1. 2013 Hen Wrap up 2014 Quality Preview

2. All Hospital Engagement Network’s goal:
To Reduce Hospital Acquired Conditions by 40% and reduce preventable readmissions by 20% by January 1, 2014.

3. ASHNHA Quality Review AHA HEN began in earnest May 2012
Combination of HEN and State Flex Funding supported all Quality-related activities
Over 40 people traveled to the Improvement Leadership Fellowship and Improvement Collaboratives
Mentors for Quality Program began
Hosted Weekly calls on a variety of Quality-related topics
Three Statewide meetings:
Oct 3, 2012 HEN Kick-Off
March 5,6 Quality Summit
Dec 5, Quality Collaborative

4. Mentors for Quality

5. Review of past 22 months
Partnered with state to support NHSN Training and travel to the APIC Conference for 14 participants
Falls Prevention Expert, Dr. Pat Quigley, visited 13 hospitals/LTC
Lean Training, funded by FLEX, provided to 5 member hospitals
Three full days of training for 3 participants from each hospital
One full day training on site for participants at each hospital

7. Working Together to Prevent Falls

8. Data Reporting Success
Eleven hospitals reporting on 6 or more quality topics
Falls
CLABSI
CAUTI
Pressure Ulcers
Surgical Site Infections
Early Elective Deliveries
One hospital reporting on ALL 11 topics

9. Data Challenges Different hospitals used different measure definitions
Not everyone began at the same time
HRET defines the first data point as “baseline” when there is not more than 12 data points(months)
Data is not validated
Small numbers

10. Let’s run the numbers

11. Reducing Early Elective Deliveries
Success to last a lifetime
Combined Alaska Percentage
6+ Months Since
the Last EED!
Participating Hospitals:
ANMC, Bartlett, Fairbanks Memorial, Mt. Edgecumbe, PeaceHealth, South Peninsula, Sitka Community Hospital and Yukon-Kuskokwim Health Center

12. Preventing Pressure Ulcers
Stage 1 or Higher
1968 Discharges from 4 hospitals
= 1 patient discharge
= 1 patient with an ulcer
Participating Hospitals:
Cordova, Maniilaq, Sitka, Yukon-Kuskokwim

13. Preventing CLABSI All Tracked Units, by Device Days
3 Hospitals had no CLABSIs!
Alaska Rate
Rate/1000 Device Days
HEN Rate
Alaskan Hospitals
4 AK Hospitals’
Average Performance
Outpaced the HEN’s
Average
Rate of CLABSI
HEN
Participating Hospitals:
ANMC, Bartlett, Central Peninsula, Fairbanks, Memorial, Mt. Edgecumbe, PeaceHealth, South Peninsula

14. Preventing CLABSI Rate / 1000 Discharges
= 1 patient discharge
1161 Discharges from 5 hospitals – No CLABSI
Participating Hospitals:
Cordova, Maniilaq, Sitka, Petersburg, Yukon-Kuskokwim

15. Preventing CAUTI All Tracked Units, by Catheter Days
2 Hospitals had no CAUTI!
Rate per 1000 Urinary Catheter Days
Alaska Rate
HEN Rate
2 AK Hospitals’
Average Performance Outpaced the HEN’s
Alaskan Hospitals
Average Rate of CAUTI
HEN
Participating Hospitals:
ANMC, Bartlett, Central Peninsula, Fairbanks Memorial, Mt. Edgecumbe, PeaceHealth, South Peninsula

16. Falls and Injury Prevention
Falls By Discharges
Individual Hospital Rates
Cumulative Rate of Falls
Alaska Rate
Absolute Values of Falls for All Hospitals
Participating Hospitals:
Cordova, Maniilaq, Petersburg, Sitka, Yukon-Kuskokwim

17. Falls and Injury Prevention
Rate of Falls, With or Without Injury
Alaska Rate and trend line
Rate/
1000
Patient
Days
HEN Rate
Participating Hospitals:
ANMC, Central Peninsula, Fairbanks Memorial, PeaceHealth, South Peninsula

18. Falls and Injury Prevention
Rate of Falls, With or Without Injury
Rate/
1000
Patient
Days
Participating Hospitals:
ANMC, Central Peninsula, Fairbanks Memorial, PeaceHealth, South Peninsula

19. The results are a call to action!

20. Looking Ahead: Increased quality reporting demands
Increased consumer pressure for quality transparency
Increased government “involvement” in quality /transparency/payment/clinical practice
Increased Payor push for payment reform

22. ASHNHA Quality Strategy

23. Offensive or Defensive?

24. Who’s got the ball?

25. ASHNHAQuality Strategy

26. Data ASHNHA members walk the talk of Quality Transparency
ASHNHA members have control over data
ASHNHA members have collective ability to respond to public, state
ASHNHA members have ability to benchmark against state and national benchmarks
Relatively non-competitive market allows a “raise all boats” mentality

27. 2014 ASHNHA Quality ASHNHA Partnership for Patients(PfP)
an invitation to all members
ASHNHA Partnership for Patients(PfP)
Statewide QI Effort
Guided by Nat’l PfP effort
Statewide direction by PfP Advisory Group
Reporting Data to ASHNHA on 10 Topics
To focus on streamlining data collection

28. Future ASHNHA Response Hospitals--working together to improve care in Alaska!