Quality Initiatives Undertaken by the Veterans Health Administration
Quality Initiatives
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Transcript of Quality Initiatives
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Quality Initiatives
Renaissance GardensMarch 16, 2006
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History Early 2002, Erickson had 4
Renaissance Gardens facilities Each had separate policies & practices
No way to compare standards of care
Growth plans to double facilities by 2007
Limited Corporate resources in place to support growth
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Health Services Team
Create standardized tools to assist Corporate and Community Renaissance Gardens Teams to effectively monitor industry quality indicators
Serve as a foundation for future growth and expansion
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Clinical Benchmarking
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Clinical Benchmarking Focuses on performance
improvement processes
Early identification of trends
Educates campus leadership team on Renaissance Gardens practice
Foundation for new initiatives
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Benchmarking Benefits Comparison of Quality Measures across
the company
Comparison of data from each Renaissance Gardens in a consistent manner
Evaluate effectiveness of current initiatives and programs
Early implementation of interventions
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Types of Data Collected Medicare Utilization & Census
Information
Staffing Hours Per Patient Day (HPPD)
Industry Quality Measures Falls Pressure Ulcers Weight Loss Restraint Use
Erickson ‘specific’
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The Data Reports How each individual facility performs in
key areas
Where there are ‘problem spots’
How Erickson compares to National and industry standards and to each other
Monitoring special programs’ effectiveness
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Benchmarking Review Monthly submission of
Benchmarking Report to Corporate
Corporate report compiled and posted on company’s intranet site
Monthly review by Corporate with each facility’s NHA, DON, ED and Medical Director
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Mock Survey Modeled after State Survey process
Ensure Community is in compliance with all regulations
Ensure/validate positive resident outcomes
Educate staff on appropriate survey/staff interactions
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Mock Survey Benefits Identify problems early so the QI efforts
can be focused
Objectively measures care
Prepares Community for upcoming surveys
Improves survey outcomes
Educates staff on survey processes
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Is it Working?
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Benchmarking
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Falls
In 2003, National Falls rate was 10% (per 1000 RCD)
Erickson average over past 3 years is 9.2%
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Falls ( 8 per 1000 RCD )
2003
2004
2005
7.5
8
8.5
9
9.5
10
2003
2004
2005
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Pressure Ulcers
National Average is 5% of residents with in-house acquired pressure ulcers
Erickson average over past 3 years is 4.6%
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Pressure Ulcers (5%)
2003
2004
2005
0.0
1.0
2.0
3.0
4.0
5.0
6.0
1
2003
2004
2005
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Weight Loss
Industry standard of 7% of residents with unplanned weight loss
Erickson average over past 3 years is 1.7%
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Weight Loss (7%)
2003
2004
2005
0.0
0.5
1.0
1.5
2.0
2.5
3.0
1
2003
2004
2005
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Restraints & Devices
National average is 8 per 1000 RCD
Erickson Average for past two years is 2.7%
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Restraints (8)
2004
2005
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
1
2004
2005
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Mock Survey Process
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Erickson Average Past 20 Surveys2003-2006
ERC Average Past 20 Surveys
National, 8
ERC, 3.25
0
1
2
3
4
5
6
7
8
9
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Questions?