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Marlyn Conti - Intermountain, Patient Safety Coordinator

Intermountain-led CMS Hospital Engagement Network Preventing Pressure Ulcers October 22, 2013 Affinity Call. Marlyn Conti - Intermountain, Patient Safety Coordinator Gina Honermann-Garinger — Baylor Scott & White Health, Center for Clinical Innovation. Outline for Discussion.

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Marlyn Conti - Intermountain, Patient Safety Coordinator

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  1. Intermountain-led CMS Hospital Engagement Network Preventing Pressure UlcersOctober 22, 2013 Affinity Call • Marlyn Conti - Intermountain, Patient Safety Coordinator • Gina Honermann-Garinger—Baylor Scott & White Health, Center for Clinical Innovation

  2. Outline for Discussion • HEN Pressure ulcer data • What have you implemented this past year? • What are your challenges? • What’s next for your facility/system?

  3. Intermountain HEN 2012-13 submitting Hospitals

  4. Braden Risk AssessmentIntermountain HEN Rate going up. Braden & Skin Assessment required within 24 Hours of admit

  5. Ulcers below national best practice benchmark and trending down

  6. Is this coding artifact? Are we charting better?

  7. Intermountain HEN PrU =>3

  8. HEN Pressure Ulcer Measures • Metric specification resource manual http://www.henlearner.org/wp-content/uploads/2012/03/HEN_measure_Feb5.pdf • Submission schedule: • November 20, 2013: for data through September 2013

  9. Intermountain PrU Prevalence Trends All stages per quarterly prevalence survey, 22 hospitals

  10. Intermountain Hospitals

  11. Intermountain Hospitals

  12. Intermountain Hospitals Call drill down to the patient and do cause analysis

  13. Working Harder Intermountain HospitalsPressure Ulcer Prevention Tools • Care plan for kardex • Bed & surface algorithm • Skin care product posters • Patient fact sheets

  14. Baylor All Saints Hospital Acquired Pressure UlcersPUT new data here please

  15. Baylor All SaintsPressure Ulcers > Stage 3 2013 Q1 & June Comparison Run Chart

  16. Baylor All SaintsAHRQ PSI #3 2013 Q1 & June Comparison Run Chart

  17. Participant Poll

  18. Pressure Ulcer Elimination“Bundle” = SKIN (Ascension Health) S K I N Selection of Appropriate Support Surfaces Keep Patients Moving Manage Incontinence ManageNutrition and Hydration Tissue injury can be more than skin deep…

  19. Getting Started Getting Started • Access Available Tool Kits • Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care http://www.ahrq.gov/research/ltc/pressureulcertoolkit/ • National Pressure Ulcer Advisory Panel http://www.npuap.org/ • http://www.Henlearner.org • AHRQ PSNethttp://www.psnet.ahrq.gov/ • AHRQ Web M&M http://www.webmm.ahrq.gov/ • AHRQ Health Care Innovations Exchange http://www.innovations.ahrq.gov/

  20. Next Affinity Call Pending • What questions or topics would you like addressed? • Send questions to Admin@HenLearner.org • Access HEN webinars and resources at http://www.henlearner.org/

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