QualityNet Breakout Session: Patient Perspectives - Launching HENs into 2015

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1 QualityNet Breakout Session: Patient Perspectives - Launching HENs into 2015 December 2, 2014 The CMS Healthcare Quality Conference Baltimore, MD December 2 4, 2014 Follow us on Tweet with our conference hashtag: #QualityNet14

2 Introductions Albert Ahondion, MBA, MHA, PMP CMS Partnership for Patients Jacqueline Kreinik, RN, MS CMS Partnership for Patients Follow us on Tweet with our conference hashtag: #QualityNet14 2

3 Today s Speakers INTRODUCTIONS: Albert Ahondion MBA, MHA, PMP and Jacqueline Kreinik, RN, MS CMS Partnership for Patients OVERVIEW & GROUP ACTIVITY: Karen Oliver and Michelle Baker, Weber Shandwick, PFE Contractor for the Partnership for Patients BREAKTHROUGH RESULTS IN PFE: Jason Byrd, Carolinas HealthCare System Julia Lanham and Dr. Michael Ruhlen, Carolinas Medical Center-Pineville PFE: THE SECRET SAUCE IN REDUCING HARM ACROSS THE BOARD: Kim Blanton, MIS, MLS and Joan D. Wynn, PhD, RN, Vidant Health System THE EVOLVING ROLE OF PFE: Joyce Reid, RN, MS, Georgia HEN Rosalie Weakland, RN, MSN, CPHQ, FACHE, Ohio HEN PATIENT ADVISOR INSIGHTS: Lisa Juliar, Minnesota HEN GROUP ACTIVITY: Karen Oliver and Michelle Baker, PFE Contractor for the Partnership for Patients INTERACTIVE PANEL DISCUSSION: Moderated by Jenifer McCormick, PFE Contractor for the Partnership for Patients

4 Overview & Group Activity Karen Oliver, Weber Shandwick PFE Contractor for the Partnership for Patients Michelle Baker, Weber Shandwick PFE Contractor for the Partnership for Patients Follow us on Tweet with our conference hashtag: #QualityNet14 4

5 Question for Discussion: Please share with someone you met at this session How is your hospital or organization using Patient & Family Engagement (PFE) to improve patient care? How are you measuring this? 5 Follow us on Tweet with our conference hashtag: #QualityNet14

6 The Evolving Role of Patient and Family Engagement (PFE) Joyce Reid, RN, MS, Vice President Community Health Connections, Georgia HEN Rosalie Weakland, RN, MSN, CPHQ, FACHE Senior Director, Quality Programs, Ohio HEN 6 Follow us on Tweet with our conference hashtag: #QualityNet14

7 The Evolving Role of PFE

8 PfP s Aims Guide Our Work

9 Expanding PFE Involving patients and families in their care is the right thing to do Increasing patient and family engagement helps to drive improvement in hospitals

10 PFE Metrics: Measuring Hospital Successes Planning Checklist Point of Care Governance Patient and Family Advisor on Board Shift Change Huddles/ Bedside Reporting PFAC or Representative on Quality Improvement Team PFE Leader or Functional Area Policy and Protocol

11 PFE Affinity Group: Goals 1. Equip patients, family members and caregivers to become and continue their work as advisors through education and support. 2. Draw on the experience of patients and caregivers to provide input on and strengthen health care improvement efforts. 3. Facilitate learning by helping patient advocates to attend and speak at events and conferences across the U.S. 4. Maintain an online forum so that participants can network and collaborate with one another. 5. Spotlight successful PFE programs to recognize good work and to share these best practices with others.

12 PFE Affinity Group: Core Activities PFE Master Classes Best Practices/Success Stories Working Group and resources Vulnerable Populations Working Group and resources PFE resources section on the Communities of Practice/PfP website Weekly s to equip and engage patient advisors Patient profiles featuring leaders in PFE Infographics, videos, one-page summaries illustrating PFE programs and strategies Case studies and best practices in PFE

13 Mobilizing a Diverse Network on PFE Healthcare Providers Practice evidence-based medicine and rely on data in making patient decisions Patients and Families Play the most vital role in Patient and Family Engagement, creating a path to better care and conversation HENs and Hospitals Are on the front lines of patient care and patient engagement Non-profit and Advocacy Organizations Provide ongoing support for key programs, activities for patients and families Quality Leaders Set the standard for how patients and families receive care C-suite Leadership Leaders in adoption of best practices at HENs and hospitals Federal Government and Agencies Have the power to influence large audiences and extend reach and frequency of messages

14 Progress Toward Campaign Goals Percentage of Hospitals Meeting and Not Meeting Each PFE Metric, September 2014

15 Percentage of Hospitals Meeting Each PFE Metric, July 2013 and September 2014

16 The Bottom Line Improvements Seen Across All Three PfP Data Streams 1 HEN-level improvement data show significant increases in the number of hospitals reporting and improving on multiple HACs 2 Leading indicators data show improvement in most priority areas 3 Preliminary AHRQ National Scorecard shows improvement in safety across most areas of harm with significant costsavings and lives saved 16

17 Sustainability in 2015 and Beyond High performing hospitals Entire systems of hospitals And Hospital Engagement Networks Have seen improvement on Patient and Family Engagement. We will always be committed to a culture of Patient and Family Engagement.

