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Georgia Hospital Engagement Network Cohort Coaching Call July 16, 2014

Georgia Hospital Engagement Network Cohort Coaching Call July 16, 2014. Cohort 2 + Cohort 3 + Cohort 4 = Cohort “9”. Framing. LEAPT Spread Review 3 topics for spread Getting ready for September spread March Madness Results PFE Calendar Review – Upcoming Events. March Madness Results.

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Georgia Hospital Engagement Network Cohort Coaching Call July 16, 2014

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  1. Georgia Hospital Engagement NetworkCohort Coaching CallJuly 16, 2014 Cohort 2 + Cohort 3 + Cohort 4 = Cohort “9”

  2. Framing • LEAPT Spread • Review 3 topics for spread • Getting ready for September spread • March Madness Results • PFE • Calendar Review – Upcoming Events

  3. March Madness Results • Cohort 1 is our challenge winner! • 27 out of 51 hospitals met the criteria of • Show either any improvement since baseline period or remained at target and • Submitted data for all required measures.

  4. Georgia Advanced Practice Project • Spreading Best Practices for: • C. diff Prevention and Sepsis Resources https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/Resources.aspx • Worker’s Safety https://quality.gha.org/Home/HospitalEngagementNetwork/LEAPTGAPP/WorkerSafety.aspx

  5. Severe sepsis and septic shock • Bold Aim: • To reduce mortality rates in patients with Sepsis by 10-40% by December 2014 • By reducing mortality we have the potential to save 28,692 to 114,770 lives nationally

  6. Severe sepsis and septic shock • Key Learnings from LEAPT Pilot Sites: • Provide mentor support and monthly coaching calls/webinars • Significant opportunity to positively impact people’s health and patient care while also reducing overall healthcare costs by identifying and addressing sepsis early • Concurrent management of the sepsis bundles is a best practice.

  7. Severe sepsis and septic shock • Key Learnings from LEAPT Pilot Sites: • Develop/broadly implement EHR triggers and warnings. • Collaborate with primary care, emergency management, skilled nursing, and home health. • Engage community to raise public awareness.

  8. Rapid Cycle Innovations

  9. Communications

  10. Culture and Teamwork

  11. It Solutions and Data Analysis

  12. Tools and Education

  13. Tools and Education

  14. Tools and Education

  15. Measures • Mortality rate, utilizing codes 995.91 (Sepsis), 995.92 (Severe sepsis) and 785.52 (Septic Shock) • Length of Stay

  16. LEAPT Data Review

  17. Clostridium Difficile (CDI) • Bold Aim: • Reduce Hospital-Onset CDI in patients by 10% to 25% by December 2014 • 5,000 to 12,500 is the potential lives saved nationally

  18. Clostridium Difficile (CDI) • Key Learnings from LEAPT Pilot Sites: • Provide mentor support and monthly coaching calls/webinars • Demonstrate the business case for patient quality and safety improvement in the area of CDI • Continue to expand efforts to monitor bundle compliance in “real time” – ensure implementation of all bundle components • Develop/broadly implement HER triggers and warnings

  19. Clostridium Difficile (CDI) • Key Learnings from LEAPT Pilot Sites: • Collaborate and partner with others: • CDC • Public Health • State Health departments • QIN’s • Pharmacists • Engage other practice/provider settings, including physician offices, long term care, home health, pharmacies, and urgent care • Raise community awareness regarding appropriate antibiotic use and prevention

  20. Rapid Cycle Innovations

  21. Rapid Cycle Innovations

  22. Measures • NHSN Lab ID C. difficile Hospital Onset (HO) rate per 10,000 patient days • + c difficile stool specimen in patient after hospital day 3 (i.e., day 4 with admit day being day 1)

  23. Culture of Safety • Bold Aim: • To reduce worker injury rates by 10-25% by December 2014 through promoting a safety culture • 31,624 – 79,064 potential number of Work-related injuries prevented

  24. Culture of Safety • Key Learnings: • Provide mentor support and monthly coaching calls/webinars • Enhance the business case for the integration of worker and patient safety • Disseminate worker/patient safety programming to all areas of the healthcare continuum • Engage patient and family ensuring safety

  25. Culture of Safety • Rapid Cycle Innovations:

  26. Health Disparities • A hospital story….

  27. Calendar of Upcoming Events • July 17, 2014 Procedural Harm Coaching Call • July 24, 2014 Worker Safety Coaching Call • July 28, 2014 Safe Patient Handling/Ergonomic Workshop • July 29, 2014 Enhancing Caregiver Resilience Workshop

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