FHC NH Partnership for Patients

1. FHC NH Partnership for Patients Our charge is clear: reduce preventable harm by 40% and reduce preventable readmissions by 20% by 2013.

2. Partnership for Patients • Launched in April 2011 • Initiative from the Centers for Medicare & Medicaid Services Innovation Center • Established by the Affordable Care Act to identify and develop promising new models of care delivery to reduce costs and increase quality. • $500 million funding

3. Keep patients from getting injured or sicker. • By the end of 2013, preventable hospital-acquired conditions would decrease by 40 percent compared to 2010.  • Achieving this goal would mean approximately 1.8 million fewer injuries to patients, with more than 60,000 lives saved over the next three years.

4. Help patients heal without complication. • By the end of 2013, preventable complications during a transition from one care setting to another would be decreased so that hospital readmissions would be reduced by 20 percent compared to 2010.  • Achieving this goal would mean more than 1.6 million patients will recover from illness without suffering a preventable complication requiring re-hospitalization within 30 days of discharge. 

5. Hospital Engagement Networks • 26 State, regional and national hospital system organizations • help identify solutions already working to reduce healthcare acquired conditions • work to spread them to other hospitals and health care providers • develop learning collaboratives for hospitals • rapidly improve patient safety in hospitals • Two “HENs” in NH • NH FHC Partnership for Patients • Intermountain Healthcare

6. NH Hospitals:100% Engagement

7. Partnership for Patients: Core Areas of Focus • Adverse drug events (ADE) • Central line-associated blood stream infections (CLABSI) • Pressure ulcers • Surgical site infections • Injuries from falls and immobility • Catheter-associated urinary tract infections (CAUTI) • Obstetrical adverse events • Venous thromboembolism (VTE) • Ventilator-associated pneumonia (VAP) • Preventable readmissions

8. Building upon platform ofNH Partnership to ELIMINATE HARM by 2015

9. Venous thromboembolism (VTE) • 1st Focus as part of NH Eliminate Harm by 2015 • “VTE Prevention-Live Clot Free” in NH toolkit distributed July 2011 to all hospitals • Data collection began Q4 2011: VTE prophylaxis and DVT/PE Incidence • Varying degrees of implementation, some driven by Meaningful Use & SCIP

10. Live Clot Free in New Hampshire • Toolkit sent to all hospitals in July • Measurement definitions • Reporting forms • Sample protocols • VTE discharge education sheet • FAQ

11. Summary of VTE Data • Audit period: October 1 – December 31,2011 discharges • 22 Hospitals submitted VTE Data • Range of Eligible Patients audited per hospital was from 5 – 3230 patients • 1 less than 30 • 14 Hospitals provided requested sample size of 30 • 7 more than 30

12. Hospitals Reporting VTE Data

13. % of eligible patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given

14. # of Hospitals with patients with confirmed VTE out of Twenty Two Hospitals who submitted data

15. Summary of # of Patients with confirmed VTE and # of those Patients who received no VTE prophylaxis HARM

16. Questions for Discussion • In Search of Data Collection Methods • What are the barriers / challenges? • Lessons learned? • In Search of Better Processes • What did you learn as you were doing reviews? • Did you develop tools to enhance VTE prophylaxis? • Did you identify any templates of best practices?

18. FHC NH Partnership for Patients2013 VISION “Live Free of Medical Error, and Don’t Die!”