Partnership for Patients Safe Deliveries Roadmap Webcast January 9, 2014
|
|
|
- Aubrie Todd
- 3 years ago
- Views:
From this document you will learn the answers to the following questions:
Who is involved in the Safe Deliveries Roadmap project?
What does the acronym Patient Discharge Data stand for?
What is the Transforming Maternity Care project called?
Transcription
1 Partnership for Patients Safe Deliveries Roadmap Webcast January 9, 2014
2 Safe Deliveries Roadmap Project Coordinator Mara Zabari, Executive Director of Integration Partnership for Patients Washington State Hospital Association
3 Today s Objectives Project Overview Project Updates CMQCC Maternal Data Center (CMDC) Anne Castles, MPH, MA - CMDC Project Manager
4 Partnership for Patients 40 Percent reduction in harm 20 Percent reduction in readmissions 14 by 2014
5 10 Targeted Strategies Infection Reduction: 1. Catheter-associated urinary tract infections (CAUTI) 2. Central line-associated blood stream infections (CLABSI) 3. Surgical site infections (SSI) 4. Ventilator-associated pneumonia (VAP) Nursing Care: 5. Injuries from falls and immobility 6. Pressure ulcers High Risk: 7. Adverse drug events 8. Obstetrical adverse events 9. Venous thromboembolism or blood clots (VTE) Continuity of Care: 10. Prevention of readmissions
6 OB Adverse Events Partnership for Patients: Early Elective Delivery Prior to 39 Weeks Episiotomy Safe Deliveries Roadmap Partnership for Patients: 2014 Early Elective Delivery Prior to 39 Weeks Episiotomy Today s Focus Safe Deliveries Roadmap Pre-eclampsia Hemorrhage
7
8 Partners American Congress of Obstetricians and Gynecologists Association of Women s Health, Obstetric & Neonatal Nurses March of Dimes Northwest Organization of Nurse Executives Obstetrics Clinical Outcomes Assessment Program Rural Healthcare Quality Network Washington State Department of Health Washington State Health Care Authority Washington State Hospital Association Partnership for Patients Washington State Medical Association Washington Perinatal Collaborative More to Come..
9 Safe Deliveries Roadmap Project Structure Steering Committee Pre-conception Advisory Group Pregnancy Advisory Group Delivery Advisory Group Postpartum Advisory Group Leadership Measures LEAPT
10 Safe Deliveries Roadmap Steering Committee Sharon Beaudoin, MPH, RD - Within Reach Tom Benedetti, MD - University of Washington Susan Bishop, RNC-OB, MN - Assoc. of Women's Health, Obstetrics and Neonatal Nurses Heather Bradford, CNM, ARNP, FACNM - Evergreen Health; WA State Nurses Assoc. Kathy Burgoyne, PhD - Comprehensive Health Education Foundation Danette Glassy, MD - Mercer Island Pediatrics; BestStart Washington Beth Harvey, MD - South Sound Pediatrics Maxine Hayes, MD - WA State Dept. of Health Patty Hayes, RN, MN - Public Health Seattle King County Brian Johnston, MD - UW Harborview Ellen Kauffman, MD - Foundation for Health Care Quality Judy Kimelman, MD - American College of Obstetricians and Gynecologists Mary Looker - WA Association of Community & Migrant Health Centers Merry-K. Moos, RN, FNP, MPH - University of North Carolina Carolyn Kline, MD - EvergreenHealth Gina Legaz, MPH - March of Dimes Dan Lessler, MD - WA State Healthcare Authority Kathy Lofy, MD - WA State Dept. of Health Molly Pessl, BSN, IBCLC Evergreen Perinatal Education Sarah Prager, MD - Multicare Tacoma; UW Dept. of Ob-Gyn Dale Reisner, MD - WA State Medical Assoc. Roger Rowles, MD - WA Perinatal Collaborative Roy Simms, MD - WA Dept. of Social and Health Services Bat Sheva Stein, RN, MSN - WA State Dept. of Health Tom Strandjord, MD - Overlake Hospital Medical Center; UW Medical Center A Few More Still to Come!
