1 Georgia Hospital Engagement Network Patient and Family Centered Safe Care Putting Patients First

November 19, 2014 Celebrating Our Success With Positive Net Forward Energy

3 Learning Objectives: Examine the processes you have put in place to make improvements in the HEN HACs, HAIs, and readmissions; Discuss with your staff ways to celebrate the successes you made. Examine areas where you still need improvement; and Formulate a plan to sustain the gains and address areas of need.

4

Executive Quality Action Committee Members David Andrews, Patient Advocate, Georgia Regents Medical Center Sheila Bennett, Chair, Floyd Medical Center Susan Bowen, Shepherd Center Montez Carter, Good Samaritan Denise Flook, Eastside Medical Center Nicole Franks, MD, Emory University Hospital Midtown Freya Gilbert, Columbus Health Babs Hargett, Emory Healthcare Angie King, St. Francis Hospital Steve Mayfield, Medical Center of Central Georgia Mindy McStott, Tift Regional Medical Center Norma Jean Morgan, Effingham Health System Heidi Nelson, University Hospital Teri Newsome, Habersham Medical Center Mary M. Pizzino, Effingham Health System Marcia Postal-Ranney, Emory Johns Creek Hospital Robbin St. John, St. Mary’s Health Care System, Inc. Sherry Sweek, Southeast Georgia Health System Tina Thomas, To Cobb Regional Medical Center Jerry West, Coffee Regional Medical Center

6 Education and Training Activities 188 Educational Activities hours of content 14,188 attendees Average evaluation score, 4.59 $2,911,957 to hospitals in registration fees, mileage, hotel accommodations and stipends

7 Overall Achievement and Results

11/20/2013 8

11/20/2013 9

11/20/

11/20/

12 OB Adverse Events

13 Hospital Acquired Conditions 69% Reduction in Hospital Acquired Pressure Ulcers (Medicare) 33.2% Reduction in Hospital Acquired Pressure Ulcer (All Payers) 37.6% Reduction in Anticoagulant Control ADEs 32.3% Reduction in Glycemic Control ADEs 31.8% Reduction in Opioid Related Adverse Events 24.7% Reduction in Hospital Acquired PE/DVT 6.35% Reduction in Falls with Injury (NDNQI Def.)

14 Hospital Acquired Infections SSI COLO: Continued Work in Progress SSI HYST: Continued Work in Progress Combined SSI: At Goal Qtr2 ‘14 CAUTI: Downward Trend CLABSI: At Goal VAE: Continued Work Improved Outcomes Evidenced Based Practice Engagement Accurate Measurement Patient Centered Care

15 CUSP for Safe Surgery = SUSP Project Hospitals Floyd Medical Center Grady Memorial Hospital Gwinnett Medical Center Habersham Medical Center Liberty Regional Medical Center Spalding Regional Medical Center Navicent Health (formerly MCCG) Tift Regional Medical Center Ty Cobb Regional Medical Center Upson Regional Medical Center Emanuel Medical Center Kennestone Hospital (WellStar Health System)

Readmissions Reorganize, refocus, revitalize Do Your PART (Preventing Avoidable Readmissions Together Challenge: Project Re-Engineering Discharge More To Do - - See data packet – Readmissions 30 Day Medicare –> 9% Reduction –> 6,100 individuals able to sleep in their own beds Continue work in 2015 Care Coordination Council contact Joyce Reid

11/20/

Setting our sights on reducing Sepsis

11/20/

22 LEAPT CULTURE OF SAFETY OSHA “Worker Safety for Hospitals” LUCIAN LEAPE “Roundtable Report – Through the Eyes of the Workforce” 22

HEN SPREAD (15 Hospitals and >13,000 employees) 11/20/ LEAPT Pilot Hospitals (5 Hospitals and >7,000 employees)

24 In Pursuit of 2014 HEN Targets

25 What are you telling us was important to you?

26 Looking Forward to 2015 Safety Across the Board Infection Prevention Maternal Child Hospital Acquired Conditions Care Coordination Medication Management Transition of Care Plan Leading Edge Advanced Practice Topics (LEAPT) Continuation of Affinity Education and Cohort Coaching Calls Hospital Visits

27 Your Homework: Examine the processes you have put in place to make improvements in the HEN HACs, HAIs, and readmissions; Discuss with your staff ways to celebrate the successes you made. Examine areas where you still need improvement; and Formulate a plan to sustain the gains and address areas of need.

Thank You! 28

29 Contact Information NameTitle Telephone number Lisa CarhuffPatient Safety Lynne HallQuality Improvement Martha Harrell Vice President of Educational Services Shearl LesserPHA Program Kathy McGowan Vice President of Quality & Patient Safety Tyra McKinney Public Health Information Specialist Faizah Muheb Vice President, Analytical Services Unit Doug Patten, M.D.Chief Medical Jan Ratterree Infection Prevention/Patient Safety Specialist Joyce Reid Vice President of Community Health Connections Tracy Rutland Quality Improvement/ Patient Safety Specialist (770) Pamela ShepardAdministrative Michelle SprousePHA Technical