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Outline for Discussion

Intermountain-led CMS Hospital Engagement Network Adverse Drug Event Prevention June 24, 2014 Affinity Call. Outline for Discussion. Review of the HEN ADE work “Just-one-thing” Recommendations High performers National ADE action plan. Overall Progress Through Q1 2014.

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Outline for Discussion

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  1. Intermountain-led CMS Hospital Engagement Network Adverse Drug Event PreventionJune 24, 2014 Affinity Call

  2. Outline for Discussion • Review of the HEN ADE work • “Just-one-thing” Recommendations • High performers • National ADE action plan

  3. Overall Progress Through Q1 2014

  4. Intermountain HEN 2012-Q1 2014 ADE w/ Harm

  5. Intermountain HEN 2012-Q1 2014 ADE w/ Harm

  6. Intermountain HEN 2012-Q1 2014 ADE per 1000 Patient-Days

  7. Intermountain HEN 2012-Q1 2014 ADE per 1000 Patient-Days

  8. Intermountain HEN 2012-Q1 2014 PSI 12 Post Operative PE or DVT

  9. Intermountain HEN 2012-Q1 2014 PSI 12 Post Operative PE or DVT

  10. Intermountain HEN 2012-Q1 2014 • ADE Due to Opioids • Controlled Postoperative Serum Glucose • Excessive Anticoagulation with Warfarin • Low Reporting

  11. Just One Thing MatrixRecommendations

  12. High Performing Hospital Highlight…ADE w/ Harm

  13. High Performing Hospital Highlight… ADE per 1000 Patient-Days

  14. High Performing Hospital Highlight… PSI 12 Post Operative PE or DVT

  15. 2014 plans for improvement • Webinar • Collect and share best practices across our network hospitals & system in a single document

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