11
12 Participating Hospitals Cascade Valley Hospital and Clinics Central Washington Hospital Coulee Medical Center EvergreenHealth Group Health Cooperative Harrison Medical Center Highline Medical Center Island Hospital Jefferson Healthcare Kittitas Valley Healthcare Lake Chelan Community Hospital Legacy Salmon Creek Medical Center Mid Valley Hospital MultiCare Auburn Medical Center MultiCare Good Samaritan Hospital MultiCare Tacoma General Hospital Newport Hospital Othello Community Hospital Overlake Hospital PeaceHealth Southwest Medical Center PeaceHealth St. Joseph Medical Center PeaceHealth Sacred Heart Medical Center, Oregon PMH Medical Center Providence Holy Family Hospital Providence Mt. Carmel Hospital Providence Regional Medical Center Everett Providence Sacred Heart Medical Center & Children s Hospital Providence St. Mary Medical Center Providence St. Peter Hospital Pullman Regional Hospital Samaritan Healthcare Skagit Valley Hospital St. Elizabeth Hospital St. Francis Hospital St. Joseph Medical Center Franciscan Health System Sunnyside Community Hospital & Clinics Swedish/Ballard Swedish /First Hill Swedish/Edmonds Swedish /Issaquah Three Rivers Hospital UW/University of Washington Medical Center UW/Northwest Hospital & Medical Center UW/Valley Medical Center Valley Hospital/Rockwood Health System Walla Walla General Hospital Whidbey General Hospital Whitman Hospital and Medical Center Yakima Valley Memorial Hospital
13 Labor Management Bundle
14 Labor Management Bundle Measures
15 Roll-out On-boarding: (July December) Readiness assessment Education Algorithm and checklist testing: LEAPT group (December March) Data Collection (April) Implementation: (April)
16 Data Sources CQMCC Maternal Data Center (CMDC) Obstetrics Clinical Outcomes Assessment Program (OB COAP) Washington State Health Data System Criteria Safe Deliveries Roadmap measures within specified period of time. Data burden on hospitals No duplication of data abstraction Protection from disclosure and discovery CQIP Ability to drill down to individual cases for quality improvement Hospital and system level reports Costs Capability for health systems that cross state boundaries to allow all of their hospitals to participate. Decision - leverage strengths of all three systems CQMCC Maternal Data Center (CMDC) Safe Deliveries Roadmap outcomes OB COAP LEAPT project (to be determined) WA State Health Data System support infrastructure build for future
17
18 FAQs What is the cost to participate? Critical access hospitals: $2,500*/yr Non-critical access hospitals: $8,500*/yr * Subsidized by WSHA What does subsidized by WSHA mean? Is there an opportunity for a reduced fee? Can we pay in installments? What if we can t enroll in CDMC at this time but want to continue to participate in the Safe Deliveries Roadmap project? Do OB COAP hospitals need to enroll in the CDMC system to participate in the Safe Deliveries Roadmap?
19 The CMQCC Maternal Data Center (CMDC) Anne Castles, MPH, MA CMDC Project Manager Elliott Main, MD CMQCC Medical Director
20 What is the CMDC? (And how can data help my hospital??) A one-stop shop to support hospitals obstetric quality improvement initiatives and service line management Overall hospital performance measures Drill-down to the patient level and case review worksheets to identify quality improvement opportunities for both clinical quality and data quality Provider-level statistics to assess variation within a hospital Benchmarking statistics--to compare your hospital to regional, state, and like-hospital peers in WA and CA Facilitating reporting to Leapfrog, Roadmap, and HEN : Transforming Maternity Care
21 CPQCC and CMQCC Mission: Improving care for moms and newborns California Perinatal Quality Care Collaborative (CPQCC) Expertise in data capture from hospitals Established Perinatal Data Center in 1996: Now 132 Hospital Participants California Maternal Quality Care Collaborative (CMQCC) Statewide collaborative composed of providers, payers, purchasers, public health agencies and consumer groups Expertise in maternal data analysis Developer of QI toolkits Host of collaborative learning sessions Established Maternal Data Center in 2011 : Transforming Maternity Care
22 This image cannot currently be displayed. Why join the Maternal Data Center? Support QI activities in a way that is aligned with national and state performance reporting requirements (Joint Commission, Leapfrog, CMS, Medicaid) Fingertip access to key perinatal metrics and patient-level drill-down Facilitate performance reporting to Leapfrog, Medicaid, CMS Inpatient Quality Reporting Program and HEN) Improve data quality! Reduce data collection, query and reporting burden within clinical, quality & decision support departments by: o o Combining existing Patient Discharge Data (PDD) with subsets of clinical data Providing user-friendly chart abstraction tools : Transforming Maternity Care
23 Low-Burden Data Collection PDD--Discharge Diagnosis File (ICD9 codes) Hospital or State PDD to CMQCC Birth File (Clinical Data) Hospital or State Vital Records Data to CMQCC CMQCC Data Center LIMITED CHART REVIEW Roadmap Metrics Optionally: ED<39 Weeks Antenatal Steroids Bilirubin Screen DVT Prophylaxis REPORTS Benchmarks against other hospitals Sub-measure reports Calculates all the Measures : Transforming Maternity Care
24 Maternal Data Center Demonstration : Transforming Maternity Care