18 Contact Information Joyce Reid Rosalie Weakland 18

19 Patient Advisor Insights Lisa Juliar, Patient Advisor Minnesota HEN 19 Follow us on Tweet with our conference hashtag: #QualityNet14

20 RARE: Reducing Avoidable Readmissions Effectively https://www.youtube.com/watch?v=kqlifsjsga8&feature=youtu.be 20

21 Contact Information Lisa Juliar 21

22 Breakthrough Results in PFE Jason Byrd, Director of Patient Safety Carolinas HealthCare System Julia Lanham, Patient Advisor Carolinas Medical Center-Pineville Dr. Michael Ruhlen, Chief Medical Officer Carolinas Medical Center-Pineville 22 Follow us on Tweet with our conference hashtag: #QualityNet14

23 Linking PFE to Outcomes Completed Deep Dive with each hospital on PFE criteria Evaluated hospitals based on PFE criteria Identify PFE high performers 3+ score on PFE critieria 7 PFE high performing hospitals; 22 hospitals other cohort Reestablished HEN baselines for each measure Aggregate of hospitals in each cohort High performers cohort and other cohort baselines Aggregated HEN performance results for both cohorts Evaluated two questions for each measure: Which cohort performed at a lower rate? Which cohort achieved a greater reduction? 23

24 Sample of Results Carolinas HealthCare System HEN 24

25 Falls with Injury Comparison 25

26 Readmissions Comparison 26

27 Breakthrough Results in PFE Jason Byrd, Director of Patient Safety Carolinas HealthCare System Julia Lanham, Patient Advisor Carolinas Medical Center-Pineville Dr. Michael Ruhlen, Chief Medical Officer Carolinas Medical Center-Pineville 27 Follow us on Tweet with our conference hashtag: #QualityNet14

28 Contact Information Jason Byrd Julia Lanham Dr. Michael Ruhlen 28

29 PFE: The Secret Sauce in Reducing Harm Across the Board Kim Blanton, MIS,MLS Patient Advisor, Vidant Health System Joan D. Wynn, PhD, RN Chief Quality Officer, Vidant Health System 29 Follow us on Tweet with our conference hashtag: #QualityNet14

30 Service map 30 COPYRIGHT 2013 VIDANT HEALTH

31 A Day in the Life of Vidant Health 196 acute care admissions 136 surgeries 118 critical care patient 822 ED visits 1,377 outpatient visits 2,000 ambulatory practice visits 7 medical air transports 21 babies born 184 patients with central lines 78 patients on ventilators 144 patients with urinary catheters 500 patient receive home health 50 patient receive hospice care 31

32 The Moral Imperative Our mission is to enhance the quality of life for the people and communities we serve, touch and support. 32

33 The Financial Imperative Medicare Payment Reform Program Annual Payment Update Value Based Purchasing Readmission Reduction Revenue Impact to Vidant Health (millions) Meaningful Use TOTAL

34 Long-Term Quality Vision Achieve zero events of preventable harm, 100% optimal care and exceptional patient experience 34

35 Building Board Literacy

36 Setting an Aggressive Transparency Policy 36

37 Engaging Leaders 37

38 Partnering with the people who have the most at stake Hearing the inconsistencies in experiences of care firsthand.

39 Supporting families and visitors

40 What are Patient-Family Advisors? A volunteer group of dedicated patients and family members Partners in quality and patient safety Individuals who give advice and ideas from the perspective of the patient or family with the goal of improving care for other patients/families An expert in the unique experience of patient care Any role or activity that enables patients and families to have direct input on policies, programs, and practices affecting health care services 40

41 Advisors and Patient Safety Work Education for Staff Serious Safety Event Panels Safety Rounds Next.RCA Review Teams

42 Measuring Harm Across the Board Serious Safety Events Device related infections Hospital acquired MRSA Falls with harm Stage 3 or 4 skin breakdown Medication Errors with harm 2012 Blood Clots Surgical Site Infections 2005 Sentinel events 2008 Serious safety events 2010 Harmful events

43 Partnership for Patients April 2011 Working with our HEN North Carolina-Virginia (NoCVa) HEN Legitimized work and methods Tied local work to national agenda Provided networking opportunities Shared best practices in person and virtually 43

44 Outcomes 85% reduction in serious safety events 62% reduction in hospital acquired infections 51% reduction in pressure ulcers 24% reduction in falls with harm 13% reduction in blood clots 2011 Site visit from DHHS for Partnership for Patients Kickoff 2013 McKesson Quest for Quality Prize Citation of Merit 2013 John M. Eisenberg Patient Safety and Quality Award 2013 Magnet Designation Over 150 Patient Advisors engaged from the bedside to the board room 44

45 Our System of Care Reliably built in partnership with the people it serves Best-in-region access Exceptional experience Optimal outcomes 45

46 Contact Information Joan D. Wynn Kim Blanton 46

47 Breakout Session Activity: Addressing Health Disparities through PFE Please direct your attention to your table leader 47 Follow us on Tweet with our conference hashtag: #QualityNet14

48 Interactive Panel Discussion Jenifer McCormick, PFE Contractor for the Partnership for Patients Featuring: Kim Blanton, MIS, MLS, Vidant Health System Jason Byrd, JD, Carolinas HealthCare System Lisa Juliar, Minnesota HEN Julia Lanham, Carolinas Medical Center-Pineville Patrice Mayo, Tennessee Hospital Association Lisa Morrise, Patient Advisor Deb Nadzam, PhD, RN, BB, FAAN, JCR HEN Michael Ruhlen, MD, Carolinas Medical Center-Pineville Joan D. Wynn, PhD, RN, Vidant Health System 48 Follow us on Tweet with our conference hashtag: #QualityNet14

49 Question for Discussion: Please share with someone you met at this session What is something you learned today that you will plan to incorporate within your hospital or organization? 49 Follow us on Tweet with our conference hashtag: #QualityNet14

50 Thank You for Joining Us Today! 50 Follow us on Tweet with our conference hashtag: #QualityNet14

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