1. Hospital Engagement Network 2012-2014 Project and Hospital/System-Level Results for Missouri HEN Participating Hospitals

2. Project Overview  Achieve 40 percent reduction in patient harms and infections  Achieve 20 percent reduction in all-cause readmissions  Increase collaboration, innovation and sharing of best practices  Promote and increase leadership engagement in quality practices  Promote and increase patient and family engagement in the health care experience

3. Missouri HEN Achievements 40 percent reduction in six measures across 11 topics

4. Significant action and progress across the state was achieved with an estimated health care cost savings of $92 million and 9,060 patient harms prevented

5. Leadership Engagement in Quality Improvement  MHA’s Leadership Survey notes an increase in leadership engagement across all critical driver questions from February 2014 to November 2014  Leadership engagement in the quality agenda is critical to shaping a culture of safety and reliability

6. Patient and Family Engagement When patients are engaged in their health care, it can lead to measurable improvements in safety and quality. — AHRQ Agency for Healthcare Research and Quality. (2013, June). Guide to patient and family engagement in hospital quality and safety.

7. Data Drives Performance Data was based on the most recent three- month rate. Hospitals met performance in one of three ways:  40 percent improvement (20 percent for readmissions)  rate less than or equal to the benchmark rate  zero rate for greater than or equal to 12 months Data was based on the most recent three- month rate. Hospitals met performance in one of three ways:  40 percent improvement (20 percent for readmissions)  rate less than or equal to the benchmark rate  zero rate for greater than or equal to 12 months  Reflects improved data submission rates  Use of HIDI data use agreements reduced data reporting efforts  ADE collection and improvement efforts were low due to abstraction difficulties  Reflects improved data submission rates  Use of HIDI data use agreements reduced data reporting efforts  ADE collection and improvement efforts were low due to abstraction difficulties

8.  IHI Open School — Missouri HEN hospitals had 458 people registered with 966 courses completed  National Patient Safety Foundation courses — Missouri HEN hospitals had 68 people registered with 59 courses completed  The Purdue Medication Safety Course — 16 individuals participated in courses 1.0 and 2.0  Reimbursement for quality and patient safety-related conferences, sponsored by MHA  Partnered with Health Literacy of Missouri to provide consulting to 12 hospitals Value-Added Benefits of the HEN for Missouri Hospitals and Health Systems  Missouri HEN staff completed 99 hospital site visits in 2014  Educational funding was awarded for specific quality and patient safety opportunities  2013: $162,500 (61 hospitals)  2014: $213,000 (71 hospitals) Total: $375,500  78 state and national events had a total of 1,115 hospital participants  Improvement Leader Fellowship trainings with the Institute for Healthcare Improvement in 2014; 9 monthly trainings held with 22 hospitals and 130 individual hospital staff participants

9. Harm Reduction Opportunities for Missouri  Catheter-Associated Urinary Tract Infections (CAUTI)

10. Harm Reduction Opportunities for Missouri  Venous Thromboembolism (VTE)

11. The complete 2012-2014 Hospital Engagement Network Project Report can be accessed at www.mhanet.com.www.mhanet.com