Florida Hospital Association Hospital Engagement Network (HEN) Office Hours Wednesday, May 8, 2013 1:00 PM

Agenda for Today’s Call Scorecards - Follow up questions Harm Across the Board - Review/discuss Discuss areas in which hospitals would like additional help/resources Review Upcoming meetings and resources Open Discussion 2

Reduce Harm by 40% and Reduce Readmissions by 20% by Dec. 31, 2013 40/20 Goal Reduce Harm by 40% and Reduce Readmissions by 20% by Dec. 31, 2013 Adverse Drug Events (ADE) Injuries from Falls and Immobility Central Line-Associated Blood Stream Infections (CLABSI) Catheter-Associated Urinary Tract Infection (CAUTI) Ventilator Associated Pneumonia (VAP) Venous Thromboembolism (VTE) Pressure Ulcers Safe Surgery / Surgical Site Infections Obstetrical Harm Readmissions Improving culture and board/leadership engagement 3

60/6/30 Goal 60% of HEN Hospitals Will Reduce Harm in 6 Focus Areas by 30% by June 30, 2013 Adverse Drug Events (ADE) Injuries from Falls and Immobility Central Line-Associated Blood Stream Infections (CLABSI) Catheter-Associated Urinary Tract Infection (CAUTI) Ventilator Associated Pneumonia (VAP) Venous Thromboembolism (VTE) Pressure Ulcers Safe Surgery / Surgical Site Infections Obstetrical Harm Readmissions Improving culture and board/leadership engagement 4

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Common Scorecard Questions To whom is the Scorecard being sent? Why are we receiving a Scorecard? What do the colors represent? How do I change my red & yellow areas to green? What does it mean when it says “AHCA data?” What is the 30 minute call about? What do I need to do next? When will my CEO receive the scorecard? 10

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To download the Improvement Calculator and instructions, go to HRET-HEN.org and click on DATA. 9

Why? Harm Across the Board Strategy Recognizing total harm in an organization is a powerful message Can be a tool of the culture of safety and for safety plan for the entire organization Includes the required executive leadership Means including team members at the point of care Can be pivotal in supporting and creating a learning system Requires “trending” to be evaluated thoroughly Requires courage to change “anything and everything” Creates a standardized method to look at outcomes and to determine success (or where a plan has to change) Enables fellows to utilize and showcase their skill set 11

Harm Across the Board Shifting culture from “complications” to harm CMS pushing for hospitals to assess and reduce harm across the board Hospital Story: Orlando Health Shift to Harm Across the Board Gabriela Ramirez, PhD, MPH Director, Clinical Analysis and Outcomes 12

Harm Across the Board Fellows Requirement for Harm Across the Board: Develop Harm Across the Board (HAB) Template for their hospital Submit to State Hospital Association (FHA) Draft due May 3, Final due early June Will be submitted to HRET for review Selected HAB templates will be presented at AHA Meeting in July 13

Risk Profile by Areas of Risk HACs Estimated annual number of patients at risk in each area Number ADE # of inpatients: CAUTI # pts in IP units with catheter in place: CLABSI # pts in IP units with central lines: Falls # of discharges: Ob AE # of women with deliveries: Pr Ulcer SSI # of applicable surgical pts: VAP # of patients on a ventilator: VTE EED # of women with elective deliveries TOTAL Risk opportunities for harm across the board   Readmit # of inpatients at risk of readmit: 2 minutes for slides 2-4 14

Common HAB Questions Who has to do the Harm Across the Board (HAB)Template? Why do we have to do the HAB Template? When is the Harm Across the Board Template due? I only attended one Wave of the Fellowship. Do I have to do the HAB Template? What if our hospital had several staff attend the Fellowship? Do we each have to turn in a HAB Template even though we are from one hospital? Do I have to follow the Template exactly? To whom do I turn in the Template? What will happen with the Templates? 16

Peer to Peer Learning is Critical How Can We Collaborate? Peer to Peer Learning is Critical What other topics would you like to hear from your colleagues who have experienced success in those areas? 17

Upcoming Events Monday email on upcoming webinars Improvement Leaders Fellowship Recording Available from April 24/25, Basic & Advanced- Virtual Meeting: www.HRET-HEN.org; Wave 2- July TBA FSCI(SSI/ Surgical Safety), May 23, Hyatt Grand Cypress, Orlando All HEN hospitals encouraged to attend Readmissions: Engaging Community Providers, June 6, Embassy Suites, Altamonte Springs Invite your community providers Patient & Family Engagement, June 28, Embassy Suites, Altamonte Springs Harm Across the Board Regional Meetings, July 12, 16, 17 Lake Mary, Sarasota, Deerfield Beach 18

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