THA Hospital Improvement Innovation Network (HIIN) Monthly Check-In 7-19-17

THA HIIN Contacts Name Email Sr. VP for Clinical Services Chris Clarke cclarke@tha.com 615-401-7437 VP for Operations HIIN Management Patient & Family Engagement Disparities Patrice Mayo pmayo@tha.com 615-401-7434 Data Manager Jennifer McIntosh jmcintosh@tha.com 615-401-7421 Clinical Quality Improvement Specialist Adverse Drug Events C. Difficile VTE MRSA SSI Jackie Moreland jmoreland@tha.com 615-401-7439 Readmissions Sepsis Worker Safety Rhonda Dickman rdickman@tha.com 615-401-7404 CAUTI CLABSI Falls Pressure Injuries VAE Janet Meadows jmeadows@tha.com 615-401-7461

HIIN Participants 4022 HIIN hospitals nationally 1627 HRET HIIN hospitals as of 7-14-17 817 Rural Hospitals 562 Critical Access Hospitals 71 Major Teaching Hospitals 78 THA HIIN hospitals

National HIIN Goal Goal through 9-27-19 20% reduction in HACs 12% reduction in 30-Day Readmissions Harm Reduction Goal 2010—145 Harms/1,000 Discharges 2011—142 Harms/1,000 Discharges 2012—132 Harms/1,000 Discharges 2013—121 Harms/1,000 Discharges 2014—121 Harms/1,000 Discharges 2019—97 Harms/1,000 Discharges

HIIN Resources Weekly TCPS e-newsletter Tennessee Center for Patient Safety (TCPS) website: www.tnpatientsafety.com HRET HIIN website: http://www.hret-hiin.org/ Site visits / coaching calls HIIN Listservs (ADE, ICU, level 1 trauma centers, infections, healthcare disparities, PFE, readmissions, sepsis, hospital-wide topics, rural/critical access hospitals)

Quarterly HRET HIIN Survey Organizational Items—sepsis, PFE, leadership, and diversity Takes approximately 5 minutes to complete Due Friday, July 28 Submit through HRET CDS or email a completed hardcopy to jmcintosh@tha.com or fax to 615-242-4803

Readmissions Challenge Goal: Capture patient/family perspectives on readmission contributing factors Process: Interview up to five readmitted patients and complete a short survey by August 31 Optional interview tools and the survey link will be emailed to HIIN main contacts and Readmission contacts this week

Showcasing Success Success stories produced by a professional healthcare writer Best practice sharing at state and national meetings and/or webinars Featured on THA website, electronic newsletters, and in reports to HRET and CMS

Mentorship Program Opportunity for your facility to mentor other hospitals through workshops, coaching calls, site visits, or best practice presentations Stipends to mentor facilities Opportunity for your facility to be paired with a peer mentor hospital in areas challenging to your facility Mileage reimbursement for mentee hospitals to travel to mentor facilities and workshops

HIIN Measures and Data

Report Distributor NHSN Claims Survey Measure Report Distributor NHSN Claims Survey Adverse Drug Events (Anticoagulants, Hypoglycemic, Opioids) X CAUTI CLABSI C Difficile Falls MRSA Pressure Ulcers Readmissions Sepsis Surgical Site Infections Patient & Family Engagement Post-op Venous Thromboembolism Ventilator-Associated Events Worker Safety

Report Distributor Choose a type of Report

Report Distributor Choose a Topic on Which to Report

Report Distributor Complete steps 1-3 and Submit Form Hospital Name

Report Distributor Process or Outcome Hospital Name

Report Distributor Choose a Topic on Which to Report Hospital Name

Report Distributor Reminders Data should be current for HIIN project (October 2016 and forward) Data is due the end of each month for the previous month – including “zeroes” Report Distributor is refreshed monthly (20th) Edits to data previously submitted should be emailed to jmcintosh@tha.com Data entry assistance available--contact Jennifer McIntosh

Questions? Comments?

Save the Date Leadership Summit Fall Regional Meetings Poster / Presentation Proposals due July 21 Weds., October 11 at THA annual conference Fall Regional Meetings Tuesday, September 12 in Memphis Thursday, September 14 in Knoxville Tuesday, September 19 in Nashville