1. HRET Hospital Engagement Network Strategy Map
National Plans
Leadership Engagement
Best Practice Education
Improvement Leaders Fellowship
National Collaboratives
Goals
Reduce Harm: 40% -12/31/13
Reduce Readmissions: 20% - 12/31/13
1,200 hospitals submitting data - 12/31/12
50 case studies of improvement - 12/31/12
Strategies
Activities
1. Engage Leaders
Driver: Engagement of leadership will ensure accountability of improvement and having adequate resources and attention (Will)
Bi monthly feedback reports to SHAs
Bi monthly feedback reports to Hospitals
State Plans
Alabama: 29
Alaska: 11
Arizona: 32
Arkansas: 58
California: 288
Colorado: 70
Connecticut: 30
District of Columbia: 7
Florida: 88
Idaho: 10
Illinois: 203
Indiana: 115
Kansas: 87
Kentucky: 113
Louisiana: 88
Massachusetts: 78
Mississippi: 56
Missouri: 103
Montana: 26
Nebraska: 40
New Hampshire: 17
New Mexico: 23
North Dakota: 11
Oklahoma: 74
Oregon: 21
Puerto Rico: 65
Rhode Island: 11
South Dakota: 23
Utah: 8
Vermont: 11
West Virginia: 35
Wisconsin: 91
Wyoming: 9
DRAFT Measures
Obstetrical Harm
Elective induction compliance bundle
Elective Induction pre-39 weeks (Chart review)
VTE
Percent of patients with VTE risk assessment completed on admission
VTE Incidence rate
Surgical Care
Percent of surgeries using safe surgery checklist
SSI rate
Adverse Drug Events
Percent of unreconciled medications
Adverse drug events per 100 admissions
Pressure Ulcers
Percent of patients receiving daily pressure ulcer risk reassessment
Pressure ulcer rate per 1,000 days
Falls
Patient injuries from falls per 1,000 days
CLABSI
CLABSI s per 1,000 line days
CAUTI
CAUTI appropriateness compliance
CAUTI rate per bed days
VAP
Ventilator Bundle Compliance
ICU VAP rate per 1,000 ventilator days
Harm Rate
IHI Trigger Tool (Chart review-4/12, 11/12, 5/13, 11/13 – 20 charts per hospital)
Culture
Percent of hospitals that have implemented a safety culture survey within last 2 years
Percent of hospitals with improvement in safety culture scores
Teamwork
Number of staff that have completed teamwork training
Leadership
Percent of hospitals reporting readmissions and harm rates to Boards
Percent of hospitals with leadership incentives tied to harm and readmission rates
Readmissions
30 day all cause readmission rate
OVERALL SCORE=Roll-up of the Measures
Convene affinity groups for sharing (e.g., CAH, rural, rehab hospital)
Monthly national webinars
Subject Matter Expert Speakers Bureau
Active listserve
Robust hpoe.org website
Link to National Content Developer website
2. Provide Best Practice
Education
Driver: Evidence and best practices of what works in different settings is needed (Ideas)
3. Develop
Improvement Capability
Driver: Ability to implement improvement is a needed skill for frontline staff/middle managers, other hospital leaders & SHAs (Execution)
Improvement Leaders Fellowship
On-line training modules
TeamSTEPPS
4. Implement Collaborative
Improvement Projects
Driver: Peer to peer learning is an effective adoption of best practices method (Execution)
CUSP CAUTI
CUSP CLABSI
National collaboratives/ Topics TBD
State level collaboratives 1