Intermountain-led CMS Hospital Engagement Network Adverse Drug Event Prevention June 24, 2014 Affinity Call.

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Presentation transcript:

Intermountain-led CMS Hospital Engagement Network Adverse Drug Event Prevention June 24, 2014 Affinity Call

Outline for Discussion Review of the HEN ADE work “Just-one-thing” Recommendations High performers National ADE action plan

Overall Progress Through Q1 2014

Intermountain HEN 2012-Q ADE w/ Harm

Intermountain HEN 2012-Q ADE per 1000 Patient-Days

Intermountain HEN 2012-Q PSI 12 Post Operative PE or DVT

Intermountain HEN 2012-Q ADE Due to Opioids Controlled Postoperative Serum Glucose Excessive Anticoagulation with Warfarin – Low Reporting

Just One Thing Matrix Recommendations Getting StartedWorking HarderAhead of the Curve Identify accountable teams to review all ADEs and work on performance improvement. (moderate level of evidence) Build in automated medication administration alerts and processes, i.e., bar coding. (low level of evidence) Automate ADE triggers and implement into pharmacy work flow with patient specific alerts.

High Performing Hospital Highlight… ADE w/ Harm Most Improvement SANPETE VALLEY HOSPITAL - CAH SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ DENVER HEALTH MEDICAL CENTER SOCORRO GENERAL HOSPITAL BEAR RIVER VALLEY HOSPITAL EDEN MEDICAL CENTER RIVERTON HOSPITAL DIXIE REGIONAL MEDICAL CENTER VALLEY VIEW MEDICAL CENTER SUTTER ROSEVILLE MEDICAL CENTER Lowest Rates MILLS PENINSULA HEALTH SERVICES SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ LOS BANOS MEMORIAL HOSPITAL PARK CITY MEDICAL CENTER MENLO PARK SURGICAL HOSPITAL LINCOLN COUNTY MEDICAL CENTER SEVIER VALLEY MEDICAL CENTER HEBER VALLEY MEDICAL CENTER GARFIELD MEMORIAL HOSPITAL UPPER CONNECTICUT VALLEY HOSPITAL

High Performing Hospital Highlight… Most Improvement SANPETE VALLEY HOSPITAL - CAH MENLO PARK SURGICAL HOSPITAL DENVER HEALTH MEDICAL CENTER SEVIER VALLEY MEDICAL CENTER SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ SUTTER SOLANO MEDICAL CENTER BEAR RIVER VALLEY HOSPITAL SUTTER COAST HOSPITAL NOVATO COMMUNITY HOSPITAL ALTA BATES SUMMIT MEDICAL CENTER ADE per 1000 Patient-Days Lowest Rates MENLO PARK SURGICAL HOSPITAL GARFIELD MEMORIAL HOSPITAL SANPETE VALLEY HOSPITAL - CAH DENVER HEALTH MEDICAL CENTER MILLS PENINSULA HEALTH SERVICES ALTA BATES SUMMIT MEDICAL CENTER SEVIER VALLEY MEDICAL CENTER LOS BANOS MEMORIAL HOSPITAL SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ UTAH VALLEY REGIONAL MEDICAL CENTER

High Performing Hospital Highlight… Most Improvement SUTTER LAKESIDE HOSPITAL SUTTER SOLANO MEDICAL CENTER SUTTER AUBURN FAITH HOSPITAL VALLEY VIEW MEDICAL CENTER LDS HOSPITAL MCKAY DEE HOSPITAL CENTER PROVIDENCE ST VINCENT MEDICAL CENTER UTAH VALLEY REGIONAL MEDICAL CENTER SUTTER MEDICAL CENTER OF SACRAMENTO DENVER HEALTH MEDICAL CENTER PSI 12 Post Operative PE or DVT Lowest Rates LOGAN REGIONAL HOSPITAL SUTTER AUBURN FAITH HOSPITAL SUTTER SOLANO MEDICAL CENTER PARK CITY MEDICAL CENTER SUTTER DAVIS HOSPITAL HILLCREST BAPTIST MEDICAL CENTER RIVERTON HOSPITAL VALLEY VIEW MEDICAL CENTER ESPANOLA HOSPITAL SUTTER TRACY COMMUNITY HOSPITAL

2014 plans for improvement Webinar Collect and share best practices across our network hospitals & system in a single document