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Georgia Hospital Engagement NetworkCohort Coaching CallJuly 16, 2014 Cohort 2 + Cohort 3 + Cohort 4 = Cohort “9”
Framing • LEAPT Spread • Review 3 topics for spread • Getting ready for September spread • March Madness Results • PFE • Calendar Review – Upcoming Events
March Madness Results • Cohort 1 is our challenge winner! • 27 out of 51 hospitals met the criteria of • Show either any improvement since baseline period or remained at target and • Submitted data for all required measures.
Georgia Advanced Practice Project • Spreading Best Practices for: • C. diff Prevention and Sepsis Resources https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/Resources.aspx • Worker’s Safety https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx
Severe sepsis and septic shock • Bold Aim: • To reduce mortality rates in patients with Sepsis by 10-40% by December 2014 • By reducing mortality we have the potential to save 28,692 to 114,770 lives nationally
Severe sepsis and septic shock • Key Learnings from LEAPT Pilot Sites: • Provide mentor support and monthly coaching calls/webinars • Significant opportunity to positively impact people’s health and patient care while also reducing overall healthcare costs by identifying and addressing sepsis early • Concurrent management of the sepsis bundles is a best practice.
Severe sepsis and septic shock • Key Learnings from LEAPT Pilot Sites: • Develop/broadly implement EHR triggers and warnings. • Collaborate with primary care, emergency management, skilled nursing, and home health. • Engage community to raise public awareness.
Measures • Mortality rate, utilizing codes 995.91 (Sepsis), 995.92 (Severe sepsis) and 785.52 (Septic Shock) • Length of Stay
Clostridium Difficile (CDI) • Bold Aim: • Reduce Hospital-Onset CDI in patients by 10% to 25% by December 2014 • 5,000 to 12,500 is the potential lives saved nationally
Clostridium Difficile (CDI) • Key Learnings from LEAPT Pilot Sites: • Provide mentor support and monthly coaching calls/webinars • Demonstrate the business case for patient quality and safety improvement in the area of CDI • Continue to expand efforts to monitor bundle compliance in “real time” – ensure implementation of all bundle components • Develop/broadly implement HER triggers and warnings
Clostridium Difficile (CDI) • Key Learnings from LEAPT Pilot Sites: • Collaborate and partner with others: • CDC • Public Health • State Health departments • QIN’s • Pharmacists • Engage other practice/provider settings, including physician offices, long term care, home health, pharmacies, and urgent care • Raise community awareness regarding appropriate antibiotic use and prevention
Measures • NHSN Lab ID C. difficile Hospital Onset (HO) rate per 10,000 patient days • + c difficile stool specimen in patient after hospital day 3 (i.e., day 4 with admit day being day 1)
Culture of Safety • Bold Aim: • To reduce worker injury rates by 10-25% by December 2014 through promoting a safety culture • 31,624 – 79,064 potential number of Work-related injuries prevented
Culture of Safety • Key Learnings: • Provide mentor support and monthly coaching calls/webinars • Enhance the business case for the integration of worker and patient safety • Disseminate worker/patient safety programming to all areas of the healthcare continuum • Engage patient and family ensuring safety
Culture of Safety • Rapid Cycle Innovations:
Health Disparities • A hospital story….
Calendar of Upcoming Events • July 17, 2014 Procedural Harm Coaching Call • July 24, 2014 Worker Safety Coaching Call • July 28, 2014 Safe Patient Handling/Ergonomic Workshop • July 29, 2014 Enhancing Caregiver Resilience Workshop