1. Florida Hospital Association Hospital Engagement Network (HEN) Office Hours Wednesday, May 8, :00 PM

2. Agenda for Today’s Call
Scorecards - Follow up questions
Harm Across the Board - Review/discuss
Discuss areas in which hospitals would like additional help/resources
Review Upcoming meetings and resources
Open Discussion 2

3. Reduce Harm by 40% and Reduce Readmissions by 20% by Dec. 31, 2013
40/20 Goal
Reduce Harm by 40% and Reduce Readmissions by 20% by Dec. 31, 2013
Adverse Drug Events (ADE)
Injuries from Falls and Immobility
Central Line-Associated Blood Stream Infections (CLABSI)
Catheter-Associated Urinary Tract Infection (CAUTI)
Ventilator Associated Pneumonia (VAP)
Venous Thromboembolism (VTE)
Pressure Ulcers
Safe Surgery / Surgical Site Infections
Obstetrical Harm
Readmissions
Improving culture and board/leadership engagement 3

4. 60/6/30 Goal 60% of HEN Hospitals Will Reduce Harm
in 6 Focus Areas by 30% by June 30, 2013
Adverse Drug Events (ADE)
Injuries from Falls and Immobility
Central Line-Associated Blood Stream Infections (CLABSI)
Catheter-Associated Urinary Tract Infection (CAUTI)
Ventilator Associated Pneumonia (VAP)
Venous Thromboembolism (VTE)
Pressure Ulcers
Safe Surgery / Surgical Site Infections
Obstetrical Harm
Readmissions
Improving culture and board/leadership engagement 4

5. 5

6. 6

7. 7

8. Common Scorecard Questions
To whom is the Scorecard being sent?
Why are we receiving a Scorecard?
What do the colors represent?
How do I change my red & yellow areas to green?
What does it mean when it says “AHCA data?”
What is the 30 minute call about?
What do I need to do next?
When will my CEO receive the scorecard? 10

9. 8

10. To download the Improvement Calculator and instructions, go to HRET-HEN.org and click on DATA.9

11. Why? Harm Across the Board Strategy
Recognizing total harm in an organization is a powerful message
Can be a tool of the culture of safety and for safety plan for the entire organization
Includes the required executive leadership
Means including team members at the point of care
Can be pivotal in supporting and creating a learning system
Requires “trending” to be evaluated thoroughly
Requires courage to change “anything and everything”
Creates a standardized method to look at outcomes and to determine success (or where a plan has to change)
Enables fellows to utilize and showcase their skill set 11

12. Harm Across the Board Shifting culture from “complications” to harm
CMS pushing for hospitals to assess and reduce harm across the board
Hospital Story:
Orlando Health
Shift to Harm Across the Board
Gabriela Ramirez, PhD, MPH
Director, Clinical Analysis and Outcomes 12

13. Harm Across the Board Fellows Requirement for Harm Across the Board:
Develop Harm Across the Board (HAB) Template for their hospital
Submit to State Hospital Association (FHA)
Draft due May 3, Final due early June
Will be submitted to HRET for review
Selected HAB templates will be presented at AHA Meeting in July 13

14. Risk Profile by Areas of Risk
HACs
Estimated annual number of patients at risk in each area
Number
ADE
# of inpatients:
CAUTI
# pts in IP units with catheter in place:
CLABSI
# pts in IP units with central lines:
Falls
# of discharges:
Ob AE
# of women with deliveries:
Pr Ulcer
SSI
# of applicable surgical pts:
VAP
# of patients on a ventilator:
VTE
EED
# of women with elective deliveries
TOTAL
Risk opportunities for harm across the board
Readmit
# of inpatients at risk of readmit:
2 minutes for slides 2-4 14

15. Common HAB Questions
Who has to do the Harm Across the Board (HAB)Template?
Why do we have to do the HAB Template?
When is the Harm Across the Board Template due?
I only attended one Wave of the Fellowship. Do I have to do the HAB Template?
What if our hospital had several staff attend the Fellowship? Do we each have to turn in a HAB Template even though we are from one hospital?
Do I have to follow the Template exactly?
To whom do I turn in the Template?
What will happen with the Templates? 16

16. Peer to Peer Learning is Critical
How Can We Collaborate?
Peer to Peer Learning is Critical
What other topics would you like to hear from your colleagues who have experienced success in those areas? 17

17. Upcoming Events Monday email on upcoming webinars
Improvement Leaders Fellowship
Recording Available from April 24/25, Basic & Advanced- Virtual Meeting: Wave 2- July TBA
FSCI(SSI/ Surgical Safety), May 23, Hyatt Grand Cypress, Orlando
All HEN hospitals encouraged to attend
Readmissions: Engaging Community Providers, June 6, Embassy Suites, Altamonte Springs
Invite your community providers
Patient & Family Engagement, June 28, Embassy Suites, Altamonte Springs
Harm Across the Board Regional Meetings, July 12, 16, 17 Lake Mary, Sarasota, Deerfield Beach 18

18. QUESTIONS 19