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Kentucky Hospital Engagement Network

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Kentucky Hospital Engagement Network

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Kentucky Hospital Engagement Network

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  1. Kentucky Hospital Engagement Network OB Collaborative to Reduce Early Elective Delivery

  2. Hospital Engagement Network • CMS funded Program to reduce hospital acquired conditions by 40% and readmissions by 20% by 2013 • HENs provide resources to hospitals to achieve goals • KHA is leading HEN activities in Kentucky and is partnered with the AHA’s HRET • Obtained participation from 100 hospitals • HENS work in 10 targeted areas • Stay Fit: CLABSI, CAUTI, SSI, VAP • PIVOT: VTE, Pressure Ulcers, Falls • GO RED: Readmissions, Adverse Drug Events • Early Elective Deliveries

  3. GOALS CMS Goal KHA Goal Every Kentucky birthing hospital participates in the OB Collaborative, in addition to other focus areas • Reduce EED by 40% by 2013 • See improvement by August, 2012 • Many other states have already implemented successful programs and achieved quick results

  4. K-HEN OB Advisory Group • March of Dimes • Kentucky Perinatal Association • Kentucky ACOG • Department for Public Health • Department for Medicaid Services • Provide advice on: • Toolkit • Data Collection Measures • Educational Programs • Implementation Issues

  5. Why This is Important for Kentucky

  6. Kentucky Gets Grade of “D” • Kentucky gets a “D” in The March of Dimes 2011 Premature Birth Report Card • Kentucky’s most recent Premature Birth Rate was 13.6%, higher than the US rate of 12.2%

  7. Comparative Statistics

  8. Payment Impact • 50% of Kentucky births covered by Medicaid • Medicaid payment does not cover facility-specific NICU costs • 2015 – IPPS rule proposes to require hospital reporting of EED measure • Public Reporting of Hospital Performance • Included in VBP after posting on hospital compare

  9. What’s Required • Sign K-HEN Commitment Form and Name Team • Attend K-HENKickoff July 11-13, 2012 in Lexington • Toolkit • Best Practice Kentucky Hospitals • Work with Medical Staff to adopt “Hard Stop” policy • Report Data to KHA • Process: JCAHO EED measure • Outcome: Infants transferred to NICU

  10. Today’s Speakers • Jeanne Conry, MD, PhD • President-Elect, ACOG • Scott D. Duncan, MD, MHA, FAAP • Associate Professor – Pediatrics • University of Louisville