OHA HEN 2.0 Ohio Hospital Association/Ohio Patient Safety Institute October 8, 2015

Nationwide public-private partnership to tackle all forms of harm to patients. The goals: 40% Reduction in Preventable Hospital Acquired Conditions over three years 1.8 Million Fewer Injuries 60,000 Lives Saves 20% Reduction in 30-Day Readmissions in Three Years 1.6 Million Patients Recover Without Readmission Potential to Save $ Partnership for Patients: Better Care, Lower Costs 2 Ohio Hospital Association | CELEBRATING 100 YEARS |

55% reduction of overall harm Ventilator Associated Pneumonia – 100% reduction Pressure Ulcers 66% reduction CLABSI – 59% reduction Falls – 49% reduction Surgical Site infections – 36% reduction SAVINGS – $100.2 Million Successes of previous HEN 3 Ohio Hospital Association | CELEBRATING 100 EARS |

Low burden to participating hospitals/ health systems Intentional regard for integration of initiatives Building a structure for ongoing quality initiatives Introduction 4 Ohio Hospital Association | CELEBRATING 100 YEARS |

OHA PfP Focus 5 Ohio Hospital Association | CELEBRATING 100 YEARS | Base topics Special topics Foundational topics

The clinical areas to be addressed are: Catheter-associated urinary tract infections (CAUTI) Central line-associated blood stream infections (CLABSI) Surgical site infections (SSI) Ventilator-associated Events (VAE, IVAC, VAP) Adverse drug events (ADE) – Opioid; anticoagulation; glycemic management Preventable readmissions Pressure ulcers Venous thromboembolism (VTE) Injuries from falls and immobility Obstetrical adverse events Measures 6 Ohio Hospital Association | CELEBRATING 100 YEARS |

Severe Sepsis and Septic Shock Hospital Culture of Safety integrating worker and patient safety Iatrogenic Delirium Clostridium difficile (antibiotic stewardship) Undue Exposure to Radiation Airway Safety Special topics 7 Ohio Hospital Association | CELEBRATING 100 YEARS |

Patient and Family Engagement Leadership Engagement Disparities Cost Savings Foundational topics 8 Ohio Hospital Association | CELEBRATING 100 YEARS |

Key Concepts 9 Ohio Hospital Association | CELEBRATING 100 YEARS | Patient Centered Care Integration IndividualizationHuddles Transparency Regionalization

Education programming Regional Coordinators Website Wayfinder Observations – hand hygiene Resources 10 Ohio Hospital Association | CELEBRATING 100 YEARS |

Data Sources 11 Ohio Hospital Association | CELEBRATING 100 YEARS | Outcome Data Administrative NHSN Electronic submission Data entry Process Data Observation Core measures Data entry Other Data Not sure yet i.e. Z-score

Where we started… WayFinder - Module 1 12 Ohio Hospital Association | CELEBRATING 100 YEARS |

-HEN Module in WayFinder Track and compare measures Sophisticated statistical analyses to identify high and low risk variable pathways -Data Entry incorporated into WayFinder platform -Minimizing or eliminating cost for OHA HEN participating hospitals -Sustain improvement and advancement of platform for future use Wayfinder Tool HEN Module – Data Entry 13 Ohio Hospital Association | CELEBRATING 100 YEARS |

Where we are headed… New Modules 14 Ohio Hospital Association | CELEBRATING 100 YEARS HEN Module

EXISTING MEASURES PSI/IQI Indicators 15 Ohio Hospital Association | CELEBRATING 100 YEARS |

EXISTING MEASURES Readmissions Module 16 Ohio Hospital Association | CELEBRATING 100 YEARS |

USING FUNCTIONALITY FOR HEN PSI/IQI Indicators 17 Ohio Hospital Association | CELEBRATING 100 YEARS | Hospital 1 Hospital 2HEN

USING FUNCTIONALITY FOR HEN QI Dashboard 18 Ohio Hospital Association | CELEBRATING 100 YEARS | HEN MEASURES

USING EXISTING FUNCTIONALITY PSI/IQI Indicators – Trend Data 19 Ohio Hospital Association | CELEBRATING 100 YEARS |

USING EXISTING FUNCTIONALITY THE CART BEFORE THE HEN 20 Ohio Hospital Association | CELEBRATING 100 YEARS |

USING EXISTING FUNCTIONALITY THE CART BEFORE THE HEN 21 Ohio Hospital Association | CELEBRATING 100 YEARS | Node 59 Patient Characteristics 3: Race = Black 7: DRG COPD Acute Br = Yes 14 Age = : LOS = < 2 59: Zip Code = 43201

COMPOSITE DATA 22 Ohio Hospital Association | CELEBRATING 100 YEARS

Letter of Commitment due 10/30 Begin immediately Schedule meeting with regional coordinator One year contract Minimize data burden Integrate initiatives Sustainability Engagement awards Next Steps 24 Ohio Hospital Association | CELEBRATING 100 YEARS Applying high reliability concepts in hospitals is not easy. (AHRQ)

25 Ohio Hospital Association | CELEBRATING 100 YEARS |

Ohio Hospital Association 155 East Broad Street, Suite 301 Columbus, OH T ohiohospitals.org Questions? Quality Institute Amy Andres – Senior Vice President of Quality & Data James Guliano, MSN, RN-BC – Vice President, Quality Programs Rosalie Weakland, RN, MSN, CPHQ, FACHE – Senior Director, Quality Programs Lori Brohm - PfP Project Manager Ryan Everett, MPH – Director, Population Health