Partnership for Patients Better than Ever!

June 2016 Alaska State Hospital and Nursing Home Association Washington State Hospital Association

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Alaska Driven - Learning With Others

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Alaska State Hospital and Nursing Home Association Board Motion passed May 18, 2016

The ASHNHA Board endorses Alaska’s continued dedication to the Partnership for Patients, strongly encouraging all Alaska hospitals and health systems to participate with ASHNHA in the Partnership for Patients HIIN through Washington State Hospital Association.

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Washington State Hospital Association

107 hospitals

• 39 Critical Access Hospitals

• 51 Acute Care Hospitals

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Washington State Hospital Association HEN

43,326 fewer harms $373 million savings

54.7% reduction in hospital-wide infection rate.

614 fewer patients with catheter-associated urinary tract infections, saving $614,000.

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Partnership for Patients • Improving Outcomes

• Joy in Clinical Care • Improved Payment

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Core Philosophies

• Engaged leadership • Transparency • Share best practices • Rise all boats • Data driven • Focus on areas where most challenged • Setting goals

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Partnership for Patients

Hospital Improvement Innovation Network (HIIN) - Partnership for Patients

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Partnership for Patients

20% reduction in all-cause harm 12% reduction readmissions By September, 2019

97 Hospital-Acquired Conditions (HACs)/1,000 discharges from 2014 baseline of 121 HACs/1,000 patient discharges

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Partnership for Patients Two years plus option year. Eleven topics plus additional HACs. Meets Patient Safety Organization (PSO) requirement.

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Eleven Topics

1. Adverse Drug Events (ADE)-opioid, anticoagulation, and glycemic management

2. CLABSI (all hospital settings)

3. CAUTI (all hospital settings) – focus on avoiding placement

4. Clostridium difficile and Antimicrobial Stewardship

5. Falls

6. Pressure Ulcers

7. Sepsis and Septic Shock

8. Surgical Site Infections (hip, knee, hysterectomy, cardiac, colon)

9. Venous Thromboembolism

10. Ventilator-Associated Events (VAE), (IVAC), (VAC)

11. Readmissions

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ALL CAUSE HARM What are your thoughts on the additional topics?

• Multi-Drug Resistant Organisms • Undue Exposure to Radiation • Opioid Addiction Prevention • Hospital Culture of Safety – Worker Safety • All Cause Harm Measurement and Reeducation Are there other topics that should be considered?

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Radiation Variation in DLP.

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Blue – Adult Orange - Pediatric

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Diversity (Health Equity) 1. REAL Data (Race,

Ethnicity, Age, and Language)

2. Reduce gaps in care 3. Use to reduce

readmissions

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Patient and Family Engagement

1. Checklist for patients known to have a planned admission to the hospitals (elective surgery).

2. Shift change huddles and bedside reporting with patients and families.

3. Accountable leader for person and family engagement. 4. Active Person and Family Engagement Committee or

other committees where patients are represented. 5. Patient representatives serving on the board.

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What are the Most Helpful Strategies of Supporting?

Measurement Philosophy • Valuable to improving care to patients. • Consistent with national standards. • Utilizes data systems already in place where possible before chart abstraction. • Data is current (two or fewer months old) supporting improvement. • Utilize definition for that time period.

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Questions?