Hospital Check-in Linking hospitals to quality and safety resources We make lives better. September 2014 Stratis Health is part of the Lake Superior Quality Innovation Network, serving Michigan, Minnesota, and Wisconsin, under the CMS QIO Program. Stratis Health Beginning Its Work This issue as Part of the Lake Superior Quality Patient Safety 2 Innovation Network In July, the Centers for Medicare & Medicaid Services (CMS) awarded a Quality Innovation Network Quality Improvement Organization (QIN-QIO) contract to support its work improving health care for Medicare beneficiaries in Minnesota, Michigan, and Wisconsin. The new contract took effect August 1, 2014. Stratis Health of Minnesota, MPRO of Michigan, and MetaStar of Wisconsin are now collaborating as the Lake Superior Quality Innovation Network. The three organizations are responsible for QIN-QIO activities in their respective states. Recruiting is getting underway for the five-year QIN-QIO contract work, which will focus on health care quality improvement initiatives that include: • Improving cardiac health and reducing cardiac health care disparities • Reducing disparities in diabetes care • Improving prevention coordination through health information technology • Reducing health care associated infections in hospitals • Reducing health care acquired conditions in nursing homes Quality Reporting 3 • Improving the coordination of care between health care settings Events 4 • Improving quality through performance-based incentives and reporting programs Events, Contacts 5 “This regional collaboration of Stratis Health, MPRO, and MetaStar brings together three like-minded organizations with a proven track record in quality improvement to serve Minnesota, Michigan, and Wisconsin,” said Jennifer Lundblad, president and CEO of Stratis Health. “Our partnership will draw on one another’s strengths and sharing of best practices.” As the Lake Superior Quality Innovation Network, the three organizations will continue to work with a broad range of providers, communities, and partners on data-driven quality initiatives to improve patient safety, reduce harm, and improve clinical care and transparency at the local, regional, and state level. Greg Simmons, MetaStar president and CEO, noted “We’re excited to be able to extend our decades of experience as Quality Improvement Organizations and to continue to focus on improving health care for Medicare beneficiaries in our region.” For more information on participating in hospital-related improvement work, contact Adverse Drug Event Prevention Kim McCoy, Program Manager 952-853-8563 Coordination of Care Janelle Shearer, Program Manager 952-853-8553 Reducing Healthcare-Associated Infections Jill Kieser Andersen, Program Manager 952-853-8565 Quality Improvement through VBP Vicki Olson, Program Manager 952-853-8554 Stratis Healthhospital check-in Patient-SAFETY New AHRQ Publication features insights on implementation approaches used for HAI research projects The Agency for Healthcare Research and Quality (AHRQ) report, Advances in the Prevention and Control of HAIs, presents methodological insights from projects in AHRQ’s Healthcare-Associated Infections (HAI) Program. The individual papers presented here were prepared by AHRQ-funded HAI project leaders. The 19 papers included in the report are divided into two sections: Development and Implementation of HAI Prevention Practices (11 papers) and HAI Risk Identification for Quality Improvement (eight papers). This publication features a selection of topics that will advance the professional knowledge about HAIs, such as: • Reducing cardiac and surgical site infections (SSI), including surveillance techniques • Overcoming staff barriers in ICUs to prevent infections • Decreasing antibiotic overuse in primary care • Reducing HAIs in dialysis centers • Improving antibiotic use in nursing homes • Developing the capacity to implement antimicrobial stewardship • Detecting and treating MRSA in nursing homes and the community Download the report >> MAPS Award Application Deadline Extended The Minnesota Alliance for Patient Safety (MAPS) is extending their 2014 Patient Safety Awards application due date to Monday, Sept. 29th, and is encouraging more settings of care to apply for this important recognition. At its 2014 Conference October 23-24, MAPS will recognize both individual and system-wide safety leaders and/or projects. The objective of the awards is to support and disseminate patient safety best practices implementations. Details of the application process can be found here. (Please note that the deadline dates found on this application are not accurate.) Announcing a Free Opportunity for Hospitals to Improve Patient Safety and Maximize Reimbursement from CMS Stratis Health would like you to join our patient-centered, comprehensive, national Catheter-Associated Urinary Tract Infection (CAUTI) reduction and prevention initiative. This Centers for Medicare & Medicaid Services (CMS) initiative will provide: • Access to national initiatives, including free tools, resources, and webinars Participating providers will: • Use a measurement strategy that utilizes a standardized infection ratio (SIR) as a way to measure improvement • Training and education on topics such as teamwork, • Employ data-driven strategies in their CAUTI hand washing, and CAUTI best practices reduction work to reduce the number of urinary catheter days in their hospitals • Networking with colleagues in Minnesota, Michigan, and Wisconsin • Support in implementing best practices • Coaching calls and technical assistance For more information contact: Jill Kieser Andersen, program