Patient Safety Newsletter - New Mexico Hospital Association

Patient Safety
Newsletter
Checkin.aspx?EventID=1517944
Sin Daño – Without Harm
INSIDE THIS ISSUE
PAGE 1
-Redefining the H”
- HEN 2.0 Update
PAGE 2
- Tools You Can Use
Free Resources
NM Hospital Association
7471 Pan American
Freeway NE
Albuquerque, NM
87109
505.343.0010
http://www.nmhanet.org
einterlandi@nmhsc.com
MARCH 2015
Redefining the “H” – Engaging Trustees and Communities
Hospitals and healthcare
systems in the United
States are focused on redefining the “H”—that is, exploring what it means to be
a hospital in a rapidly transforming health care environment. As the field moves
from a fee-for-service to
value-based model, hospitals are focusing on quality
and population health management, and on providing
more integrated, better
coordinated care. The goals
are to improve the health of
the community through
increased access to primary
care, appropriate admissions and reduced inappropriate readmissions, and to
make measurable gains in
improving outcomes of care
and reducing harm.
To meet these challenges,
hospital and health care system executives will need to
lead the way in forging community collaborations that:
· Appropriately allocate resources and define a
shared responsibility for
improving community
health
· Bring insight, perspective
and support from the
community into the hospital board room as hospital leaders consider paths
for transformation
·
Enter into strategic
partnerships for improving community
health and health outcomes.
The following resources
are available on line:
http://www.aha.org/content/14/redefining_H_report_w_appendix.pdf
http://www.aha.org/content/14/engaging_communities_redefinition_H_tools_resources.pdf
Join a Hospital Engagement Network -> Improve Your Safety Culture
What is HEN 2.0?
In 2012, CMS launched the Partnership for Patients, with the goal to reduce patient harm
by 40 percent and readmissions by 20 percent by 2014, and provided funding to Hospital
Engagement Networks to work directly with their hospital members. Across the country, 26
HENs worked with 3,700 hospitals to improve care and ensure patients are safer, and rates
of patient harm dropped significantly, falling from 145 patient harms per 1,000 days to 121.
Keep up to date with required quality reporting,
time frames, penalties and
bonuses with the NMHA
Quality Measures Resource Guide
http://nmhanet.org/files/Documents/New%20Mexico%20Hospital%20Quality%20Measure%20Resource%20%20NOV2014.pdf
The NMHA HEN (23 hospitals in NM) saw significant gains, with an estimated 1675 cases
of patient harm prevented and a savings of approximately $5 million for the three year project.
CMS has released a request for proposals (RFP) for a follow up HEN 2.0, which has a similar focus to the original HEN.
What are the focus areas of HEN 2.0?
CMS is hoping that all acute care hospitals participate in a HEN, since the focus areas link
directly to those conditions included in the Medicare programs tying payment to quality.
Whether you consider signing up with the NMHA HEN or another HEN, please consider this
excellent opportunity. CMS has determined that they are interested in all general acute,
children’s and CAH hospitals for a one-year initiative (at this point there is no option year) to
start early summer 2015. They will ask for 2010 baseline data, or the most recent year of
baseline data available. Hospitals will be required to report on all measures for which they
are eligible.
(please go to page 2)
Patient Safety Newsletter
Sin Daño – Without Harm
MARCH 2015
Page 2 of 2
The following core topics will be a primary focus of the HEN 2.0 year:
· Adverse drug events
· CMS High Priority! Catheter-associated urinary tract infections
· Central line associated blood stream infections (if applicable)
· Injuries from falls or immobility
· Obstetrical adverse events (if applicable)
· Pressure ulcers
· CMS High Priority! Readmissions
· Surgical site infections (if applicable)
· Venous thromboembolism
· Ventilator associated events (if applicable)
Additional areas of focus are:
· Airway safety
· Clostridium difficile including antibiotic stewardship
· Failure to rescue
· Hospital culture of safety to fully integrate patient and worker
safety
· Iatrogenic delirium
· Severe sepsis and septic shock
· Undue exposure to radiation
This is what one hospital had to say about their experience with the HEN:
The only acceptable number of avoidable patient harms is ZERO. All hospital staff are working to achieve 100% of patient safety goals. The hospital has used best practices and tools from its participation in the
AHA/HRET Hospital Engagement Network. Every day starts with a safety
huddle that includes the entire management team. The team reviews
safety events that occurred at the hospital during the previous 24 hours.
Hospital teams also review the facility’s serious safety event rate and
measure total harm across the board. Front-line teams participate in daily
safety huddles, conduct bedside shift reports and categorize safety
events. Everyone—CEO, board members, physicians, nurses, housekeepers and food service staff—is working to put safety first.
If you haven’t already decided to join a HEN, and you’re interested in
learning more, please contact Ellen Interlandi einterlandi@nmhsc.com.
Hospitals will be able to sign up with only one HEN, and commitment
letters are expected to be sent by the end of March 2015
TOOLS YOU CAN USE
FREE RESOURCES
Varying national hospital ratings may
cause confusion
National hospital ratings systems are varied in their foci, measures, methods, and
transparency and may generate confusion rather than clarity, according to a recent study. To read more, go to:
http://www.beckershospitalreview.com/quality/varying-national-hospital-ratings-systems-may-cause-confusion-study-finds.html
Free replay of CDC, Joint Commission
webinar: Your Lab and Ebola
Best practices for lab testing and the
management of specimens are covered
in the replay of the February 25 webinar,
Your Lab and Ebola: What you need to
know from the Centers for Disease Control and Prevention (CDC) and The Joint
Commission. The webinar provides information on the safe handling of Ebola
specimens and recommended lab procedures, as well as The Joint Commission
standards pertinent to a laboratory’s response to patients with potential or confirmed Ebola Virus Disease (EVD).
Replay audio
View slideshow
Contact: Stacy Olea,
solea@jointcommission.org)
ECRI Advises culturing of duodenoscopes to help reduce risk of deadly
infections
News of patient deaths caused by outbreaks of carbapenem-resistant enterobacteriaceae (CRE) infections is fueling
media attention and putting the
healthcare community on high alert regarding appropriate disinfection practices
for duodenoscopes. The hard-to-clean
scopes are used to diagnose and treat a
variety of conditions of the gall bladder
and pancreas with Endoscopic Retrograde Cholangiopancreatography
(ERCP) procedures. ECRI Institute recently issued a High Priority Hazard Report with recommendations to help reduce the risk of ERCP endoscope-related
patient infections. Website address:
https://www.ecri.org/resource-center/Pages/Superbug.aspx?cm_mid=2181463&cm_crmid=
842fda31-0316-dd11-89010015600f6010&cm_medium=email