1. Welcome to Office Hours Let’s Talk Data! March 12, 2015 3:00 ET/2:00 CT/1:00 MT/12:00 PT To hear the audio portion of today’s call, please dial-in: 1-800-933-4911 Passcode: 198633 1

2. Welcome to the Adobe Connect Platform! Chat 2

3. On Today’s Data Office Hours: 3 Mariana Lesher, MS Senior Data Analyst HRET Donna Slosburg, BSN, LHRM, CASC Executive Director ASC Quality Collaboration Mital Mehta, RN, BSN, MBA National Program Director HRET Tina Adams, RN Clinical Content Development Lead HRET

4. Poll #1 – Facility Data Role At my facility, I have the following responsibilities (check all that apply): I collect event details for reporting I collect the number of each procedures done I submit or enter into the Comprehensive Data System (CDS) all the required information from my facility I share the data findings with the staff at my facility (e.g., frontline staff, surgeons, administrators, or board members) 4

5. Why Do We Collect Data? To guide quality improvement efforts To monitor overall program progress 5

6. What Does the National Program Team Do With Your Facility Specific Data? Monitor facility progress and participation in the program Aggregate it with other facility data to assess program progress Review the aggregated data to adjust the training and support we provide Review the aggregated data to demonstrate the program’s progress towards reducing infections and unexpected events 6

7. What DON’T We Do With Your Facility Specific Data? Share it with other facilities Share it with other partners Share it with AHRQ Share it with any other entity 7 From the program “Data Use Explanation” you reviewed when submitting your facility demographics forms: All data submitted to the NPT for AHRQ’s Safety Program for Ambulatory Surgery is stored in systems whose security complies with all industry standards regarding data protection. Access to your data is limited to staff from your facility that you have authorized and select members of the NPT. Every staff member from the NPT with access to your data has completed a confidentiality agreement that commits them to only using this data for the purposes described above.

8. Resources 8 Table of due dates Measure specifications Samples of tools Data Collection Workbook http://ascsafetyprogram.org/data- resources/data-collection Setting up additional accounts Entering and managing your data Generating reports Comprehensive Data System (CDS) User Guide http://ascsafetyprogram.org/data- resources/cds http://ascsafetyprogram.org/data- resources/cds Each webinar short corresponds to a data collection measure for the national program Provides information to successfully collect data for this national improvement program Webinar Shorts http://ascsafetyprogram.org/data- resources/data-webinar-shorts Direct access to the National Program Team HRET Data Support hretdatasupport@aha.org hretdatasupport@aha.org

9. Focus on ASC-QC Measures and Unexpected Event Reporting – collected onsite, submitted via CDS 9 ItemFrequency Submission Rate 1 Wrong Site, Side, Patient, Procedure, Implant (ASC-QC) Monthly14% Hospital Transfer/ Admission from the ASC (ASC-QC) Monthly13% Patient Burn (ASC-QC) Monthly13% Patient Fall in the ASC (ASC-QC) Monthly13% Prophylactic Intravenous (IV) Antibiotic Timing (ASC-QC) – may not be applicable to all Monthly12% Unexpected eventsAs they occur each monthN/A 1 Percentage of active C3, C4, and AAOS facilities submitting the most recent expected data point (Jan 2015) as of Feb 23, 2015

10. 10 Questions?

11. Poll #2 - Barriers 11 Which barriers have you experienced with collecting the data and submitting it for the program (select all that apply) –No barriers, I’m up-to-date –Unclear event specifications –Competing priorities for time/resources –Staff distraction due to other events –I didn’t know I had to collect and submit data –I wasn’t clear on whether my data would be treated confidentially –I haven’t had any unexpected events since the program started –Computer access or CDS issues

12. Facility Sharing 12 Facility Sharing: Data Collection and Data Submission Strategies

13. Facility Sharing: What Works? 13 Data CollectionData Submission

14. Additional Data Collection Strategies: 14 Monthly appointments on my calendar Administrative time allotted in my schedule A buddy that alternates months with me to perform data collection duty Using a specific data collection tool or worksheet Enjoying a snack/treat while I do it Doing data collection activities after everyone else goes home Deadline alarm each month in my cell phone’s calendar A standing monthly data meeting with my supervisor A standing monthly data meeting with my physician champion

15. Additional Data Submission Strategies: 15 Alternating collection/submission duties with a buddy Staying after my center closes Training a member of the clerical staff to enter data into CDS Keeping a hard copy of the Data Quick Guide near Having a monthly appointment on my calendar Doing this task with a member of the Safety Team Calling Data Support with any questions/challenges in CDS Coming into work early to complete the task Putting a monthly alarm in my personal phone Rewarding myself for completing the task

16. 16 Questions?

17. Next Steps 17 Submit February data into CDS by March 15 Use CDS to print reports and share data with your facility team and leadership Implement new strategies to improve your team’s data collection and submission process Contact HRETdatasupport@aha.org with any data related questions – we are here for you!HRETdatasupport@aha.org

18. Resources 18 Website: http://ascsafetyprogram.org/http://ascsafetyprogram.org/ Data collection / CDS login questions: hretdatasupport@aha.orghretdatasupport@aha.org Clinical / program questions: ascsafetyprogram@aha.orgascsafetyprogram@aha.org Continuous Engagement: –Quality Improvement Advisors Jeff Durney, jdurney@ariadnelabs.org, 617-384-8390jdurney@ariadnelabs.org Emily George, egeorge@ariadnelabs.org, 617-384-8703egeorge@ariadnelabs.org

19. 19 Please give us your feedback! https://www.surveymonkey.com/s/ASC OfficeHours

20. 20 Next Office Hours: Thursday, April 9, 2015 3:00 ET/2:00 CT/1:00 MT/12:00 PT

21. 21 Thank You!