25 Participation Steps What? Who? When? 1 Complete a Participation Agreement with CMQCC and WSHA Hospital Director- Level/Legal Agreement distributed by mid-february 2a. Submit a subset of the CHARS Patient Discharge Data (PDD) your hospital already collects and reports IT staff already making CHARS Data Submissions Data specifications distributed by mid-february Aim for first data submission (January 2014 data) in April b. Interim: Submit 7 clinical data elements either via electronic file submission or manual data entry (MRN, DOB, OB Estimate of Gestational Age, Parity, Birthweight, Apgar Score, Delivering Provider) Future: Data directly from Vital Records IT staff create clinical data file from clinical data systems OR Clinical departments manually enter data for subset of cases OR Future: Vital Records : Transforming Maternity Care Same
26 Value beyond Joint Commission Reporting CMDC metrics represent entire population of deliveries Likely to reduce skew due to sampling from quarter to quarter Easy identification of facility-specific QI opportunities Drill-down patient level information Data quality reports to identify coding issues that impact performance Case review worksheets Metrics beyond Joint Commission Perinatal Care set Statewide, regional and system-wide benchmarks : Transforming Maternity Care
27 CMDC Measures Labor and Birth Measures Elective Delivery <39 Weeks (PC-01)* Episiotomy Rate OB Trauma (3/4th Laceration)-Cesarean Delivery (AHRQ EXP-2) OB Trauma (3/4th Laceration)-Vaginal Delivery w/ Instrument (AHRQ PSI 18) OB Trauma (3/4th Laceration)-Vaginal Delivery w/o Instrument (AHRQ PSI 19) Cesarean Section--Nulliparous, Term, Singleton, Vertex (PC-02) # Cesarean Section--Nulliparous, Term, Singleton, Vertex, Age Adjusted Cesarean Section--Term, Singleton, Vertex (AHRQ IQI 21) Cesarean Section Primary (AHRQ IQI 33) # Total Cesarean Rate Induction Rate Failed Induction Rate Appropriate DVT Prophylaxis in Women Undergoing C-Section (Leapfrog)* Vaginal Birth After Cesarean (VBAC) Rate, All (AHRQ IQI 34) Vaginal Birth After Cesarean (VBAC) Rate, Uncomplicated (AHRQ IQI 22) Newborn Measures Newborn Bilirubin Screening Prior to Discharge (Leapfrog)* 5 Minute APGAR <7 Among All Deliveries >= 39 weeks 5 Minute APGAR <7 in Early Term Newborns Birth Trauma - Injury to Neonate (AHRQ PSI 17) Unexpected Newborn Complications (Total, Severe, Moderate) (NQF #716) # Prematurity Measures Antenatal Steroids (PC-03) Antenatal Steroids-Leapfrog VLBW (<1500g) NOT delivered at a Level III NICU Additional Roadmap Outcome Measures Elective Inductions Maternal Admission to ICU Maternal Blood Transfusions Maternal Postpartum Length of Stay (Vaginal vs. Cesarean) Operative Vaginal Delivery *Requires additional limited chart review # Also a Roadmap Outcome Measure : Transforming Maternity Care 27
28 Maternal Data Center Screen Shots : Transforming Maternity Care
29 : Transforming Maternity Care 29 29
30 : Transforming Maternity Care 30
31 : Transforming Maternity Care 31
32 : Transforming Maternity Care 32
33 3 Major Drivers of the Primary CS Rate Sample Hospital Sample Hospital
34
35 3 Major Drivers of the NTSV CS Rate Sample Hospital Sample Hospital
36
37 Comparison Rates for the 3 Major NTSV Drivers Sample Hospital
38 Provider-Level Cesarean Rates Sample Hospital G5xxxx G6xxxx G7xxxx G8xxxx A8xxxx A6xxxx A5xxxx A4xxxx A8xxxx A9xxxx
39 Uploading Data Files CMQCC receives Birth Data from Hospital (interim) or directly from the Center for Health Statistics (future) Hospital uploads Admin Data (Patient Discharge Data) for one or more months After both files uploaded, linkage occurs instantaneously. If additional record review required, notation Action Needed appear
40 Data Entry for Chart Review Once the data linkage is complete, the system performs the preliminary analysis for any chart review measures and identifies the subset of charts to be reviewed. A worksheet can be printed for use in review Data is entered by clicking into this interactive screen Each Data Field can be sorted Data Entry by clicking /26/ /29/
41 Reporting Center Each measure is displayed graphically and as a data table Each measure can be downloaded either as an image for use in presentations or as a data file to be used in reports Select comparison group(s) for your hospital Select quality measure to display (image) (data file) Download this measure Click on rate to Drill Down to see the numerator cases
42 Drill Down Information Can drill down to see case-level information Hover boxes show definitions for ICD-9 codes
43 Data Quality Reports Identify discrepancies or missing data in Birth Certificate and Discharge data files Use to target data performance/quality improvement Screen shot from the California Maternal Data Center 43
44 44
45 Targeting QI Activities What is driving your Elective Delivery<39 Weeks Rate?
46 Comparative Statistics on: Demographic Indicators Maternal Conditions Delivery Methods Prematurity Rates Length of Stay
47 Data Edit Tool: To allow data corrections : Transforming Maternity Care
48 Two Security Gates : Transforming Maternity Care
49 FAQs What is the cost to participate? Critical access hospitals: $2,500*/yr Non-critical access hospitals: $8,500*/yr * Subsidized by WSHA What does subsidized by WSHA mean? Is there an opportunity for a reduced fee? Can we pay in installments? What if we can t enroll in CDMC at this time but want to continue to participate in the Safe Deliveries Roadmap project? Do OB COAP hospitals need to enroll in the CDMC system to participate in the Safe Deliveries Roadmap?
