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Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007. Discussion Topics. ADHS and Patient Safety in Arizona Why AHRQ PSI Validation Pilot Project Phase I – Site Selection/Test Runs/Training

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Discussion Topics

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  1. Patient Safety A Regional Perspective In ArizonaAHRQ Patient Safety Indicator Validation Pilot ProjectNovember 2006 – September 2007

  2. Discussion Topics • ADHS and Patient Safety in Arizona • Why AHRQ PSI Validation Pilot Project • Phase I – Site Selection/Test Runs/Training • Phase II – Data Collection • Results/Outcomes • Challenges • Lessons Learned

  3. Arizona Department of Health Services Cost Reporting/Discharge Data Review Data is collected from • Licensed acute care, rehabilitation and specialty hospitals • Hospital emergency departments Data is collected for • Cost containment • Public health research

  4. Quality and Patient Safety in Arizona • Health Services Advisory Group (HSAG) • Arizona Partnership for Implementing Patient Safety (APIPS) • Arizona Department of Health Services • Arizona Medical Association • Arizona Hospital and Healthcare Association • Arizona Medical Board • Arizona State Board of Nursing • Blue Cross Blue Shield • Arizona Healthcare Cost Containment Service (AHCCCS) • Arizona Nurses Association • Aetna • Hospice of the Valley • AARP • …and many more!

  5. Statewide Patient Safety Initiatives • The MED FORM (Sept 2005) : medication reconciliation form • Color-coded wristband standardization (Nov 2006) • Safe and Sound Patient Safety Initiative- SBAR communication system (April 2007) • Implementing EB strategies to reduce MRSA • Development of PSO’s in response to PSQI Act of 2005

  6. Whythe AHRQ PSI Pilot Project? • ADHS Purpose • AHRQ Project Design • Provided a baseline • Establish a standard quality measure

  7. PHASE I- PREPARATION • Site Selection • Preliminary data runs (2004/2005) • QI Windows Software Training • Abstraction tool review

  8. PHASE II – DATA COLLECTION • Data run (2006)/records selected • Site visits • Abstraction • Analysis • Final Report

  9. RESULTS /OUTCOMES • [In progress]

  10. CHALLENGES • AHRQ • Software/documentation changes • Manual abstraction • Empirical rates • QI Software training • Hospitals • Different chart types and charting methods • Coding inconsistencies • Adherence to internal coding procedures

  11. CHALLENGES cont’d • ADHS • IT constraints • Limited coding/abstraction staff • Time/Labor intensive • Funding

  12. Lessons Learned • All hospital data to determine AZ baselines • ADHS Project design • Incorporate with data audit process • Automate abstraction • Training Training Training • Funding

  13. THANK YOU! Contact Information: Beverlee Hall Discharge Data Review Arizona Department of Health Services 150 North 18th Avenue, Suite 550 Phoenix, AZ 85007 602-542-1242 hallb@azdhs.gov Our Website: http://azdhs.gov/plan/crr/index.htm

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