m. CT | Register here.
HRET HIIN | PFE Fellowship
February 8, 2017 | 11:00 a.m. - 12:00 p.m. CT | Register here.
HRET HIIN | ADE | Adjuncts and Alternatives to Opioids for Pain: It's All About Love
February 14, 2017 | 12:00p.m. - 12:50p.m. CT | Register here
2017 Aim for Excellence ConferenceJoin the Missouri Hospital Association at the inaugural Aim for Excellence Conference, designed to both highlight the achievements of Missouri hospitals and inform on trending topics leading to the Triple Aim – better health, better care, lower costs.
The winners of the inaugural 2016 Aim for Excellence awards will present their work and the conference will also include a special session and open discussion on Missouri initiatives to combat opioid misuse. Lear
Thursday, April 6 and Friday, April 7, 2017Columbia Courtyard by Marriott
David Nash, M.D., MBAPeter Almenoff, M.D., FCCP
Kerry Johnson
Register Now
Registration deadline: Thursday, March 30
MHA SQI Webinars
What’s Up Wednesdays
First Wednesday of the month at noon
Register
HIIN Huddles
Fourth Tuesday of the month at 2:00 p.m.
Register
Missouri HIIN Team
•Jessica Rowden, RN, BSN, MHA, CPHQ
•Director of Clinical Quality
•573/893-3700, ext. 1391
Jessica Rowden
•Amanda Keilholz
•HIIN Program Manager
•573/893-3700, ext. 1405
Amanda Keilholz
•Toi Wilde, RN, BSN, MBA
•HIIN Program Manager
•573/893-3700, ext. 1406
Toi Wilde
•Mary Shackelford, RN, BSN
•Improvement Advisor
Mary Shackelford
