1. Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure Hospital Reporting Update 10 March 2015

2. Copyright ©2011 Georgia Hospital Association Background The Office of Rural Health Policy (ORHP) created the Medicare Beneficiary Quality Improvement Project (MBQIP) as a Flex Grant Program activity within the core area of quality improvement. The primary goal of this project is for CAHs to implement quality improvement initiatives to improve their patient care and operations. MBQIP provides Flex funding to support Critical Access Hospitals (CAH) with technical assistance and national benchmarks to improve health care outcomes. CAHs opting to participate are requested to report a specific set of annual measures determined by ORHP timeline and measures and engage in quality improvement projects to benefit patient care.

3. Copyright ©2011 Georgia Hospital Association Objectives MBQIP Phase 3 Reporting Timeline Data collection and reporting Tools update Data submission Resources

4. Copyright ©2011 Georgia Hospital Association MBQIP phase 3 Pharmacist CPOE or Verification of Medication Orders within 24 hours (patient safety) Emergency Department Patient Transfer Communication (care transitions)

5. Copyright ©2011 Georgia Hospital Association Seamless Care: Safe patient transitions between facilities Ensuring appropriate and timely care beyond organizational silos is essential to transforming health care.

6. Copyright ©2011 Georgia Hospital Association ED Transfer Communication Measure Critical Access Hosptials (CAH) serve an important care transition role of stabilize-and- transfer Lack of standardized measures and benchmarking to help evaluate this role.

7. Copyright ©2011 Georgia Hospital Association ED Transfer Communication Measure 2003: Expert panel convened by the University of Minnesota Rural Health Research Center and Stratis Health 2013-2014: CMS Innovation Project September 2013 Endorsed by National Quality Forum October 1 2014: Data Collection Nationally for Phase 3 MBQIP.

8. Copyright ©2011 Georgia Hospital Association ED Transfer Communication Measure http://www.qualitymeasures.ahrq.gov/compa re/index.aspx http://www.qualitymeasures.ahrq.gov/compa re/index.aspx

9. Copyright ©2011 Georgia Hospital Association Population and sampling

10. Copyright ©2011 Georgia Hospital Association Population and sampling

11. Copyright ©2011 Georgia Hospital Association ED Transfer Communication Measures: – Administrative communication – Patient information – Vital signs – Medication information – Physician information – Nurse information – Procedures and tests

12. Copyright ©2011 Georgia Hospital Association ED Transfer Communication Measure Overall Performance measure Numerator: # of patients transferred to another healthcare facility whose medical record documentation indicated that all of the patient elements were communicated in an appropriate timeframe. Denominator: # All transfers from ED to another health care facility

13. Copyright ©2011 Georgia Hospital Association Resources

14. Copyright ©2011 Georgia Hospital Association Data Submission via Novi Survey Reporting CAH GHA SORH ORHP Medications Order Dates Data Submission Deadline First Quarter, 2015: January 1 – March 31 April 15 2015 Second Quarter, 2015: April 1 – June 30 July 15 2015 Third Quarter, 2015 July 1 – September 30 October 15 2015 Fourth Quarter, 2015: October 1 – December 31 January 15 2016

15. Copyright ©2011 Georgia Hospital Association

16. EDTC Hospital Data Collection

17. Copyright ©2011 Georgia Hospital Association

18. Launch Tool Demonstration

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20. Submitting Data to GHA

21. Copyright ©2011 Georgia Hospital Association Submitting Data to GHA

22. Copyright ©2011 Georgia Hospital Association Reporting Options Preferred method: Generate the numerator and denominator from this report and enter into NOVI Alternate method: continue to use paper abstraction tool and manually generate numerator and denominator and enter into NOVI

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28. Resources for Improvement

29. Copyright ©2011 Georgia Hospital Association Questions

30. Copyright ©2011 Georgia Hospital Association GHA Contact Information Kathy McGowan, Vice President of Quality & Safety kmcgowan@gha.orgkmcgowan@gha.org 770-249-4519 Joyce Reid, Vice President of Community Health Connections jreid@gha.orgjreid@gha.org 770-249-4545 Lisa Carhuff, Quality Improvement/Patient Safety Specialist lcarhuff@gha.orglcarhuff@gha.org 770-249-4553