50 Other Questions?
51 Next Steps Introduction to California Maternal Data Center for: Individuals responsible for obstetric department data capture Individuals responsible for hospital data systems from which Chars data is extracted Individuals responsible for hospital electronic clinical systems (EMR) Next presentation Thursday, January 23 th, noon to 1:00 p.m. Participation agreements distributed mid-february Pay fees to Washington State Hospital Association by February 28 th Sign up for training Submit data anticipate April
52 Meeting Schedule 2014 Roadmap Monthly (webcast) 7:00 8:00 a.m. January 9 February 21 March 26 April 23 May 20 June 12 July 23 August 19 September 18 October 21 November 26 December 18 JUST ADDED! CQMCC Maternal Data Center - January 23 rd, noon 1:00 p.m. Safe Tables (in-person) 9:00 a.m. 2:30 p.m. April 1 July 24 November 20
53 Thank You! Mara Zabari, Director of Integration Partnership for Patients Safe Deliveries Roadmap Website
The California Maternal Data Center (CMDC): Resources for your Perinatal Safety Program
The California Maternal Data Center (CMDC): Resources for your Perinatal Safety Program Southern California Patient Safety First Collaborative Anne Castles Project Manager, CMDC acastles@cmqcc.org CMQCC
THE OREGON MATERNAL DATA CENTER (OMDC) Detailed FAQ for Hospitals
THE OREGON MATERNAL DATA CENTER (OMDC) A statewide initiative of Q Corp, the March of Dimes and the Oregon Perinatal Collaborative Detailed FAQ for Hospitals What is the Oregon Maternal Data Center? The
The California Maternal Data Center (CMDC) Anne Castles, MPH, MA CMDC Project Manager Elliott Main, MD CMQCC Medical Director
The California Maternal Data Center (CMDC) Anne Castles, MPH, MA CMDC Project Manager Elliott Main, MD CMQCC Medical Director Using Data to Drive Excellence in Maternity Care CMQCC and CPQCC Mission: Improving
The California Maternal Data Center (CMDC)
The California Maternal Data Center (CMDC) Anne Castles, MPH, MA Kathryn Melsop, MS CMDC Project Managers Elliott Main, MD CMQCC Medical Director Using Data to Drive Excellence in Maternity Care CMQCC
The WSHA Maternal Data Center (WSHA-MDC) Elliott Main, MD CMQCC Medical Director Anne Castles, MPH, MA MDC Project Manager
The WSHA Maternal Data Center (WSHA-MDC) Elliott Main, MD CMQCC Medical Director Anne Castles, MPH, MA MDC Project Manager National Perinatal Reporting Activities Who? Center for Medicare Services (CMS)
Implementing Maternity Bundled Payment To Reduce Low-risk First-birth Cesarean Births: A Multi-Stakeholder Initiative
Implementing Maternity Bundled Payment To Reduce Low-risk First-birth Cesarean Births: A Multi-Stakeholder Initiative Elliott Main MD, CMQCC Brynn Rubinstein, PBGH Agenda 1. Pilot Overview (Brynn) 2. Quality
U.S. Department of Health & Human Services May 7, 2014. New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings
U.S. Department of Health & Human Services May 7, 2014 New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings The data in this report shows a substantial nine percent
Art and Science of Medicine Meets Quality improvement
Art and Science of Medicine Meets Quality improvement Elliott Main, MD Medical Director, CMQCC main@cmqcc.org Clinical Professor, Depts of OB/GYN UCSF, and Stanford University CPQCC and CMQCC California
Responding Facilities by EHR vendor
Responding Facilities by EHR vendor VENDOR1 VENDOR2 VENDOR3 FACILITY CITY CERNER St Elizabeth Hospital Enumclaw CERNER St Francis Hospital Federal Way CERNER Providence St Peter Hospital Olympia CERNER
Barbara Murphy, RN, MSN Director, CPQCC Director, Perinatal Programs Division of Neonatal and Developmental Medicine Stanford University
Barbara Murphy, RN, MSN Director, CPQCC Director, Perinatal Programs Division of Neonatal and Developmental Medicine Stanford University A group of CA leaders in healthcare, Committed to improving care
Ellen F. Robinson, PT ATC Clinical Quality Specialist Seattle, WA
Ellen F. Robinson, PT ATC Clinical Quality Specialist Seattle, WA Mission and Priority of care Confidential: Quality Improvement 2 July 2009 Oh I wish I had a toolkit July 2010 AHRQ Toolkit Project July
Section 3. Innovative Models
Section 3. Innovative Models 3. Innovative Models This section outlines the processes, methods and outcomes from five different hospitals and systems as they have worked to improve maternal and infant
Patient Safety. Annual Continuing Education Modules. Contents
Annual Continuing Education Modules Patient Safety This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Target Audience: Contents
Hospital Information. Facility Name: Primary HEN Contact: Quality Lead: Infection Preventionist: HEN 2.0 Survey Questions
Hospital Information Facility : Quality Lead: Infection Preventionist: Email Email Email HEN 2.0 Survey Questions Patient and Family Engagement 1) Prior to scheduled admission, hospital staff provides
BEST- Practice Management Guidelines B: BEST Decision E: Evidence-Based S: Simple & Safe T: Team Focused
OB Excellence: Postpartum Hemorrhage [PPH]-DATA ANALYSIS Perinatal University Speaker/Master Instructor: Carol A. Curran RNC, MS, OGNP CEO & Founder: Clinical Specialists Consulting & Perinatal University
Maternity Care Primary C-Section Rate Specifications 2014 (07/01/2013 to 06/30/2014 Dates of Service)
Summary of Changes Denominator Changes: Two additions were made to the denominator criteria. The denominator was changed to include patients who had: a vertex position delivery AND a term pregnancy of
ACOG SMI Implementation Visit to South Nassau Communities Hospital
ACOG SMI Implementation Visit to South Nassau Communities Hospital Janet Shelters, RN, BS, CEN Nurse Manager, Labor and Delivery Alyson Ornstein, RN, BSN, CBC Nurse Manager, NICU/Maternity Hospital Description
Rural Health Advisory Committee s Rural Obstetric Services Work Group
Rural Health Advisory Committee s Rural Obstetric Services Work Group March 15 th webinar topic: Rural Obstetric Patient and Community Issues Audio: 888-742-5095, conference code 6054760826 Rural Obstetric
Innovation Profile: A collaborative effort to reduce early inductions.
