Patient Safety Newsletter - New Mexico Hospital Association
Transcription
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 [email protected] 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 [email protected]. 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, [email protected]) 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