HRET HIIN Fellowship Session 7Implementation and

TroubleshootingTanya Lord MPH, PhD

Tiffany ChristensenMartha Hayward

Welcome and Introductions

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Mallory Bender, Program Manager, HRET

PFE Faculty Introductions

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Tiffany Christensen

Martha HaywardTanya Lord

Review of Connecting a PFE Strategy to a HAC

Pick your HACPick specific

problem to be addressed

Pick PFE Strategy

Review of PFE Strategies

• Discharge Checklist• PFA on Committees/ PFACs• PFA Safety Rounds or Quality Observers• Storytelling• Teach backs• Bedside Shift Report• Peer Rounding• TeamSTEPPS for Patients

Measuring Impact

• What is going to be your measure of success? – Primary: # of readmissions; increased accuracy

during Teach Back– Secondary: Successful PFA engagement, improved

staff morale; Engaged leadership

• How much, by when• Be creative and think outside the box

Polling Question: Deliverables

• How confident do you feel about using PFE Strategies to reduce HAC? – Not at all – Somewhat – Totally

• How confident are you that you will complete the deliverables? – Not at all – Somewhat – Totally

Ransom Memorial HospitalSmall PPS hospital

44 licensed beds7 Bed ED/Trauma Center

Services include:Surgical-Ortho, EENT,

Gynecology, Urology,Podiatry, OB, Urology

Medical-Neuro, Internal Medicine, Pulmonology,Cardiology, Nephrology

4 Star Rating by CMSA Rating by Leapfrog

AIM: Reduce all cause readmissions to ≤ 5% by December 2017.

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on

Partnering withPatient & Family

Advisors toReduce Readmits

Dorothy RiceQuality Director

Dearborn County Hospital

We are a community hospital with 88 staffed/144 licensed beds locatedin rural southeastern Indiana across the river from Cincinnati, OH.

We are here!

Hospital Aim: Reduce All Cause All Payor ReadmissionsFrom 13% to 11% by December 31, 2018.

The Project ACHIEVE* study on readmissions suggests that patients and their caregivers need to have these goals met to feel ready for discharge:

• To feel prepared and capable when they leave• To know what to do and who to contact if help is needed• To feel cared for and about during their hospitalization and

discharge planning

We will evaluate if peer rounding will:1) Determine if these goals were met upon last discharge2) Assist in meeting these goals before current discharge

*UK Center for Health Services Research

Our Project: Peer Rounding on 30 Day Readmitted Patients

“Shared experience + authentic connection = reduced anxiety”

How’s It Going?

• Successes • Opportunities • Barriers• Surprises? • Questions

Review of Deliverables

• Organization Assessment • Orientation Plan • Action Plan • PDSA form-Optional• Final Report

Questions?

Bring it Home

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Mallory Bender, Program Manager, HRET

THANK YOU