Innovation Profile: A collaborative effort to reduce early inductions. Snapshot Summary The Sutter Medical Center Sacramento implemented a data driven and collaborative intervention to addressed elective
Hospital Engagement Networks: Connecting Hospitals to Improve Care
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Communications FACT SHEET FOR IMMEDIATE RELEASE Contact:
Obstetrical Hemorrhage and Obstetric Laceration Workgroup
Obstetrical Hemorrhage and Obstetric Laceration Workgroup Purpose To develop standard clinical definitions on select diagnoses & categories to be used consistently across all hospitals in Maryland Definitions
The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2016 Leapfrog Hospital Survey
The Leapfrog Hospital Survey Scoring Algorithms Scoring Details for Sections 2 9 of the 2016 Leapfrog Hospital Survey Table of Contents 2016 Leapfrog Hospital Survey Scoring Algorithms... 3 Section 2:
Massachusetts Maternal Hemorrhage Clinical Improvement Initiative
Massachusetts Maternal Hemorrhage Clinical Improvement Initiative Maternal Hemorrhage Initiative 2010 Lehman Center OB Safety Panel Report made five (5) recommendations to improve maternal newborn care
Smooth Transitions: Enhancing the Safety of Planned Out-of-Hospital Birth Transfers
Smooth Transitions: Enhancing the Safety of Planned Out-of-Hospital Birth Transfers A Quality Improvement Initiative of the WA State Perinatal Collaborative Midwives Association of Washington State http://washingtonmidwives.org/
Medicare Long-Term Care Hospital Prospective Payment System
Medicare Long-Term Care Hospital Prospective Payment System May 5, 2015 Payment Rule Brief PROPOSED RULE Program Year: FFY 2016 Overview, Resources, and Comment Submission On May 17, the Centers for Medicare
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM: FINANCIAL REPORT AND SYSTEM DASHBOARDS May 29, 2013
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM: FINANCIAL REPORT AND SYSTEM DASHBOARDS May 29, 2013 Office of the Vice President for Health Affairs Board of Trustees Spring Chicago Meeting UI
PUBLIC-PRIVATE PARTNERSHIPS
PUBLIC-PRIVATE PARTNERSHIPS Ohio Medicaid s Experience in Improving Children s Quality of Care & Reducing Costs through Collaboration and Improvement Science Mary Applegate, MD, FAAP. FACP Ohio Medicaid
Improving Perinatal Outcomes: Lessons from Premier s Perinatal Safety Initiative
Improving Perinatal Outcomes: Lessons from Premier s Perinatal Safety Initiative December 14, 2011 William Riley, Ph.D. Associate Dean, School of Public Health University of Minnesota School of Public
How To Bill For A Pregnancy
Maternity Billing The Maternity Period - For billing purposes, the obstetrical period begins on the date of the initial visit in which pregnancy was confirmed and extends through the end of the postpartum
Newborn outcomes after cesarean section for fetal distress in BC
Newborn outcomes after cesarean section for fetal distress in BC Patricia Janssen, PhD, UBC School of Population and Public Health Scientist, Child and Family Research Institute Kevin Jenniskens, MSc,
Overview of the Hospital Value-Based Purchasing (VBP) Fiscal Year (FY) 2017
Overview of the Hospital Value-Based Purchasing (VBP) Fiscal Year (FY) 2017 Bethany Wheeler Hospital VBP Program Support Contract Lead HSAG February 17, 2015 2 p.m. ET Purpose This event will provide an
AHRQ Patient Safety Tools and Resources
AHRQ Patient Safety Tools and Resources The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and resources to help a variety of health care organizations, providers,
51713 10/29 = 34% 66/127 = 52% American Healthcare 51714 22/57 = 39% 64/123 = 52% 51353 5/7 = 71% 1/6 = 17% 7/19 = 37%
National Nurse Aide Assessment (NNAAP) pass rates are based on test scores for both written and skills exams for first-time test takers. Aging and Long Term Care of Eastern WA Aging & Long Term Care of
Pregnancy Medical Home Update: October 2012
Pregnancy Medical Home Update: October 2012 Pregnancy Medical Home Program Population approach to improving quality of care and birth outcomes for pregnant Medicaid patients while reducing costs launched
NDNQI. NDNQI:Transforming Data into Quality Care. www.nursingquality.org. 3901 Rainbow Boulevard, M/S 3060. University of Kansas Medical Center
NDNQI NDNQI:Transforming Data into Quality Care University of Kansas Medical Center 391 Rainbow Boulevard, M/S 36 Kansas City, KS 6616 www.nursingquality.org American Nurses Association The American Nurses
Corporate Reimbursement Policy
Corporate Reimbursement Policy Guidelines for Global Maternity Reimbursement File Name: Origination: Last Review: Next Review: guidelines_for_global_maternity_reimbursement 10/2003 7/2016 7/2017 Description
Improving Perinatal Care in California: Reaching 500,000 Annual Births
Improving Perinatal Care in California: Reaching 500,000 Annual Births HQI Annual Conference: November 2015 Funding from: California HealthCare Foundation Centers for Disease Control California Dept. Public
AHRQ Quality Indicator Software Version 4.1 Version 4.1 Additional Detail Additional Detail
AHRQ Quality Indicator Software Version 4.1 Additional Detail Jeffrey Geppert, EdM, JD, Battelle Memorial Institute John Bott, MSSW, MBA, Contractor, Agency for Healthcare Research and Quality January
Hospital Inpatient Quality Reporting (IQR) Program
