1. 2017 E3 Grant Program Webinar Dianne Radigan
Vice President, Community Relations
October 26, 2016

2. Webinar Logistics
Please put your phone on mute until you are ready to talk.
Please do not put your phone on hold.
The presentation will be posted on our website after the October 26th call.

3. Agenda Logistics for the call Overview/goals for the webinar
Very brief history of the E3 grants and Cardinal Health Foundation’s commitment to fostering excellence in healthcare and accelerating the rate of change
Focus on outcomes and sharing
Resources available
Grant criteria
Eligibility
Content
Scoring
Tips
Questions

4. Goals for the Webinar
Help potential applicants send the very best proposal that is responsive and compelling
Answer any and all questions
Open the door for additional communication

5. Saving days, dollars and lives
History of E3 Grants
Goal:
Provide resources to help hospitals, systems, clinics and collaboratives provide the very best care for patients – improve healthcare efficiency, effectiveness and excellence and save days, dollars and lives.
To help accelerate the rate of change.
Cardinal Health Foundation has invested $8.6m since 2008 for improvement projects
Level of support: $7.5k-35K
Areas of focus have narrowed each year. In 2017 the focus is:
Patients with diabetes and multiple chronic diseases
Best use of medications - especially in transitions to ‘home’
The spread of successful efforts
To engage patients and their families
Saving days, dollars and lives

6. E3 Outcomes grantees
Improving transitions to home for post-acute seniors
Senior Independence, Toledo, Ohio
At Senior Independence, registered nurses serve as transition coaches, and provide immediate and close follow-up to Medicare patients, post hospital discharge.
Results: Reduced 30-day readmission rates to 4.3% (compared to regional average of 14%);
42 readmissions and 202 hospital days saved
Senior Services of Southeastern Virginia, Norfolk, Virginia
This Area Agency on Aging surrounds high-risk seniors with a care team that includes a certified transition coach, the hospital care coordination team and a pharmacist, ensuring coordinated transition of care and medication reconciliation.
Results: Reduced 30-day readmissions from baseline of 19.6% to 6%
15 readmissions and 94 hospital days saved
Southwestern Indiana Regional Council on Aging, Inc, Evansville, Indiana
Certified social workers serve as transition coaches for high-risk seniors who have chronic diseases, making in-home visits and follow-up phone calls to patients post discharge.
Results: Reduced 30-day readmission rates from 20% to 14%; reduced 60-day readmissions from nearly 29% to 18%; 21 readmissions saved
32 hospital days saved;

7. E3 Outcomes grantees
Increasing medication safety for patients admitted from the ER
Trinity Medical Center, Rock Island, Illinois
Medication reconciliation nurses collect complete medication histories as soon as patients are admitted to the hospital from the emergency room.
Results: Increased medication accuracy from 40% to 76%;
prevented adverse drug events due to inaccurate medications for 209 patients. 
Using the WHO Surgical Checklist
NorthShore University Health System, Evanston, Illinois
NorthShore integrated the WHO Surgical Safety Checklist into its existing electronic health record software, increasing overall compliance from 48% to 92%.
Results: 32% decrease in perioperative risk events;
8 hospital days saved
Virginia Mason Medical Center, Seattle, Washington
A multi-disciplinary surgical team developed the rolling wrap-up, a post-surgical process to debrief before the patient leaves the operating room.
Results: 24 hospital days saved.

