OHA HEN 2.0

Ohio Hospital Association/Ohio Patient Safety InstituteOctober 8, 2015

Nationwide public-private partnership to tackle all forms of harm to patients. The goals:

• 40% Reduction in Preventable Hospital Acquired Conditions over three years• 1.8 Million Fewer Injuries• 60,000 Lives Saves

• 20% Reduction in 30-Day Readmissions in Three Years• 1.6 Million Patients Recover Without Readmission

Potential to Save $

Partnership for Patients:Better Care, Lower Costs

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55% reduction of overall harm• Ventilator Associated Pneumonia – 100% reduction• Pressure Ulcers 66% reduction• CLABSI – 59% reduction• Falls – 49% reduction• Surgical Site infections – 36% reduction

SAVINGS – $100.2 Million

Successes of previous HEN

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• Low burden to participating hospitals/ health systems

• Intentional regard for integration of initiatives• Building a structure for ongoing quality

initiatives

Introduction

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OHA PfP Focus

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Base topics

Special topics

Foundational topics

The clinical areas to be addressed are:• Catheter-associated urinary tract infections (CAUTI) • Central line-associated blood stream infections (CLABSI) • Surgical site infections (SSI) • Ventilator-associated Events (VAE, IVAC, VAP) • Adverse drug events (ADE) – Opioid; anticoagulation;

glycemic management• Preventable readmissions • Pressure ulcers • Venous thromboembolism (VTE) • Injuries from falls and immobility • Obstetrical adverse events

Measures

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• Severe Sepsis and Septic Shock• Hospital Culture of Safety integrating worker and

patient safety• Iatrogenic Delirium• Clostridium difficile (antibiotic stewardship)• Undue Exposure to Radiation• Airway Safety

Special topics

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• Patient and Family Engagement• Leadership Engagement• Disparities• Cost Savings

Foundational topics

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Key Concepts

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Patient Centered Care

Integration

Individualization Huddles

Transparency

Regionalization

• Education programming• Regional Coordinators• Website• Wayfinder• Observations – hand hygiene

Resources

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Data Sources

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Outcome Data

• Administrative• NHSN• Electronic

submission• Data entry

Process Data

• Observation• Core measures• Data entry

Other Data

• Not sure yet i.e. Z-score

Where we started…WayFinder - Module 1

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-HEN Module in WayFinder• Track and compare measures• Sophisticated statistical analyses to identify high and

low risk variable pathways

-Data Entry incorporated into WayFinder platform

-Minimizing or eliminating cost for OHA HEN participating hospitals

-Sustain improvement and advancement of platform for future use

Wayfinder ToolHEN Module – Data Entry

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Where we are headed…New Modules

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HEN Module

EXISTING MEASURESPSI/IQI Indicators

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EXISTING MEASURESReadmissions Module

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USING FUNCTIONALITY FOR HENPSI/IQI Indicators

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Hospital 1 Hospital 2 HEN

USING FUNCTIONALITY FOR HENQI Dashboard

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HEN MEASURES

HEN MEASURES

USING EXISTING FUNCTIONALITY

PSI/IQI Indicators – Trend Data

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USING EXISTING FUNCTIONALITYTHE CART BEFORE THE HEN

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USING EXISTING FUNCTIONALITYTHE CART BEFORE THE HEN

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Node 59

Patient Characteristics

3: Race = Black7: DRG 491.22 COPD Acute Br = Yes14 Age = 65-7929: LOS = < 259: Zip Code = 43201

COMPOSITE DATA

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• Letter of Commitment due 10/30

• Begin immediately• Schedule meeting with

regional coordinator

• One year contract• Minimize data burden• Integrate initiatives• Sustainability

• Engagement awards

Next Steps

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Applying high reliability concepts in hospitals is not easy. (AHRQ)

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Ohio Hospital Association 155 East Broad Street, Suite 301Columbus, OH 43215-3640

T 614.221.7614 ohiohospitals.org

Questions?Quality Institute

Amy Andres – amy.andres@ohiohospitals.orgSenior Vice President of Quality & Data

James Guliano, MSN, RN-BC – james.guliano@ohiohospitals.orgVice President, Quality Programs

Rosalie Weakland, RN, MSN, CPHQ, FACHE – rosalie.weakland@ohiohospitals.orgSenior Director, Quality Programs

Lori Brohm - Lori.brohm@ohiohospitals.orgPfP Project Manager

Ryan Everett, MPH – ryan.everett@ohiohospitals.orgDirector, Population Health