Clinical Process Measures Program Changes for Fiscal Year 2014 Beginning with January 1, 2012 discharges; hospitals will begin data collection and submission for 4 new measures. Hospitals will not be required
Provider Notification Obstetrical Billing
Provider Notification Obstetrical Billing Date of Notification September 1, 20 Revision Date September 17, 2015 Plans Affected Mercy Care Plan and Mercy Care Long Term Care Plan Referrals As outlined in
MANA Home Birth Data 2004-2009: Consumer Considerations
MANA Home Birth Data 2004-2009: Consumer Considerations By: Lauren Korfine, PhD U.S. maternity care costs continue to rise without evidence of improving outcomes for women or babies. The cesarean section
A Report on Potentially Avoidable Emergency Room Visits in Washington State www.wacommunitycheckup.org
Right Care, Right Setting A Report on Potentially Avoidable Emergency Room Visits in www.wacommunitycheckup.org Dear community member, If you are experiencing a sudden and serious medical problem, the
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME standard topic: Specialist neonatal care Output: standard advice to the Secretary of State
OBSTETRICAL POLICY. Page
OBSTETRICAL POLICY REIMBURSEMENT POLICY Policy Number: ADMINISTRATIVE 200.14 T0 Effective Date: April 1, 2016 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS... APPLICATION... OVERVIEW... REIMBURSEMENT
National Provider Call: Hospital Value-Based Purchasing (VBP) Program
National Provider Call: Hospital Value-Based Purchasing (VBP) Program Fiscal Year 2016 Overview for Beneficiaries, Providers and Stakeholders Cindy Tourison, MSHI Lead, Hospital Inpatient Quality Reporting
OneHealthPort HIE Community Welcomes New Trading Partners
Health Information Exchange in Washington State LATEST PROJECT UPDATE December 2, 2013 OneHealthPort HIE Community Welcomes New Trading Partners This fall, the OneHealthPort HIE welcomed several new trading
Access to Appropriate Services for High Risk. in New York State. New York State Department of Health
Access to Appropriate Services for High Risk Neonates in New York State Di i i f F il H l h Division of Family Health New York State Department of Health Perinatal Regionalization in New York State Perinatal
CLINICAL QUALITY MEASURES FINALIZED FOR ELIGIBLE HOSPITALS AND CRITICAL ACCESS HOSPITALS BEGINNING WITH FY 2014
CLINICAL QUALITY MEASURES FINALIZED FOR ELIGIBLE HOSPITALS AND CRITICAL ACCESS HOSPITALS BEGINNING WITH FY 2014 e 55 0495 2 Emergency Department (ED)- 1 Emergency Department Throughput Median time from
Business Case for National Healthcare Safety Network (NHSN) Infection Surveillance Database
Business Case for National Healthcare Safety Network (NHSN) Infection Surveillance Database Executive Summary All hospitals understand the value of preventing healthcare-associated infections (HAIs) and
Leapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS
Leapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS Welcome to the 2016 Leapfrog Hospital Survey... 6 Important Notes about the 2016 Survey... 6 Overview
Relevant Quality Measures for Critical Access Hospitals
Policy Brief #5 January 0 Relevant Quality Measures for Critical Access Hospitals Michelle Casey MS, Ira Moscovice PhD, Jill Klingner RN, PhD, Shailendra Prasad MD, MPH University of Minnesota Rural Health
Written Statement. for the. Senate Finance Committee of The United States
Written Statement of Isis Montalvo, RN, MS, MBA Manager, Nursing Practice & Policy American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20903 for the Senate Finance Committee of
Chapter Seven Value-based Purchasing
Chapter Seven Value-based Purchasing Value-based purchasing (VBP) is a pay-for-performance program that affects a significant and growing percentage of Medicare reimbursement for medical providers. It
Why San JoSe needs a Medical center for WoMen & children APR I L 2 014
Why San JoSe needs a Medical center for WoMen & children APR I L 2 014 SUMMary San Jose is the largest city in the United States without a stand-alone children s hospital. Santa Clara Valley Medical Center
THE 2015 QUALIS HEALTH AWARDS OF EXCELLENCE IN HEALTHCARE QUALITY
THE 2015 QUALIS HEALTH AWARDS OF EXCELLENCE IN HEALTHCARE QUALITY Since 2002, Qualis Health has presented the annual Awards of Excellence in Healthcare Quality to outstanding organizations in Idaho and
CMS Office of Public Affairs 202-690-6145 MEDICARE PROPOSES NEW HOSPITAL VALUE-BASED PURCHASING PROGRAM
For Immediate Release: Friday, January 07, 2011 Contact: CMS Office of Public Affairs 202-690-6145 MEDICARE PROPOSES NEW HOSPITAL VALUE-BASED PURCHASING PROGRAM OVERVIEW: Today the Centers for Medicare
Nursing Quality: Measurement and Improvement
Nursing Quality: Measurement and Improvement This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Target Audience: CMC and
June 10, 2015. Dear Mr. Slavitt:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org June 10, 2015 Andrew M. Slavitt Acting Administrator Centers for Medicare &
Who Is Involved in Your Care?
Patient Education Page 3 Pregnancy and Giving Birth Who Is Involved in Your Care? Our goal is to surround you and your family with a safe environment for the birth of your baby. We look forward to providing
Testimony of the American College of Nurse-Midwives. at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health.
