Using Root Cause Analysis to Reduce All-Cause Readmissions. Howard Dubin, MD



Similar documents
Root Cause Analysis (RCA) Getting to the Root of the Problem

Using Root Cause Analysis to Determine Why Readmissions are High. Presentation Objectives. Background Information 11/30/2011

Health Care Leader Action Guide to Reduce Avoidable Readmissions

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment

Coaching Patients to Improve Care Transitions in Pennsylvania. May 26, 2010

Nurse Transition Coach Model: Innovative, Evidence-based, and Cost Effective Solutions to Reduce Hospital Readmissions

Transitions of Care: The need for a more effective approach to continuing patient care

Understanding Care Transitions as a Patient Safety Issue

Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION

Home Health Aide Track

Cheryl Schraeder, RN, PhD, FAAN. The demographic landscape of America is changing at an accelerated pace

RED, BOOST, and You: Improving the Discharge Transition of Care

A Project to Reengineer Discharges Reduces 30-Day Hospital Readmission Rates. April 11, 2014

Care Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed

Oils. Heart-Healthy CONFERENCE ISSUE. American Heart Month. The Newest Trends in the Dairy-Free Aisle. Plan Healthful Vegan Diets

Transition of Care (TOC) Log Instructions (Effective: 4/15/14)

MANITOWOC COUNTY CARE TRANSITION PROGRAM

CCNC Care Management

Quality Improvement Road Map to EMERGENCY DEPARTMENT UTILIZATION

Kaiser Permanente: Transition Care Performance and Strategies

A C T I V I T Y : U S I N G T H E F I S H B O N E D I A G R A M TO

Henry Ford Health System Care Coordination and Readmissions Update

Readmissions as an Enterprise Priority. Presenters 4/17/2014

Transitional Care at Mount Sinai The PACT Program

Course Outline. Foundation of Business Analysis Course BA30: 4 days Instructor Led

PCMH and Care Management: Where do we start?

LeadingAge Maryland. QAPI: Quality Assurance Performance Improvement

MERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D.

Report a number that is zero filled and right justified. For example, 11 visits should be reported as 011.

THE SAN DIEGO CARE TRANSITIONS PARTNERSHIP

Providing and Billing Medicare for Transitional Care Management

Workflow and Process Analysis for CCC

Heart Failure Best Practice Strategies: Featuring Target: HF Honor Roll Hospitals

1. Executive Summary Problem/Opportunity: Evidence: Baseline Data: Intervention: Results:

Implementing an Evidence Based Hospital Discharge Process

Section 4: Key Informant Interviews

hospital readmission rate reduction: building better interfaces within the community.

Decreasing 30 day Readmissions on a Medical Surgical Telemetry Unit

Care Coordination and Transitions in Behavioral Health

MEDICAL ASSOCIATES HEALTH PLANS HEALTH CARE SERVICES POLICY AND PROCEDURE MANUAL POLICY NUMBER: PP 27

Post-Acute Care Transitions: An Essential Component of Accountable Care

RT AS PROJECT MANAGER:

HEALTH CHECK #6. Hospital to Home A pain for some

CCNC Care Management Standardized Plan

The problem of hospital readmissions

Transitions of Care : The Missing Links

Cheri Basso BSN, RN-BC,CHFN Hospital Initiatives to Improve Outcomes. FINANCIAL DISCLOSURE: No relevant financial relationship exists

a Foundation for Change

Patient to Person. Transitions of Care. Colby Bearch, MA-SF, MA-M, BA, RN, CDONA Sharyn King, RN, BSN, CCM

Johns Hopkins HealthCare LLC: Care Management and Care Coordination for Chronic Diseases

10/16/2013. Partnering with Skilled Nursing Facilities & Home Health Agencies to Prevent Hospital Readmissions. Cedars-Sinai Health System

Evaluating Training. Debra Wilcox Johnson Johnson & Johnson Consulting

Steps for Root Cause Analysis In Response to a Behavioral Health Adverse Event

Managing Patients with Multiple Chronic Conditions

doing a literature review

Root cause analysis. Chartered Institute of Internal Auditors

Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014

From the Ground Up: The implementation of a Transition Care Program (TOC) and its impact in COPD 30-day readmissions

New Patient Visit. UnitedHealthcare Medicare Reimbursement Policy Committee

Transitions of Care Management Coding (TCM Code) Tutorial. 1. Introduction Meaning of moderately and high complexity 2

IMPROVING INPATIENT DISCHARGE PROCESS TO REDUCE READMISSION

Root Cause Analysis A Tool for Improvement

CHAPTER 535 HEALTH HOMES. Background Policy Member Eligibility and Enrollment Health Home Required Functions...

Promoting Health, Supporting Inclusion

Second Forum on Health Care Management & Policy November 28 30, Discussion Report. Care Management

Improving Care Transitions using PDSA Methodology

Health Care Homes Certification Assessment Tool- With Examples

HIRING A QUALIFIED OFFICE STAFF

Report a number that is zero filled and right justified. For example, 11 visits should be reported as 011.

Passport Advantage Provider Manual Section 10.0 Care Management Table of Contents

Presentation Objectives

Transforming traditional case management through local provider partnerships

Patient Safety and Quality Improvement Plan. Patient Safety and Quality Improvement Plan

Transitions of Care: The need for collaboration across entire care continuum

Cedars Sinai Medical Center (CSMC) Learning Objectives. Why Medication Reconciliation?

