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Organizational Assessment Tool (OAT). Faizah Muheb VP, Analytical Services June 2013. OAT Description. A comprehensive evidenced-based tool Developed for the Hospital Engagement Networks (HENs) to: Help identify areas for quality improvement

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Organizational assessment tool oat

Organizational Assessment Tool (OAT)

Faizah Muheb

VP, Analytical Services

June 2013


Organizational assessment tool oat

OAT Description

  • A comprehensive evidenced-based tool

  • Developed for the Hospital Engagement Networks (HENs) to:

    • Help identify areas for quality improvement

    • Support efforts to expand the use of models shown to improve care

    • Help achieve Partnership for Patients (PfP) goals

      • 40% Reduction of HAC’s

      • 20% Reduction of Readmissions


Organizational assessment tool oat

OAT Description

  • Safety culture

  • Leadership

  • Measurement

  • Medication

  • Purchasing practice

  • Procedural

  • Risk management

  • Nursing practice

  • Communication

  • Infection control

  • The OAT contains 139 questions organized by Areas of Focus

  • Markers for HACs and readmissions are included in the Areas of Focus


Organizational assessment tool oat

OAT Description

  • Background Questions

    • Hospital type

    • Average daily census

    • Annual rate of hospital admissions

    • HEN the hospital is associated with

    • Electronic Health Record (EHR) system


Organizational assessment tool oat

  • OATDevelopment

  • Reviewed evidence-based best practices

  • Developed markers to capture the highest standard of care known to mitigate patient harm

  • Conducted successive revisions of markers

    • CMS feedback

    • Clinical, patient safety, risk management, and quality improvement experts

  • Pilot tested the OAT with seven PfP hospitals


How will the oat be used
How will the OAT be used?

  • Assess Current Practices and Capabilities within GHA HEN

  • Prioritize efforts based on HEN results

  • Help identify hospitals with leading edge practices


Oat release 2 0
OAT Release 2.0

  • OAT v2.0.0 replaces OAT v1.3.7, which hospitals completed in 2012

  • With the exception of some minor edits, the content of OAT v2.0.0 is the same

    • This is critical in providing hospitals with a way to compare their results from Year 1 to Year 2

    • Ensures ease of use – items and organization of items already familiar to users

  • Scoring has been revised to account for “Not applicable” responses

    • OAT v2.0.0 bases individual hospital scores on only those items that are applicable to them


Organizational assessment tool oat

Completing the OAT

  • A single OAT is completed per hospital

  • Recommend responsibility be assigned to the VP-Quality, VP - Medical Affairs, PSO or equivalent

  • Individual responsible for OAT contacts appropriate staff to gather information, as necessary

  • Pilot test found the OAT required ½-6 hours to complete

  • Pilot test hospitals reported the act of completing the OAT was beneficial


Organizational assessment tool oat

  • Points assigned to markers vary depending on the type of response set:

    • Dichotomous responses (5= Yes, 0=No)

    • Check all that apply (1 point for each checked item)

    • Likert Scale: Number of points = scale response

    • Others

      • Counts

      • Yes/ Yes but/No


Organizational assessment tool oat

  • The OAT is for the HENs and hospitals

  • Only the HENs will be able to identify its hospital partners

  • HENs will provide CMS and the NCD the de-identified OAT data

    • National trends

    • Norms


Organizational assessment tool oat

OAT Resources-Update

  • An online version of the OAT will be available via SNAP Survey WebHost (FISMA Compliant)

  • GHA will work with NCD to create an online account for each hospital to complete the OAT

  • SNAP software includes an array of powerful analytical tools and real-time reporting

  • An electronic offline solution (excel version OAT) will be available for hospitals that may not be able to complete the web-based OAT


Timeline
Timeline

  • GA HEN Hospitals have until July 31, 2013 to complete the OAT


Summary
Summary

  • OAT is a resource for the HENs to achieve the goals of the PfP

  • The OAT consists of 139 evidenced-based best practices

  • OAT useful for identifying their hospital’s strengths and weaknesses

  • The NCD will establish a SNAP WebHost account for each HEN to securely administer and collect OAT data