Testimony of the American College of Nurse-Midwives at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health on the Improving Access to Maternity Care Act (H.R.1209) Wednesday,
Midwifery in New York
Midwifery in New York Barbara Hughes, CNM, MS, MBA, FACNM Wilson Hughes Consulting, LLC The culture of midwifery: It s all about listening to women, caring for women, empowering women, and doing the right
Cognos Web-based Analytic Tool Overview
Cognos Web-based Analytic Tool Overview Market, Quality and Physician Data Analysis with Drill-thru Feature Mari Tietze, PhD, RN-BC Director, Nursing Research and Informatics DFWHC ERF 2009 1 UB-04 Source
CDC National Survey of Maternity Practices in Infant Nutrition and Care (mpinc)
OMB #0920-0743 EXP. DATE: 10/31/2010 CDC National Survey of Maternity Practices in Infant Nutrition and Care (mpinc) Hospital Survey Conducted for Centers for Disease Control and Prevention National Center
Value Based Purchasing (VBP) Awareness Brief. FY 2018 Value Based Purchasing Program Domain Weighting
Value Based Purchasing (VBP) Awareness Brief This Awareness Brief provides a high level summary understanding of value based purchasing. The Hospital Value Based Purchasing (VBP) Program adjusts hospitals
Renown Regional Medical Center Department Of Obstetrics and Gynecology. Policies and Procedures Certified Nurse Midwives ( CNM S)
1. Overview: Department Of Obstetrics and Gynecology Policies and Procedures Certified Nurse Midwives ( CNM S) supports the practice of Nurse Midwifery and will participate with Certified Nurse Midwives
Quality of Birth Certificate Data. Daniela Nitcheva, PhD Division of Biostatistics PHSIS
Quality of Birth Certificate Data Daniela Nitcheva, PhD Division of Biostatistics PHSIS Data Quality SC State Law requires that you file the birth certificate within 5 days of a child s birth. Data needs
Office of Rural Health Policy MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT
Office of Rural Health Policy MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT Paul Moore, DPh Senior Health Policy Advisor Office of Rural Health Policy Health Resources and Services Administration Department
Capture of the Pediatric Core Measures from Electronic Health Records by Two Category A Grantees
Capture of the Pediatric Core Measures from Electronic Health Records by Two Category A Grantees Introduction: Pennsylvania s Category A portion of the CHIPRA Demonstration Grant includes two of the State
Implementing a Complete Perinatal Information System Donald Levick, M.D., MBA, FHIMSS
Implementing a Complete Perinatal Information System Donald Levick, M.D., MBA, FHIMSS DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent
Volunteer Site List University of Washington Division of Occupational Therapy
Central Washington Hospital 1201 Red Apple Road Wenatchee WA 98801 Cris Lease OTR/L Telephone: 509-665-6156 clease@cwhs.com Eastern State Hospital PO Box 800 Medical Lake WA 99022 Terry Glenn OTR/L Telephone:
Three Primary OB Hospitalist Models:
Three Primary OB Hospitalist Models: Which One is Right for Your Hospital? A 24/7 Obstetric Hospitalist Program is rapidly becoming the standard of care in the US. No longer a luxury, but a necessity.
Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience
Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience Carolyn Brown, Director Quality and Safety Vickie Wilson, Manager - DSRIP ABOUT US Santa Clara Valley Hospital and Health System
Hospital Employee Education and Training Report to the Legislature December 2010
Hospital Employee Education and Training Report to the Legislature December 2010 Hospital Employee Education and Training Report to the Legislature December 2010 Background... 3 Purpose... 3 Process...
AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY
AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY Adult Medicaid Quality Grants Program The Adult Medicaid Quality Grants Program is a 2-year funding opportunity designed to support grantee Medicaid
How To Contact A Hospital In Western United States
Washington State Trauma Rehabilitation Service Directory Washington State Department Of Health Office of Community Health Systems PO Box 47853 Olympia WA 98504-7853 Current version at: http://www.doh.wa.gov/portals/1/documents/pubs/530103.pdf
ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama
ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama The American College of Nurse- Midwives (ACNM) is the national organization representing the interests
Perinatal Care (PC) Core Measures: Updates for Fall 2015 Webinar Question and Answer Session
Updates for Fall 2015 and Answer Session Should we continue submitting the PC-5a data until October? ACOG definition of full term is 39-41 weeks. What is the rationale for including 37 & 38 weeks in the
FLORIDA S TRANSPARENCY INITIATIVES
FLORIDA S TRANSPARENCY INITIATIVES Lisa Rawlins, Bureau Chief, Florida Center for Health Information and Policy Analysis, Florida s Agency for Health Care Administration RawlinsL@ahca.myflorida.com Florida
UW Medicine Case Study
Learn Serve Lead April 2013 Association of American Medical Colleges ABOUT THE BEST PRACTICES FOR BETTER CARE CASE STUDY SERIES Better performers from the Best Practices for Better Care initiative, identified
August 7, 2013 Page 1
Facility: CROSSROADS COMMUNITY ID: 13297 Exhibit 1: Facility-Specific Summary Report Notes: 1. Please refer to Appendix A for definitions of each row of data. 2. Analysis is illustrative based on historical
