Data Results: Early Elective Deliveries September 17, 2012.

Slides:

Advertisements

Similar presentations

Maintaining patient health after a hospital stay….

Advertisements

Prematurity Campaign Programs and Resources Vicki Lombardo, MSN, RN November 8, 2012.

DECREASING ELECTIVE DELIVERIES PRIOR TO 39 WEEKS Melanie Hermann, MSN, RNC-OB, CNS-BC Perinatal Clinical Nurse Specialist Iowa Health Des Moines.

Nevada Medicaid Looks at Increased Cesarean Section Rates and Early Induction of Labor Marti Coté, RN 1.

PAVE Project Status Report November 16, Innovative Regional Solutions Reduce Readmission Rates by 10% Increase Patient & Family Engagement Improve.

“39 Weeks and Beyond” Quality Improvement Initiative Megan Branham Director of Programs and Public Affairs South Carolina Chapter

2.11 Conduct Medication Management University Medical Center Health System Lubbock, TX Jason Mills, PharmD, RPh Assistant Director of Pharmacy.

Texas Center for Quality and Patient Safety DENNIS W. COOK, MSN, RN Senior Director/Texas Center for Quality and Patient Safety

1 The Impact of the ACA: How Readmissions Penalties Will Affect the Healthcare Executive’s Mission Healthcare Leadership Network of the Delaware Valley.

SEPSIS INITIATIVE INFORMATIONAL WEB-EX May 7, 2015 James Guliano, MSN, RN-BC – Vice President, Quality Programs Rosalie Weakland, MSN, RN, CPHQ, FACHE.

It’s A Success! Achieving Cost-Effective Disease Management in CHF Sherry Shults, RN BSN CIO South Carolina Heart Center.

Thomas Kelley, MD Chief of Quality and Transformation Orlando Health Leading the Way to Better Care: Florida’s Quality Journey.

Improving Birth Outcomes Diane M. Daldrup State Director Program & Government Affairs.

Family Birth Center Performance & Quality Improvement: Labor Induction Process September 16, 2010.

PREVENTING READMISSIONS OF CONGESTIVE HEART FAILURE PATIENTS Daidreanna Whiteman Senior Project Columbus State University Summer 2014.

Business proposal for IPR Leslie Burgy, RN St John Macomb Hospital Health care systems management LDR 609 October 28 th,2013.

Memorial Hermann Healthcare System Clinical Integration & Disease Management Dan Wolterman April 15, 2010.

Amerigroup Community Care of Georgia (AGP GA) C-Section Focus Study 1 William Alexander, M.D. Chief Medical Officer July 2, 2012.

Place Your 1 NASHP 24th ANNUAL STATE HEALTH POLICY CONFERENCE Quality Care and Timely Benefits: A Purchaser Perspective Joan M. Kapowich, R.N. Administrator.

MaineCare Value-Based Purchasing Strategy Quality Counts Brown Bag Forum November 22, 2011.

Improving the Health Status of Our Community Report on Community Health Centers Connections 2006: Paving the Way to Better Health and Health Care Across.

Care Coordination and Transition A hospital’s journey to partner with a community-based organization (CBO) to improve care across the continuum Naphtali.

Improving Harm Across the Board Dalton, Georgia Breakthrough in Identification of HARM: 2.

OB Adverse Events Affinity Group March 27, 2013 Lynne Hall.

Patient Safety Learning Collaborative Recognition Program Georgia Hospital Engagement Network Kathy McGowan, VP, Quality & Safety, PHA Lynn Hall, Patient.

SC birth outcomes initiative: building a statewide perinatal quality collaborative.

Maternal Newborn Safety Initiatives Dr. James Betoni, MFM Dr. Stewart Lawrence, Neonatologist Debbie Ketchum, BSN,RNC,MAOM Saint Alphonsus Regional Medical.

Partnering with Affordable Care Organizations Vernice Davis Anthony Greater Detroit Area Health Council President and CEO October 13, 2011.

