1. K-HEN Progress and Taking it to the Next Level Donna R. Meador, K-HEN Project Director Elizabeth G. Cobb, KHA VP Health Policy

2. What is a HEN? A CMS-funded Quality Improvement Program- part of the “Partnership for Patients” 3700 hospitals nationwide 1600 hospitals in HRET HEN Over 90 Kentucky Hospitals working with KHA 2

3. HEN Collaboratives 3 There are 10 “Focus Areas” Hospitals are asked to: Work intensely in at least 2 areas and Submit data in ALL areas in which you provide services 40/20: Reduce harm in America’s hospitals by 40% and preventable readmissions by 20% by end of 2013

4. “Face-to-Face” educational meetings  Kick-Off Conference in July – clinical topics + patient safety, attended by 240 hospital representatives;  August 2012 HEN Week in Chicago – attended by 9 hosp. reps;  Prematurity Summit, in collaboration with March of Dimes,  attended by 150  Governor’s press conference on state-wide initiative to reduce EED; 4 K-HEN “Annual Report”

5. K-HEN Annual Report cont’d.  November HEN Week in Indianapolis – attended by 31 hosp. reps;  IP Conference “Boot Camp” in December- attended by 191  Readmissions Workshop on “Transitions of Care”, attended by 180 healthcare providers from all settings  Regional OB Meeting in Hopkinsville – attended by 11 physicians, nurses and administrators 5

6. K-HEN Annual Report cont’d.  February 5-6 TeamSTEPPS Training attended by 48 hospital reps  February 19 Neonatal Quality Improvement Summit attended by 75 hospital reps  March 5-7 Quality Conference/HEN Convening – OVER 140 REGISTERED! 6

7. K-HEN Annual Report cont’d.  HSOPS Surveys – completed with 20 K-HEN hospitals and more in progress  Coaching Calls – August-January, hosted 50+ coaching calls/ webinars, with attendance by >390 hospital reps  Technical Assistance – provided on-site, on-line, and telephone assistance to many hospitals in quality improvement and data collection efforts  Reports – created and distributed Quarterly CEO Dashboard to assist hospital leaders to monitor progress, participation, and overall engagement 7

8. So how are we doing, KY? 8 Current rate 6% (-51%) # Readm. Prevented = 636 Cost savings to date = $6,105,600

9. 9 Current rate 35.2 (-60.1%) # ADE’s prev. to date = 84 Cost savings to date = $252,000

10. 10 Current rate 3.4 (-3.1%) #Falls prev. to date = 31

11. W 11 Current rate 0.9 (-0.8%)

12. 12

13. 13 Current rate 1% (440.3%)

14. 14 Current rate 1.0 (-33.6%) # CAUTI prev. to date = 53 Cost savings to date = $39,750

15. 15 Current rate 0.7 (-42%)

16. 16 Current rate 1.1 (-69%) # VAP prev. to date = 34 Cost savings to date = $1,462,000

17. 17 Current rate 1.5% (-18.6%)

18. 18 Current rate 12.5% (-38.9%) # EED’s prev. to date = 290 Cost savings unavailable

19. 19 Current rate 0.2% (53.8%)

20. 20 Current rate 7.5 (-75.2%) # Harms prev. to date = 3,254

21. Next Steps Chicago HEN Week – March 18-22, includes special Sr. Leaders sessions on Tuesday 3/19 –Collaborative Training –Improvement Leader Fellows –Senior Leader Training Additional Patient Safety TeamSTEPPS Training- May Ongoing Coaching Calls/Webinars – evaluate the educational and support needs of our hospitals and provide through coaching and networking 21

22. Next Steps HSOPS Surveys – USE HSOPS data to drive unit-level improvement through skills-based training Technical Assistance – evaluating individual hospital improvement and provide technical assistance Senior Leaders – provide training to gain buy-in and support from senior leaders to drive improvement work 22

23. Celebrate Reached CMS January 31, 2013 Reporting Goal! –96% hospitals reporting on 6 or more areas Individual hospital goals! More hospitals in Kentucky engaged than in most every state! 23

24. Call To Action  Every hospital should be actively working on: –Readmissions – participation and data submission –Adverse Drug Events – participation and data submission –EED- participation, 70% with hard stop p/p by 4/1  Every hospital to set an improvement goal in 3 areas  Kentucky hospitals WILL reach 40/20 Goal by December 2013! 24

25. Thank you! Questions? 25