Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot...

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Patient Safety Patient Safety A Regional Perspective In A Regional Perspective In Arizona Arizona AHRQ Patient Safety Indicator Validation AHRQ Patient Safety Indicator Validation Pilot Project Pilot Project November 2006 – September 2007 November 2006 – September 2007

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Page 1: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

Patient Safety Patient Safety A Regional Perspective In A Regional Perspective In

ArizonaArizona

AHRQ Patient Safety Indicator Validation Pilot AHRQ Patient Safety Indicator Validation Pilot

ProjectProjectNovember 2006 – September 2007November 2006 – September 2007

Page 2: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

Discussion TopicsDiscussion Topics

ADHS and Patient Safety in ArizonaWhy AHRQ PSI Validation Pilot ProjectPhase I – Site Selection/Test Runs/TrainingPhase II – Data CollectionResults/OutcomesChallengesLessons Learned

Page 3: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

Data is collected fromLicensed acute care, rehabilitation and specialty hospitals

Hospital emergency departments

Data is collected forCost containment

Public health research

Arizona Department of Health Arizona Department of Health Services Services

Cost Cost Reporting/DischargeReporting/Discharge Data Data ReviewReview

Page 4: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

Quality and Patient Safety Quality and Patient Safety in Arizonain Arizona

Health Services Advisory Group (HSAG)

Arizona Partnership for Implementing Patient Safety (APIPS)Arizona Department of Health ServicesArizona Medical AssociationArizona Hospital and Healthcare AssociationArizona Medical BoardArizona State Board of NursingBlue Cross Blue ShieldArizona Healthcare Cost Containment Service (AHCCCS)Arizona Nurses AssociationAetnaHospice of the ValleyAARP…and many more!

Page 5: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

Statewide Statewide Patient Safety InitiativesPatient 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

Page 6: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

WhyWhy the AHRQ PSI Pilot the AHRQ PSI Pilot Project?Project?

ADHS Purpose

AHRQ Project Design

Provided a baseline

Establish a standard quality measure

Page 7: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

PHASE I- PREPARATIONPHASE I- PREPARATIONSite Selection

Preliminary data runs (2004/2005)

QI Windows Software Training

Abstraction tool review

Page 8: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.
Page 9: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

PHASE II – DATA PHASE II – DATA COLLECTIONCOLLECTION

Data run (2006)/records selected Site visitsAbstractionAnalysisFinal Report

Page 10: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

RESULTS /OUTCOMESRESULTS /OUTCOMES

[In progress]

Page 11: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

CHALLENGESCHALLENGESAHRQ

Software/documentation changes

Manual abstraction

Empirical rates

QI Software training

HospitalsDifferent chart types and charting methods

Coding inconsistencies

Adherence to internal coding procedures

Page 12: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

CHALLENGES cont’dCHALLENGES cont’d

ADHS IT constraints

Limited coding/abstraction staff

Time/Labor intensive

Funding

Page 13: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

All hospital data to determine AZ baselines

ADHS Project design

Incorporate with data audit process

Automate abstraction

Training Training Training

Funding

Lessons LearnedLessons Learned

Page 14: Patient Safety A Regional Perspective In Arizona AHRQ Patient Safety Indicator Validation Pilot Project November 2006 – September 2007.

THANK YOU!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

[email protected]

Our Website: http://azdhs.gov/plan/crr/index.htm


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