Understanding How THE HEALTHCARE CONNECT FUND will assist Meaningful Use 3/11/2014 Mark Renfro, HTH Hometown Health.

Georgia Medical Care Foundation The Care Transitions Community Initiative Working Together Across Care Settings.

March of Dimes 39+ Weeks Quality Improvement Service Package 2012.

Kentucky AHA/HRET Hospital Engagement Network Charisse Coulombe, MS, MBA, CPHQ; Senior Director, HEN Hospital Engagement Network Health Research & Educational.

Georgia Hospital Engagement Network Patient and Family Centered Safe Care Putting Patients First 40/20 by ‘13 Celebrating Our Success Continuing Our Positive.

Leadership and Self-Deception Getting out of the Box Partnership for Patients Thursday, May 1, 2014 Dennis Wagner and Dr. Paul McGann Co-Directors, Partnership.

By Milan Cook January 2, Every year, over a half a million babies are born as preemies in the United States. This is a serious cause for concern.

The Health Roundtable Management of Rising BMI in Pregnancy Presenter: Kay Kurth Hospital Code Name: Cougar3 Innovation Poster Session HRT1104b – Maternity.

Process and Outcome Measures Lynne Hall

Improving Harm Across the Board DODGE COUNTY HOSPITAL 4/17/13 HAB Template Version 12.

CAPHC-SHN Paediatric Medication Reconciliation Collaborative Listen, Reflect and Move Forward Early Implementation Data Update and Key Learnings Elaine.

Hospital Engagement Network Project and Hospital/System-Level Results for Missouri HEN Participating Hospitals.

K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy.

Lynne Hall September 25,  We want to hear your success stories for Harm Across the Board  Patient Success Stories  Hospital Success Stories 

MedRec Reality Check – Moving From Intervention to Practice Elaine Orrbine President & CEO Canadian Association of Paediatric Health Centres JoAnne Whittingham.

QI Collaboration in Colorado Colorado Perinatal Care Council Initiatives Alfonso Pantoja, MD Chair

22670 Haggerty Road, Suite 100, Farmington Hills, MI l Save Your Census: Strategies to Prevent Re-hospitalization March 30, 2010 Joint.

Thomas Kelley, MD Chief of Quality and Transformation Orlando Health Leading the Way to Better Care: Florida’s Quality Journey.

Birth Outcomes Initiative Rebekah E. Gee MD MPH FACOG, Director.

Effectiveness and Cost of a Transitional Care Program for Heart Failure Arch Intern Med. 2011;171(14): September 11, 2012 Brett Stauffer MD MHS.

1 Informing National Health Policy with Lessons from Geisinger Presentation to Alliance for Health Reform March 20, 2009 Bruce H. Hamory, MD, FACP Executive.

The Health Roundtable Improving the patient journey through ED Presenter: Kate Jurd Health Service: Toowoomba Hospital Innovation Poster Session HRT1215.

GEORGIA HOSPITAL ENGAGEMENT NETWORK COHORT COACHING CALL JUNE 18, 2014 COHORT 2 + COHORT 3 + COHORT 4 = COHORT “9”

Understanding and Negotiating Today’s Healthcare System Sponsored by: The Piedmont Hospital & Visiting Nurse/Hospice Atlanta Demonstration Project: Care.

Cohort 1 Coaching Call April Facilitators: Lisa Carhuff Kathy McGowan Joyce Reid.

Cohort Coaching Call “Cohort 9” October 15, 2014 Coaches: Tracy Rutland Jean Allred Jan Ratterree Lynne Hall.

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

You Don’t Have to Write Like Hemingway: How to Communicate Your Quality Journey Denise Remus, PhD, RN Cynosure Health.

PRACTICE TRANSFORMATION NETWORK 2/24/ Transforming Clinical Practice Initiative (TCPI) Practice Transformation Network (PTN)  $18.6 million –

ELIMINATING EARLY ELECTIVE DELIVERIES 1 HRET-FHA HOSPITAL ENGAGEMENT NETWORK (HEN) DATA OVERVIEW September 24, 2012.