8. E3 Outcomes grantees
Increasing medication safety for older adults
Knute Nelson Foundation, Alexandria, Minnesota
A medication safety program combines transition education, medication reconciliation and continuous, real-time monitoring of health conditions.
Results: Decreased per-person medication count from 15 to 11;
reduced 30-day readmissions from 25% to 19%; 49 hospital readmissions saved
655 hospital days saved
Increasing access for the under and uninsured
West Virginia Health Right, Charleston, West Virginia
This free clinic partnered with three area hospitals to provide a medical home for nearly 500 uninsured and underinsured patients.
Results (for two years of grant funding): 38% reduction in hospitalizations;
67% decrease in ER use
32 readmissions and 213 hospital days saved

9. E3 outcomes grantees
Adding pharmacy services to a multi-disciplinary discharge team
Franciscan St. Margaret Health-Hammond, Mishawaka, Indiana
As part of a multi-disciplinary discharge team, the pharmacist provides medication counseling plus follow up within 72 hours of discharge.
Results: Follow-up phone calls reduced readmission rates from 22% to 16% 1,813 hospital days saved
Improving outcomes for high-risk chronically ill patients
Trinity Medical Center, Rock Island, Illinois
A continuity-of-care pharmacist service provides medication therapy management and customized interventions for chronically ill home care patients taking nine or more medications per month.
Results: Improved patients’ ability to manage their medications from 47% to 58%
reduced acute care hospitalizations from 19% to 15%
155 hospital days saved
Trinitas Regional Medical Center, Elizabeth, New Jersey
Pharmacists provide medication reconciliation and counseling, and address barriers to medication access for chronically ill elderly patients as they transition to home.
Results: Reduced 30-day readmission from 18% to 14% 74 hospital days saved

10. Resources Available in 2017
Cardinal Health Foundation funding
We anticipate grants up to $35k
Requests / budgets should not exceed $35k
Please describe other sources of funding for additional project expenses
Invitation to participate in a Leadership Development program
Invitation to join a learning network and / or a convening of grantees over the course of the year
Applications due December 9th

11. Grant Criteria - Eligibility
Tax exempt 501(c)(3) organizations
Typically, hospitals, systems, clinics, collaboratives, ambulatory settings
Include letters of commitment for partner organizations
Applicants can be in the acute or ambulatory setting
If previously funded, a final report or update on work- in-process should be submitted

12. Grant Criteria - Content
Very focused on three areas:
Patients with diabetes or multiple chronic diseases
Medication safety across transitions of care from the acute setting to the community/home.
Engaging patients and their families in their care.

13. What to measure Baseline and post intervention for Process measures
Lengths-of-stay
Readmissions
Patient clinical outcomes
Also describe how learnings from this work will be shared

14. Grant Criteria - Scoring
0-5 points
0-80 points
0-15 points
Cover letter
Description of the program
Previous experience
Specific objectives
Driver diagram
Timeline
Outcomes anticipated
Letters of commitment for partner organizations
Budget (no Cardinal Health products should be a part of the request)

15. Grant Criteria - Tips
Limit the proposal to five pages not including the cover letter, budget, driver diagram and other graphics
Focus on implementing best practices or spread of previously successful efforts
Be very specific about
Previous experience
Baseline data
Protocols
Outcomes anticipated
Include a driver diagram
Include a timeline that addresses all aspects of the work including IRB approval, if needed
Quantify anticipated outcomes in terms of days, dollars and lives potentially saved

16. Patient engagement resources
Centers for Medicare and Medicaid Services (CMS) Partnership for Patients:
CMS Transforming Clinical Practice Initiative:
CMS Quality Improvement Organization-Quality Improvement Network Campaign for Meds Management:
American Institute for Research:
Patient and Family Engagement in Healthcare:
Healthcare Information and Management Systems; Center for Patient and Family-Centered Care:
Minnesota RARE (Reducing Avoidable Readmissions Effectively) Campaign:

17. Additional Opportunity in 2017
American Society of Health-System Pharmacist and Cardinal Health Award for Excellence in Medication-Use Safety
This award honors a pharmacist-led multidisciplinary team for its significant institution-wide system improvements related to medication-use. Three hospitals are recognized with the ‘winner’ receiving a $50,000 award and the two finalists a $10,000 award.
Letter of intent due January 4, 2017
For award information and application materials, visit

18. Q&A

19. Thank you!