Georgia s flex quality program cahs moving toward right care every time
Download
1 / 30

Georgia’s Flex Quality Program : CAHs Moving Toward Right Care Every Time - PowerPoint PPT Presentation


  • 95 Views
  • Uploaded on

Georgia’s Flex Quality Program : CAHs Moving Toward Right Care Every Time. March 23, 2011 Savannah, GA Lorna Martin, Patient Safety Specialist - Georgia Hospital Association Lewis Kelley, CEO – Chatuge Regional Hospital Dexter Shook, Risk Manager – Chatuge Regional Hospital. Flex at Work!.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Georgia’s Flex Quality Program : CAHs Moving Toward Right Care Every Time' - bracha


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Georgia s flex quality program cahs moving toward right care every time

Georgia’s Flex Quality Program:CAHs Moving Toward Right Care Every Time

March 23, 2011

Savannah, GA

Lorna Martin, Patient Safety Specialist - Georgia Hospital Association

Lewis Kelley, CEO – Chatuge Regional Hospital

Dexter Shook, Risk Manager – Chatuge Regional Hospital

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Flex at work
Flex at Work!

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


What keeps me up at night
What Keeps Me Up at Night

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Closing the gap in georgia
Closing the Gap in Georgia

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Georgia cahs gaining on national cahs
Georgia CAHs Gaining on National CAHs

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Top 10 drgs for cahs q3 2009 to q2 2010
Top 10 DRGs for CAHsQ3 2009 to Q2 2010

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Cah core measures statistics q3 2009 to q2 2010
CAH Core Measures Statistics Q3 2009 to Q2 2010

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Cah ambulatory surgery counts
CAH Ambulatory Surgery Counts

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Benefits of hop qdrp hospital outpatient quality data reporting program
Benefits of HOP QDRP(Hospital Outpatient Quality Data Reporting Program)

  • Less elements to abstract than Inpatient measures

  • Easier to abstract

  • Three (3) of the measures are claims-based with NO abstraction required

  • Volume & impact

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Benefits of hop qdrp hospital outpatient quality data reporting program1
Benefits of HOP QDRP(Hospital Outpatient Quality Data Reporting Program)

  • Less time involved abstracting

    • One inpatient PN case takes approximately 45 minutes to complete

    • In the same amount of time you could get four HOP QDRP cases done

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Hop qdrp measures
HOP QDRP Measures

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Populations
Populations

  • Four populations:

    • AMI (OP-1, OP-2, OP-3, OP-4 and OP-5)

      • All AMIs transferred for coronary intervention and ICD-9-CM Codes found in Appendix A of the specifications

    • Chest Pain (OP-4 and OP-5)

      • All Chest Pains with ICD-9-CM Codes found in Appendix A of the specifications

    • Surgery (OP-6 and OP-7)

      • All surgical patients billed as outpatients (not as ASC) and CPT codes found in Appendix A of the specifications

    • Imaging Measure (OP-8, OP-9, OP-10 and OP-11)

      • Calculated from hospital Medicare fee-for-service claims data paid under the outpatient prospective payment system (OPPS).

      • Hospitals need not submit any additional data for the four imaging hospitals.

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Where we were
Where We Were

US Averages

  • National = 84%

Georgia Status

  • Average = 81%

  • CAH = 60%*

“ALL or NONE”

Right care every time for targeted core measures: AMI, CHF, PN

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Getting there
Getting There

  • Usual QI Activities

    • Data analysis

    • Tool kits

    • Shared learning opportunities

    • Mentoring program

    • External Peer Review

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Acms with the lower scores
ACMs With the Lower Scores

  • PN2: Pneumococcal vaccine

    • Pneumonia patients, age 65 and older, who were screened for pneumococcal vaccine status and were administered the vaccine prior to discharge, if indicated

  • HF3: ACEI or ARB at discharge

    • Heart failure patients with left ventricular systolic dysfunction (LVSD) and without both angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) contraindications who are prescribed an ACEI or ARB at hospital discharge

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Helpful hints for pn2
Helpful Hints for PN2

  • For PN2: pneumovac screening, go to the PHA resource page for the Immunization toolkit:

    • http://www.gha.org/pha/provider/toolkits/immunization/index1.asp

  • For PN2: pneumovac screening, go to the PHA resource page for the Core Measures Pneumonia toolkit:

    • http://www.gha.org/pha/provider/coremeasure/PN/index.asp

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Helpful hints for hf3
Helpful Hints for HF3

  • For HF3: ACEI or ARB for LVSD go to the PHA resource page for the Core Measure Heart Failure toolkit:

    • http://www.gha.org/pha/provider/coremeasure/index.asp#HF3

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Innovative Techniques: You Can Get There From Here

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


I can’t let my neighbors beat me!

Honor roll

Name badges dots

Quality awards

Positive Public Recognition

Punitive reports

We don’t have to do this.

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Recognizing cahs

Lower Oconee Community Hospital

Fall Protocol Revision (2009)

Louis Smith Memorial HospitalImproving Patient Care through Technology: Implementing Teleradiology and PACS in a Critical Access Hospital(2006)

Implementing an eMAR System in a Critical Access Hospital: Improving Medication Safety Through Technology(2009)

Improving Patient Safety in Critical Access Hospitals and Long Term Care Facilities: Legacy Beds May Be Hazardous to Your Patients’ and Residents’ Health (2010)

Monroe County HospitalCreating a Culture of Excellence to Promote Patient Safety (2006)

Implementation of an Emergency Airway Management Program (2007)

Implementation of a Successful Fall Prevention Program (2008)

Recognizing CAHs

Past CAH Patient Safety Award Winners (’02 – ‘10)

Mountain Lakes Medical Center

Development of a Data Driven Evidence-Based IV Insulin Protocol Requiring "No Mathematical Calculations“ (2005)

Controlling Hypoglycemia in the Hospital: Revamping the Use of Subcutaneous Insulin (2008)

Brooks County Hospital

Improving Safety and Education

Higgins General Hospital

Implementation of Night Pharmacy (2003)

Peach Regional Medical Center

Medication Reconciliation in the Radiology Department (2007)

Bacon County Health System

Preventing Medication Errors by Promoting a "Culture of Safety“ (2002)

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Right care every time honor roll
Right Care Every Time Honor Roll Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Can I publish my honor roll status? Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

CEO engagement

Reliability principles

Trustee/ Physician education

Quality liaison education

HCFA (CMS): Public Mortality reports - the data are wrong!

Reframing Quality data

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Patients not receiving acm right care every time
Patients Not Receiving ACM “Right Care” Every Time Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Vignettes from dr resar coaching calls reliability theory
Vignettes from Dr. Resar Coaching Calls: Reliability Theory Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

  • Hospital related they had reached 100% compliance. Medical Director commented this was an “eye opening experience” for them.

  • During another Dr. Resar call, discussing the LVS assessment process, one hospital shared that they’d been at 100% for three months!

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Moving georgia to the top ten gha strategic board initiative
Moving Georgia to the Top Ten Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health GHA Strategic Board Initiative

  • Quality: Standing GHA Board Agenda Item

  • Communicated Board’s Action

  • Stepped Up Trustee and Physician Education

  • Increased Public Recognition

  • Increased CEO Engagement

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Now let s hear from the real world

Now, let’s hear from the real world… Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Real world tools
Real World Tools Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Real world tools1
Real World Tools Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


Real world tools2
Real World Tools Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health

CAH Quality and Safety Improvement Network GHAREF FLEX In Collaboration With The Georgia State Office of Rural Health, a Division of the Department of Community Health


ad