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PfP 2014: Priorities and Expectations

PfP 2014: Priorities and Expectations. Agenda. Welcome new Oregon hospitals Provide overview of 2014 PfP activities and programs AHA/HRET Improvement Leader Fellowship Patient/Family Engagement Data expectations and measures Oregon Lean Other resources Listserv update

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PfP 2014: Priorities and Expectations

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  1. PfP 2014: Priorities and Expectations

  2. Agenda • Welcome new Oregon hospitals • Provide overview of 2014 PfP activities and programs • AHA/HRET Improvement Leader Fellowship • Patient/Family Engagement • Data expectations and measures • Oregon Lean • Other resources • Listserv update • Optional topics • Travel funds

  3. New hospitals: Welcome! • Ashland Community • Kaiser Westside • Pioneer Heppner • St Anthony • West Valley • Vibra

  4. 2014 Oregon PfP Map + Improvement Advisors

  5. PfP Overview

  6. Partnership for Patients • Goal: 40% Reduction in Preventable Hospital Acquired Conditions • Goal: 20% Reduction in Hospital Readmissions • Ultimately to provide safer care and decrease cost

  7. Oregon PfP working together to achieve a bold aim • On our way to the 40/20 goal by Dec 2014 • 2014 year focus: • Reporting and analyzing data for all applicable areas • Patient and family engagement (PFE) • Leadership support • Healthcare disparities • Teamwork and communication

  8. National HEN Targeted Harms • Adverse drug events • OB Adverse Events • Elimination of Early Elective Deliveries • Central line-associated blood stream infections • Catheter-acquired urinary tract infections • Falls with injury • Surgical infections and complications • Venous thromboembolism • Pressure ulcers • Readmissions • Ventilator-associated events

  9. PfP Option Year: 2014

  10. Overview of PfP activities and programs • National: • Boot camps • Webinars • State: • CAUTI program Feb. 27,2014 @ the Grand Hotel Bridgeport • State meetings: • Friday April 4th, Portland • Fall 2014, Medford

  11. Resources • Updated change packages and checklists for all CORE topics will be reflected in the AHA/HRET HEN website (www.hret-hen.org) by early February. • The website will also include new sections for information and resources regarding all OPTIONAL topics. • Make sure to review the topics Resource sections to find tools, checklists and other resources shared on topic-specific LISTSERVs

  12. AHA/HRET Improvement Leader Fellowship

  13. Fellows Across the Country

  14. Delivering the Fellowship • In-Person Regional Meetings • 22 different state meetings March through November • On site meetings specifically designed to combine clinical knowledge with improvement techniques • Monthly Live Streamed Meetings • Fellowship Topics: 1:00 – 3:00 PM CST every third or fourth Wednesday of the month

  15. In-Person Regional Meetings • Promote shared discussion and learning • All Fellows in one room • Didactic • Hospital story sharing • Coaching • Topic Specific Mini Collaborative: led by Cynosure IA • Fellowship Topic: led by IHI faculty • Oregon PfP: our state meeting is being scheduled for this spring

  16. Tracking & Evaluating Participation • Attendance • 1 in-person meeting • 8 out of 10 virtual meetings • Commitment to the Program (endorsed by Sr. Leader at their organization) • Harm Across the Board (HAB)completion • Pre-work assignments • Specific requirements for each Fellowship Level: Junior, Senior, and Champion • Open School module completion

  17. No More Progress Reports! • HAB will replace the monthly progress reports. • HAB is being revised to include 6 slides • Webinar in Feb. 2014, date TBA • Complete a Harm Across the Board (HAB) report by March 31, 2014 • HAB report due quarterly to your IA

  18. Patient & Family Engagement (PFE) • The AHA/HRET HEN team will collaborate with Institute for Patient- and Family-Centered Care (IPFCC) to provide: • Six educational webinars will take place in: February, March, April, June, August and October • Each webinar will be approximately one hour, and will incorporate two hospitals (focused on their PFE actions) • 30-minute Office Hours • In-state PFE Roadshows • Monthly content for the Weekly SHA Newsletter

  19. Data and Measurement

  20. Measures • We are ahead of many states since we already had aligned measures • Some changes plus additions necessary due to push to reach PfP goals • Baseline data needed for all new measures • Preferably 2013 data; could use Jan 2014 if necessary • Indicate baseline time frame. Notify your IA.

  21. Adverse Drug Events • 2014 Oregon PfP focus

  22. Catheter Associated Urinary Tract Infection (CAUTI) • 2014 Oregon PfP focus

  23. Central Line Associated Blood Stream Infection (CLABSI) • 2014 Oregon PfP focus

  24. Falls • 2014 Oregon PfP focus

  25. OB Adverse Events • 2014 Oregon PfP focus

  26. Hospital Acquired Pressure Ulcers • 2014 Oregon PfP focus

  27. Surgical Site Infections (SSI) • Need to expand to include more classes of surgeries • Adding procedures: • CABG • Colon • Hysterectomy • We will be asking you to continue to confer rights in NHSN.

  28. Surgical Site Infections (SSI) • 2014 Oregon PfP focus OAHHS will pull from NHSN

  29. Venous Thromboembolism (VTE) • 2014 Oregon PfP focus

  30. Ventilator Associated Pneumonia/ Ventilator Associated Events (VAP/VAE) • 2014 Oregon PfP focus

  31. Readmissions • 2014 Oregon PfP focus

  32. Possible Advanced Options • Things to think about…..

  33. Optional Sustainability Measures • New sustainability measures are available • These optional measures may be valuable for: • CAHs • Rural Hospitals • Hospitals that have sustained 0’s for extended periods of time • Any organization interested in tracking their progress

  34. Oregon Lean • We are offering Lean in 2014 through Purdue Healthcare Advisors • Additional green belt training (2 days) • New! Black Belt training (1 day) • Monthly Lean webinars • Monthly office hours with Purdue trainers

  35. Other Resources • Resources coming later to address • Disparities • Optional topics • Listserv updates

  36. Resources • HRET • HEN website: www.hret-hen.orgincluding private side • Top Ten Process Checklists/posters • HRET PfP Change packages • HRET webinars/boot camps • OAHHS • OAHHS improvement advisor • PfP advisory committee • PfP newsletter • PfP website: www.oahhs.org/quality/initiatives/partnership-for-patients

  37. Travel Funds • We will provide assistance for travel to in-state PfP & Improvement Leader Fellowship meetings • Details pending

  38. Next Steps • Submit your 2014 commitment form ASAP • Submit baseline data for new measures • Continue to submit data on all harms monthly • Continue improvement work in all areas to strive for the 40/20 goal

  39. Oregon PfP Leadership Team: • Diane Waldo, director of quality and clinical services diane.waldo@oahhs.org 503.479.6016 • Jodie Elsberg, associate director of quality jelsberg@oahhs.org 503.479.6028 • Lyndsey Shaver, quality coordinator lyndsey.shaver@oahhs.org 503.479.6022

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