VHQC Medical Quality Improvement Focus Healthcare-Associated Infections and More

1. VHQC Medical Quality Improvement Focus Healthcare-Associated Infections and More November 10, 2011

2. About VHQC A non-profit health quality consulting company, the federally designated Medicare Quality Improvement Organization (QIO) and the Health IT Regional Extension Center for Virginia (VHIT).

3. VHQC – Corporate Services Medicare Quality Improvement Organization Virginia HIT (VHIT) Regional Extension Center CRISP National Coordinating Center (NCC) – CMS Improve Health for Populations and Communities (NCC) – CMS Independent Review Organization (IRO) – VA, MD, WA, IN

4. Improving Care, Improving Lives During the past three years, VHQC has partnered with: • Individual nursing homes, hospitals and physicians • Virginia Hospital & Healthcare Association • Virginia Department of Health • Medical Society of Virginia • APIC-VA • Virginia Assn. of Nonprofit Homes for the Aging • Virginia Health Care Association

5. Virginia Progress: 2008 – 2011 • Nursing Homes: Physical Restraints 8% → 1% Pressure Ulcers 16% → 11% • Physician Practices: Potentially Inappropriate Meds 36% → 14% • Hospitals (Surgical Care Improvement Project): Pre-op Prophylactic Antibiotics 75% → 95% Appropriate Prophylactic Antibiotics 84% → 95%

6. SCIP

7. Virginia MRSA Improvements METRIC 1: CMS MRSA Infection Rate (infection surveillance) 75% reduction from baseline METRIC 2: CMS Transmission Rate (labID) Overall 79% reduction from baseline

8. CMS MRSA Infection Rate

9. CMS MRSA Transmission Rate

10. New Initiatives VHQC is launching a number of new initiatives, focused on reducing healthcare-associated infections: • Catheter-associated urinary tract infections (CAUTI) • Central line-associated blood stream infections (CLABSI) • Surgical Site Infections • Clostridium difficile infections (CDI)

11. Driving Improvement When you work with a Quality Improvement Organization (QIO), you are: • Tapping into the largest federal network dedicated to improving health quality at the community level • Focusing on three critical aims to make care better for everyone: • Better patient care • Better population health • Lower healthcare costs through improvement

12. Aligned with National Priorities QIO improvement initiatives support: • National Quality Strategy • Six priorities: safer care, coordinated care, person- and family-centered care, preventive care, community health, making care more affordable • Partnership for Patients • QIO initiatives can support your commitment • Adverse drug events (ADEs), healthcare-associated infections (HAIs, including CAUTI, CLABSI, SSIs and CDIs), patient and family engagement

13. Four QIO Program Aims • Make Care Beneficiary and Family-Centered • Improve Individual Patient Care • Integrate Care for Populations and Communities • Improve Health for Populations and Communities

14. Three QIO Program Drivers of Change • Technical Assistance • Learning and Action Networks • Care Reinvention through Innovation Spread (CRISP)

15. Learning and Action Networks Providers and other healthcare stakeholders, including beneficiaries, working together to implement change and spread best practices through peer-to-peer learning and solution sharing. • Improvement collaboratives • Online interaction, tools, resources • Educational opportunities

16. What’s In It for Providers? • We bring evidence-based best practices to the bedside with the flexibility to respond to local needs. • You can work with peers and quality leaders in rapid-cycle projects for collaborative learning and action that accelerate healthcare quality improvement. • QIO initiatives are a ready resource for taking action on your commitment to the Partnership for Patients and preparing for Value-Based Purchasing.

17. Contact VHQC Websites: www.vhqc.org www.vhitrec.org Sallie S. Cook, M.D. scook@vhqc.org (804) 289-5320