The Flex Program MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT
Office of Rural Health Policy 2012 Rural Health Information Technology Network Development Grantee Meeting The Flex Program MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT Paul Moore, DPh Senior Health
Patient Safety Tools: Improving Safety at the Point of Care
PROGRAM BRIEF Patient Safety Tools: Improving Safety at the Point of Care The mission of AHRQ is to improve the quality, safety, efficiency, and effectiveness of health care by: Using evidence to improve
Certified Nurse Midwives in Delivery: What benefits they bring! Presented by: Deborah Johnson, CNM Jodee Gutierrez CNM
Certified Nurse Midwives in Delivery: What benefits they bring! Presented by: Deborah Johnson, CNM Jodee Gutierrez CNM History of Midwifery Midwife means with woman French Sage femme Spanish La Partera
LEAN HEALTHCARE CERTIFICATION PROGRAM
LEAN HEALTHCARE CERTIFICATION PROGRAM Meeting Outline Review Partnership for Patients initiative An overview of the Lean Healthcare training and certification program Role definitions of the Lean Healthcare
COLLEGE OF MEDICINE CURRICULUM VITAE. Lynne Himmelreich, ARNP, CNM, MPH, FACNM 10 September 2011
COLLEGE OF MEDICINE CURRICULUM VITAE Lynne Himmelreich, ARNP, CNM, MPH, FACNM 10 September 2011 I. EDUCATIONAL AND PROFESSIONAL HISTORY Undergraduate Education 1969-72 Diploma St. Luke s Hospital School
MN HAI Prevention Plan 1
Healthcare Associated Infections Plan Minnesota Department of Health Healthcare Associated Infections Program Introduction In response to the increasing concerns about the public health impact of healthcare-associated
Donna Diers, RN, PhD MidCentral DHB Palmerston North, New Zealand October 13, 2011
Donna Diers, RN, PhD MidCentral DHB Palmerston North, New Zealand October 13, 2011 Nursing Quality Metrics Canada: C-HOBIC (Canadian Health Outcomes for Better Information and Care)* Acute care ADL; Bladder
Fairview Health Services CERTIFIED NURSE MIDWIFE Delineation of Privileges CROSSWALK FOR REQUESTING FAIRVIEW PRIVILEGES
PAGE 1 OF 4 Fairview Health Services CERTIFIED NURSE MIDWIFE Delineation of Privileges Applicant s Name (please print): CROSSWALK FOR REQUESTING FAIRVIEW PRIVILEGES I Want to Work at the Following Fairview
Safe Deliveries Colorado
Safe Deliveries Colorado Participating Hospitals Avista Adventist Hospital, Louisville Littleton Adventist Hospital, Littleton Platte Valley Medical Center, Brighton St. Mary-Corwin Medical Center, Pueblo
Data Analysis Project Summary
of Introduction The notion that adverse patient safety events result in excess costs is not a new concept. However, more research is needed on the actual costs of different types of adverse events at an
The Centers for Medicare & Medicaid Services (CMS) Acute Care Hospital Fiscal Year (FY) 2018 Quality Improvement Program Measures
ID Me asure Name NQF # - (HRRP) ID Me asure Name NQF # - (HRRP) ID Me asure Name NQF # - (HRRP) CMS Measures Fiscal Year 2018 The Centers for Medicare & Medicaid Services (CMS) Acute Care Fiscal Year (FY)
Hospital & Facility Risk Management S e R V i c e S. facility Support. Provider Support. continuing education. Tools and Publications
Hospital & Facility Risk Management S e R V i c e S facility Support Provider Support continuing education Tools and Publications Our Team Unprecedented change in payment models, Our risk management patient
Pregnancy-Related Deaths Due to Cardiomyopathy - Florida, 1999-2010
Pregnancy-Related Deaths Due to Cardiomyopathy - Florida, 1999-2010 THE FLORIDA PREGNANCY-ASSOCIATED MORTALITY REVIEW (FL-PAMR), 1999-2010 Funded through Title V MCH Block Grant FL-PAMR HISTORY In 1996,
Regions Hospital Delineation of Privileges Certified Nurse Midwife
Regions Hospital Delineation of Privileges Certified Nurse Midwife Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MMORIAL HOSPITAL NURSING DPARTMNT POLICY TITL MOTHR/BABY UNIT Job Title of Reviewer FFCTIV DAT RVISD DAT POLICY TYP Director, Women s and Children s Services 7/87 9/15 DPARTMNTAL INTRDPARTMNTAL
Adverse Event Reporting Program Annual Report
Adverse Event Reporting Program Annual Report February 2010 Adverse Event Reporting Program Annual Report February 2010 For more information or Additional copies of this report contact: Office of the
Clinical Nurse Leader Informational Paper
Association of California Nurse Leaders 1 2 Clinical Nurse Leader Informational Paper DRAFT 3 4 5 6 7 8 9 10 Background In 2006, the Professional Practice Committee and the Regional Taskforce South hosted
WAPC Infant and Family Committee Minutes May 10, 2013, 10:00 a.m. 2:30 p.m. WAPC Office, Madison, WI
WAPC Infant and Family Committee Minutes May 10, 2013, 10:00 a.m. 2:30 p.m. WAPC Office, Madison, WI Participants: Mary Jo Snorek, Chair, Sarah Antczak, RN; Children s Hospital of Wisconsin, Milwaukee
My Birth Experience at Mercy
My Birth Experience at Mercy This booklet provides information about labor and birth practices at Mercy and includes an optional birth plan that you can complete prior to your baby s birth. Discuss your
Florida Center for Health Information and Policy Analysis
Florida Center for Health Information and Policy Analysis Data Overview for the Commission on Healthcare and Hospital Funding May 20, 2015 1 Office of Data Collection and Quality Assurance Collection of