The Advanced Certificate in Performance Audit for International and Public Affairs Management. Workshop Overview

Improving Transitions of Care: Hospital to Home

2016 Quality Assurance & Performance Improvement Plan

Patient Education Connecting patients to the latest multimedia resources. Marra Williams, CHES

How To Write A Nursing Home Self Assessment Survey On Patient Transitions And Family Caregivers

Transcription:

Using Root Cause Analysis to Reduce All-Cause Readmissions Howard Dubin, MD

Test Your Problem Solving Skills If you had two U.S. coins totaling 55 cents and one of the coins was NOT a nickel, what are the two coins? Can a man living in Milwaukee, Wisconsin be buried west of the Mississippi? Qualidigm 2012 2

What is Root Cause Analysis (RCA)? The process used to identify the origin of a problem Uses a specific set of tools to determine: What happened? Why it happened? How to prevent it from happening again Qualidigm 2012 3

Root Cause Analysis Basics Symptom of the problem. The Weed Above the surface The Underlying Causes The Root Below the surface The word root, in root cause analysis, refers to the underlying causes, not the one cause Qualidigm 2012 4

What Root Cause Analysis is NOT Used to blame any one person or group Qualidigm 2012 5

Pulling the RCA Community Team Together The RCA team is; Cross-setting Multidisciplinary Inclusive of staff directly involved if possible Includes Physicians Has support of leadership Everyone on the team is EQUAL Everyone leaves their badge outside of the room Qualidigm 2012 6

A Readmission happens. now what? Qualidigm 2012 7

Purpose of the Root Cause Analysis Identify the root cause of readmissions at your hospital/facility/agency. Identify patterns of readmissions specific to your community and its providers. Use RCA results to guide and target criteria and intervention selection. Qualidigm 2012 8

Variety of Root Cause Analysis Tools Patient/family interviews Care coordinator interviews Medical record reviews Process mapping Cause-and-effect diagrams 5 Whys Qualidigm 2012 9

Patient/Family Interviews Semi-structured telephone or face-to-face interviews with readmitted patients Helps identify opportunities for improvement from the patient s perspective Qualidigm 2012 10

Care Coordinator Interviews Conduct individual and/or group interviews with care coordinators. Identify patterns, trends, and opportunities for improvement from the staff perspective. Formulate groups across settings or within provider teams, organizations, or specialties. Qualidigm 2012 11

Medical Record Reviews Review randomly sampled hospital discharges and 30-day readmissions. Common finding: Patient education is completed and documented, but patients need more in-depth understanding to self-manage their conditions. Qualidigm 2012 12

Process Mapping Clarify specific roles and contributions of those involved. Observe discharge and admission processes directly, interview process owners, map the processes. Elicit staff and community partner perceptions about where communication issues and gaps may occur. Qualidigm 2012 13

Cause-and-Effect Diagram (Fishbone Diagram) Visually illustrates potential causes of high readmissions Qualidigm 2012 14

5 Whys Start asking why readmissions occur and record the answer. If the answer does not directly identify the root cause of your readmissions problem, ask why again and record the answer. Continue this process until your team agrees the problem s root cause has been identified. Qualidigm 2012 15

5 Whys Example Why are so many Medicare beneficiaries with heart failure being readmitted to our hospital? Because they do not understand or remember the red flags related to their condition after discharge. Why do they not understand the red flags? They do not have the correct documentation or reminder systems in place. Qualidigm 2012 16

5 Whys Example (cont d) Why do they not have the proper documentation or reminders? They did not receive a Personal Health Record (PHR) or red flag magnet with documentation of these red flags upon discharge. Why did they not receive the PHR or magnet? Distribution of these materials is not part of the current discharge process. Qualidigm 2012 17

Using RCA to Drive Intervention Selection - Example RCA Technique: Interview for all patients during one month who are currently in hospital for a 30-day readmission Intervention directly addresses root cause identified Intervention improves patient activation and engagement addresses four pillars (personal health record, red flags, medication management, and follow-up) Key Findings: (1) Patients did not understand/did not correctly take medications (2) Patient condition worsened; unsure of what to do, called 911 or came to ED Intervention Selection: Care Transitions Intervention (CTI) Qualidigm 2012 18

Qualidigm 2012 19

Results from Previous Care Transition RCAs RCAs revealed remarkably consistent results Patients experienced readmissions because of: Unmanaged worsening of their conditions Inadequate medication reconciliation Lack of patient/family education Returning to emergency departments instead of accessing a different type of medical service Qualidigm 2012 20

Three Basic System Gaps Lack of engagement or activation of patients and families Lack of standard processes among providers for transitioning patients Ineffective or unreliable sharing of relevant clinical information Qualidigm 2012 21

RCA Conclusion Many evidence-based interventions directed at one or more of these gaps, but require cooperative activity by more than one provider. All communities must build cross-setting or multiprovider relationships to deploy, measure, and revise implementation strategies. Qualidigm 2012 22

Community building is the necessary groundwork to enable improvement. Qualidigm 2012 23

Qualidigm 2012 24

Thank You Qualidigm 2012 25