Eliminating Early Elective Deliveries Data Collection FHA Hospital Engagement Network Florida Perinatal Quality Collaborative University of South Florida.

Driver Diagrams Reduction of Early Elective Deliveries OHA HEN 2.0.

The Learning Collaboratives at PDI Leads Workshop Wave Hill March 25, 2014.

Fall Improvement Team, Veterans Health Unit

Hospital Engagement Network

OBGYN Hospitalist Program: The Increase in the Quality of Care by Adhering to Protocol-Driven Practices and Reducing Mistakes.

March of Dimes 39+ Weeks Quality Improvement Service Package

Hospital Engagement Network

Diana R. Jolles CNM, PhD (c) Faculty Frontier Nursing University

March 20, 2018 New York Academy of Medicine

Driver Diagrams Reduction of Obstetrical Harm – Pre-Eclampsia

Medicaid Collaboration

Presentation transcript:

Data Results: Early Elective Deliveries September 17, 2012

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 2 Where did we start? CMS and the National Content Developer charged all HENs to reduce HAC’s by 40% Adding reducing readmissions by 20% Finally adding reducing EEDs by 40%

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 3 Who helped us start? Buy-in from hospitals March of Dimes Department of Public Health Georgia Chapter of OBGYN Society Georgia Chapter of the Society for CNM Georgia Nurses Association AmeriGroup And others

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 4 How did we start? EED Action Group met in April 2012 to review 2009 data regarding EED Developed and agreed upon plan to reduce EED’s by 40% – Ultimate overall goal for Georgia: 0% – Timely goal for August 2012: 5% or less Plan: Encourage use of “hard stops” or IHI bundles to empower nurses and schedulers

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 5 EED Action Group

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 6 The Journey In-person meeting inviting all birthing hospitals in Georgia – March of Dimes – Department of Public Health – WellStar Health System – Athens Regional Health System – Liberty Medical Center Pledge was signed to reduce EEDs across Georgia Telnets/Webinars and one-on-one calls with hospitals were held including subjects on physician engagement, hard stops, risks to moms and babies and more!

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 7 Commitment Poster signing

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 8 Commitment poster signing 2

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 9 The Journey Several hospitals shared their success in reducing EED’s – Atlanta Medical Center – Emory University Midtown – Piedmont Henry

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 10 The Results There are 75 birthing hospitals in Georgia 57 (77%) of those hospitals turned in data 19 (33%) of the 56 hospitals were already at a 0% EED rate Of the 38 hospitals needing improvement about ½ showed significant gains!! 3 of those hospitals went from a 14% or higher EED rate to a 0% rate sustained for at least 3 months!!

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 11 The Results – 65% 2010 – 56.7% August 2012 – 3.62% YTD 2012 – 5.98% That’s a 93% decrease in Early Elective Deliveries!!! For YTD that’s a 90% decrease!!

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 12 The Results 2 From March 2012 baseline data to August 2012 data: – We can celebrate a 56% decrease in EEDs

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 13 The Results 3 According to Managed Care Magazine it costs around $41,000 for a late preterm NICU visit The incidents went from 147 incidents in March 2012 to just 30 in August 2012 That’s a decrease of 117 incidents If even a ¼ of the babies went to NICU, we saved Georgia Healthcare $1,199, OVER 1 MILLION Dollars!!

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 14 The Results 4

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 15 The Results 5

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 16 The Results 6

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 17 Lessons Learned Important to work as a team Get physician buy-in and have a physician champion Empower your schedulers and nurses Have a peer review for non-medically necessary EED Educate patients early starting at first visit Collaborate with others even outside your hospital: – Share best practices – Share forms – IHI – March of Dimes

Learn. Act. Improve. Spread. Keep the Drum Beat Going. 18 Lessons Learned 2 Use data to sustain the gain Present data to administration and physicians Celebrate your success!!!

Questions??