1. GEORGIA HOSPITAL ENGAGEMENT NETWORK COHORT COACHING CALL JULY 16, 2014 COHORT 2 + COHORT 3 + COHORT 4 = COHORT “9”

2. F RAMING LEAPT Spread Review 3 topics for spread Getting ready for September spread March Madness Results PFE Calendar Review – Upcoming Events

3. M ARCH M ADNESS R ESULTS Cohort 1 is our challenge winner!  27 out of 51 hospitals met the criteria of  Show either any improvement since baseline period or remained at target and  Submitted data for all required measures.

5. G EORGIA A DVANCED P RACTICE P ROJECT Spreading Best Practices for: C. diff Prevention and Sepsis Resources https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/Resources.aspx https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/Resources.aspx Worker’s Safety https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx

6. S EVERE SEPSIS AND SEPTIC SHOCK Bold Aim: To reduce mortality rates in patients with Sepsis by 10-40% by December 2014 By reducing mortality we have the potential to save 28,692 to 114,770 lives nationally

7. S EVERE SEPSIS AND SEPTIC SHOCK Key Learnings from LEAPT Pilot Sites: Provide mentor support and monthly coaching calls/webinars Significant opportunity to positively impact people’s health and patient care while also reducing overall healthcare costs by identifying and addressing sepsis early Concurrent management of the sepsis bundles is a best practice.

8. S EVERE SEPSIS AND SEPTIC SHOCK Key Learnings from LEAPT Pilot Sites: Develop/broadly implement EHR triggers and warnings. Collaborate with primary care, emergency management, skilled nursing, and home health. Engage community to raise public awareness.

9. R APID C YCLE I NNOVATIONS

10. C OMMUNICATIONS

11. C ULTURE AND T EAMWORK

12. I T S OLUTIONS AND D ATA A NALYSIS

13. T OOLS AND E DUCATION

16. M EASURES Mortality rate, utilizing codes 995.91 (Sepsis), 995.92 (Severe sepsis) and 785.52 (Septic Shock) Length of Stay

17. LEAPT D ATA R EVIEW 17

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21. C LOSTRIDIUM D IFFICILE (CDI) Bold Aim: Reduce Hospital-Onset CDI in patients by 10% to 25% by December 2014 5,000 to 12,500 is the potential lives saved nationally

22. C LOSTRIDIUM D IFFICILE (CDI) Key Learnings from LEAPT Pilot Sites: Provide mentor support and monthly coaching calls/webinars Demonstrate the business case for patient quality and safety improvement in the area of CDI Continue to expand efforts to monitor bundle compliance in “real time” – ensure implementation of all bundle components Develop/broadly implement HER triggers and warnings

23. C LOSTRIDIUM D IFFICILE (CDI) Key Learnings from LEAPT Pilot Sites: Collaborate and partner with others: CDC Public Health State Health departments QIN’s Pharmacists Engage other practice/provider settings, including physician offices, long term care, home health, pharmacies, and urgent care Raise community awareness regarding appropriate antibiotic use and prevention

24. R APID C YCLE I NNOVATIONS

26. M EASURES NHSN Lab ID C. difficile Hospital Onset (HO) rate per 10,000 patient days + c difficile stool specimen in patient after hospital day 3 (i.e., day 4 with admit day being day 1)

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28. C ULTURE OF S AFETY Bold Aim: To reduce worker injury rates by 10-25% by December 2014 through promoting a safety culture 31,624 – 79,064 potential number of Work-related injuries prevented

29. C ULTURE OF S AFETY Key Learnings: Provide mentor support and monthly coaching calls/webinars Enhance the business case for the integration of worker and patient safety Disseminate worker/patient safety programming to all areas of the healthcare continuum Engage patient and family ensuring safety

30. C ULTURE OF S AFETY Rapid Cycle Innovations:

35. H EALTH D ISPARITIES A hospital story….

36. C ALENDAR OF U PCOMING E VENTS July 17, 2014 Procedural Harm Coaching Call July 24, 2014 Worker Safety Coaching Call July 28, 2014 Safe Patient Handling/Ergonomic Workshop July 29, 2014 Enhancing Caregiver Resilience Workshop