Emergency Department Care Transitions Collaborative Overview. May 2014

Transcription

1 Emergency Department Care Transitions Collaborative Overview May 2014

2 Emergency Transition Advances (ETA) Newest Partnership for Patient Care initiative 18-month collaborative launched in January 2014 Aim to improve care transitions both to and from emergency departments (EDs) in the region, with a focus on transitions between EDs and community settings (e.g., home, skilled nursing facilities) Opportunity to develop regional approach to quality in the ED, with impact on safety and efficiency 2

3 Goals for the Collaborative Identify & share best practices for care transitions to & from EDs Develop standardized regional approaches and tools to facilitate ED transition processes Increase implementation of best practices across collaborative participants Engage providers & healthcare professionals across the continuum of care, patients &families, in the transition improvement process 3

4 Expert Advisory Panel Organization Aria Health Penn Medicine Chester County Hospital Crozer-Keystone Health System Foulkeways at Gwynedd Genesis HealthCare Hahnemann University Hospital Holy Redeemer Hospital Independence Blue Cross Institute for Safe Medication Practices Keystone First Lankenau Medical Center Mainline Health Penn Presbyterian Medical Center Temple University Hospital Temple University School of Medicine Thomas Jefferson University Hospital Name Gary Welch, DO Betty Brennan, EdD, MSN, RN, CEN Greg Cuculino, MD Mary Knapp, MSN, GNP, NHA, FAAN BJ Hauswald JoAnne Reifsnyder, PhD, RN Margaret Drake, BS, RN Eric Stander, MD, FACEP Tracy Swartz, RN, BSN, CEN Claudia Flanagan, RN, BSN Michael Lucca, MD Victor Caraballo, MD Hedy Cohen, RN, MS Kathy Donohue, RN, BSN, MBA, CHCQM Chris Jacobs Kathie Hogan, MSN, RN, CEN Grace Wummer, RN, MSN Ashley Edwards, LSW Kevin Kates, BSN, RN, CEN Mark Meyers, BSN, MBA, NE-BC Robert McNamara, MD, FAEEM Joseph Anton, RN, MSN Ronald Hall, MD 4

5 Timeline Activity Kick-off: Regional Symposium Participant Enrollment Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Jan Feb Introductory Webinars Mar Apr Baseline and Ongoing Measurement Apr Jun Workgroups Convened May May Site Visits Jun Jul Strategy Development & Implementation Jun Jun Webinars & Networking Opportunities Sept May Final Showcase Jun Follow-up Measurement & Dissemination Jul Dec 5

6 ETA Participants Bryn Mawr Hospital Lankenau Medical Center Chester County Hospital-Penn Medicine Doylestown Hospital Magee Rehabilitation Hospital Mercy Health System Mercy Fitzgerald Hospital Einstein Medical Center- Montgomery Einstein Medical Center- Philadelphia Foulkeways at Gwynedd Genesis Healthcare Hahnemann University Hospital HCR Manor Care Holy Redeemer Hospital Jeanes Hospital Keystone First Mercy Philadelphia Hospital Mercy Suburban Hospital Nazareth Hospital Methodist Hospital Paoli Hospital Pennsylvania Hospital St. Christopher s Hospital for Children Temple University Hospital Thomas Jefferson University Hospital 6

7 ETA By The Numbers 18 month collaborative 4 workgroups 24 facilities SE PA currently enrolled counties represented 5 50 % of ED visits in 2012 & 2013 represented by participants 7

8 Workgroups Purpose Forum for multi-organizational collaborative innovation and experimentation Each group charged to develop at least one strategy or deliverable with potential for significant regional impact Topics 8 Improving transitions between EDs and SNFs Standardization of ED discharge processes Early, reliable follow up from ED visit Addressing needs of frequent ED users

9 Collaborative Programming Site Visits Opportunity for HCIF to meet with each team to learn more about each facility, practices currently in place, improvement projects, goals for the collaborative Webinars Highlight best practices and innovative approaches from across the country with presentations from expert speakers Networking Opportunities for collaborative members to share their successes and challenges, facilitating peer learning and coaching 9

10 Measurement Overview Measurement undertaken for quality improvement purposes only Collaborative participants requested to collect and submit data via online data portal or survey interface Measurement enables HCIF and participants to: Identify potential areas of focus for improvement efforts Assess the degree of adoption of best practices/strategies facilitating ED care transitions Evaluate the degree of improvement in performance at the hospital level and in aggregate (as appropriate) 10

11 ETA Measurement Components Measure/Instrument Baseline Ongoing (Monthly) Post-Project ETA Transitions of Care Survey Hospitals Skilled Nursing and Rehab Facilities Operations and Staffing Survey Rates of 72-hour Returns Rates of 72-hour Admissions Focused Chart Reviews of Sampled Patients Workgroup-specific Measures (e.g., patient/family interviews) To be determined 11

12 Questions? Susan Choi Director, Quality Partnerships & Initiatives Susan Cosgrove Project Manager