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Title BlockKentucky Hospital Engagement Network and Other
Quality Initiatives at KHA
Progress Toward the 40/20 Goal
Donna R. Meador, K-HEN Project Director
HEN FrameworkCMS Partnership for Patients
Hospital Engagement Network Program (HEN)
HRET (AHA)
K-HEN
79 hospitals
32 Other State Hospital
Associations
25 other HENS
HEN Goals• 40% reduction in hospital-acquired
harm, 20% reduction in preventable readmissions
• “Triple Aim”– 1) improving the health of populations, 2) reducing per capita costs of care, and 3) improving the patient experience
• All hospitals participate in these efforts
K-HEN Framework
4
Patient
Safety
Culture
STAY FITCLABSI
CAUTI
SSI
VAP
PIVOTVTE
Pressure Ulcers
Falls
OB HARM*Early Elective
Deliveries
GO REDReadmissions
ADE
K-HEN Services • Benchmarking • Coaching Calls • Best Practices Education and Resources • Technical Assistance• Patient Safety Culture Education and
Resources (e.g. video’s, lecture modules) • Presentations to teams, boards, medical
staff, other groups• Reports, including CEO Dashboard• Quality & Patient Safety Library
5
Early Elective Deliveries
6
Falls
7Ja
n-12
Feb-
12
Mar
-12
Apr-1
2
May
-12
Jun-
12
Jul-1
2
Aug-1
2
Sep-1
2
Oct-12
Nov-1
2
Dec-1
2
Jan-
13
Feb-
13
Mar
-13
Apr-1
3
May
-13
Jun-
13
Jul-1
3
Aug-1
3
Sep-1
3
Oct-13
Nov-1
3
Dec-1
30.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
Injuries from Falls and Trauma (EOM-FALLS-39)
Baseline K-HEN Goal
Pressure Ulcers
8Ja
n-12
Feb-
12
Mar
-12
Apr-1
2
May
-12
Jun-
12
Jul-1
2
Aug-1
2
Sep-1
2
Oct-12
Nov-1
2
Dec-1
2
Jan-
13
Feb-
13
Mar
-13
Apr-1
3
May
-13
Jun-
13
Jul-1
3
Aug-1
3
Sep-1
3
Oct-13
Nov-1
3
Dec-1
30.00%
0.01%
0.02%
0.03%
Pressure Ulcer (CMS HAC) (EOM-PrU-63)
Baseline K-HEN Goal
Now in 3rd/”Option Year”• Received approval for “optional” 3rd year of CMS
funding • Option Year participation required signing of
another Commitment Letter by hospital CEO• Hospitals commit to submitting data on all 11 (initial
10 + “Other OB Harm”)topics as applicable to their hospital
• ADE topic - data to be submitted on anticoagulation management, opioid safety, and glycemic management
• Process and Outcome measure data to be submitted 9
Option Year continued Work plan tailored to feedback provided by hospitals
through day-to-day discussions, meetings, site visit, and surveys
Changes include frequency of coaching calls – some monthly, some bi-monthly; 2014 KHA Quality Conference 3/18 with K-HEN Showcase on 3/19
Will continue hospital site visits, TeamSTEPPS workshops, regional meetings;
HRET will continue to provide resources and support on a national level
LEAPT option for QI work and education – severe sepsis, C-diff, Iatrogenic delirium, procedural harm, hospital-acquired ARF, airway safety, undue rad. exp.
10
Continued KHA Quality Work Strategies
• Patient Safety Work ranked 5th priority by KHA Strategic Planning Committee
• Seeking funding opportunities to continue QI work– Wellpoint grant awarded in Feb. 2014:
“Improving Safety for Mom and Baby” focusing on EED, Breastfeeding, OB Hemorrhage, Pitocin management, NCABSI
• Create small rural benchmarking program through Flex Grant
11
Favorite Quotes and Thoughts.. Being a success in life is just like photography. Just focus on what’s important, develop from the negatives, and if things don’t work out, take another shot.
If you do what you’ve always done, you’ll
get what you always get.
Our greatest fear should not be of failure, but of
achieving great success in things that don’t matter. – Frances Chan
"Knowledge rests not upon truth alone,
but upon error also.“ — Carl Jung
12
There are no secrets to success. It is the result of preparation, hard work, and learning from failure.” - Colin Powell
Patients suffer if we refuse to learn from others. Make your brain a
global brain. --Don Berwick
Success is the sum of small efforts, repeated day
in and day out. ~ Robert Collier
If a project fails, is it a failure of will, ideas, or execution?
13
“Change is not about the new thing you want to do; it’s about the old thing you’re holding onto.” - Kegan and Lahey
Questions?
14