manager 952-853-8565 Mary Montury, program coordinator 952-853-8541 2 Stratis Healthhospital check-in quality reporting Contact Guide CMS Measures Data Abstraction and Submission • IQR support • OQR support FMQAI https://cms-ip.custhelp.com (QNet Q&A) [email protected]* 844-472-4477 FMQAI https://cms-ocsq.custhelp.com (QNet Q&A) [email protected] 866-800-8756 *This email address will change Statewide Quality Reporting Measurement System (SQRMS) • CMS measures • ED Transfer Communication • CPOE Pharmacist Verification See FMQAI above Robyn Carlson [email protected] 952-853-8587 Improvement-Related Topics • • • • • • Inpatient measures Outpatient measures MBQIP measures VBP measures Readmission Reduction measures Hospital-Acquired Condition measures FY2017 Value-Based Purchasing Fact Sheet Now Available The Stratis Health Value-Based Purchasing fact sheet has been updated to include program information for Fiscal Year (FY) 2017. This valuable tool can help you learn more about how the Value-Based Purchasing Program applies 3 Vicki Olson [email protected] 952-853-8554 to your hospital, with information for FY2013, 2014, 2015, 2016, and 2017. Stratis Health offers technical assistance and support for Minnesota hospitals to be successful in this value-driven environment. If you need assistance or have questions about VBP, contact Stratis Health Program Manager, Vicki Olson, 952-853-8554. More >> Stratis Healthhospital check-in EVents World Sepsis Day September 13, 2014 World Sepsis Day will be observed on Sept. 13, and is a single day where events worldwide focus on creating sepsis know-how and awareness. Visit the World Sepsis Day website for more information on ways your organization can join in the observance and sign the World Sepsis Declaration form. Rural Palliative Care Networking Group: Measures for Rural Palliative Care Programs September 18, 2014 Fergus Falls The results of a study to identify and field-test a set of quality measures that reflect clinical quality, cost and efficiency, and the patient and family experience. Five rural palliative care programs participated in the study. Part of the Rural Palliative Care Networking Group. Presented by Karla Weng and Laura Grangaard, Stratis Health. More>> Register for in-person attendance >> Register for call-in attendance >> Minnesota Stroke Registry Program Regional Workshops This workshop series, Breaking Stroke Barriers in Rural Minnesota with Your Partners, will focus on pre-hospital and hospital care. The workshop is targeted toward EMS professionals, ED nurses, nurse managers and directors, ICU nurses, nurse managers and directors, stroke and trauma coordinators, and nurse & EMS educators in the Minnesota EMS community and hospitals. 4 Plan now to attend at one of these sites: • St. Cloud (9/23/2014) • Marshall (10/1/2014) • Duluth (10/21/2014) • Fergus Falls (10/30/2014) More >> Register >> CHAIN Web Event: Slashing Surgical Site Infection: Raising the Bar to Lower the Rate October 14, 2014 Surgical site infection (SSI) is the most common and costly health care-associated infection, occurring in up to five percent of patients undergoing inpatient surgery. Annual costs are estimated at $3.5 billion to $10 billion, and the emotional and physical costs to patients are staggering, including lengthened hospital stays, readmission, and death. Experts estimate that up to 60 percent of SSIs are preventable. The Minnesota (MN) Slashing SSI bundle elements were carefully selected by a group of OR professionals and surgeons convened by Minnesota’s Collaborative Health Care Associated Infection Network (CHAIN). This webinar will help health care teams understand the rationale behind using evidence-based bundle guidelines to prevent SSIs. Physicians, non-physicians providers, nurses, administrators, risk managers, patient safety officers, and other health care professional staff will learn to: 1. Identify the elements of the MN Slashing SSI bundle 2. Describe the rationale behind the selection of bundle elements 3. Appreciate the leading role surgeons play in slashing SSI 4. Understand the shift in thinking required to make significant and timely progress in SSI prevention Speakers: • Jamie Bakkum-Gamez, MD, Board-certified gynecologic oncologist at the Mayo Clinic • Chad M. Robbins, D.O., FACOS, Board Certified General Surgeon, Glencoe Regional Health Services Register >> CHAIN Conference: Antimicrobial Stewardship across the Continuum of Care in Minnesota October 16, 2014 Mall of America – “Great Room” Conference Room This CHAIN conference is targeted toward infectious disease physicians, hospitalists, emergency department physicians, pharmacists in health care settings, infection preventionists, microbiologists, and others interested in or involved in antimicrobial stewardship in their health care facility. Panel presentations will feature long-term-care and pharmacy practitioners. Presenters share real-life, practical experiences and innovative approaches for improving antimicrobial prescribing practices in inpatient hospital, emergency department, and long-term care settings. Speakers: • David Hines, MD, FACP • Susan Kline MD, MPH • Gary Kravitz MD, FACP, FIDSA, FSHEA • Abinash Virk MD, DTM&H, FIDSA • Ruth Lynfield, MD. Register >> EVents MOLN Fall Leadership Conference October 2-3, 2014 Duluth, Minnesota The 2014 Minnesota Organization of Leaders in Nursing conference is a celebration of MOLN’s 20th Anniversary, and will honor legacy members, celebrate past Moline Award recipients, showcase a video history of MOLN, share scholarship recipient success stories and more. This conference is specially designed for chief nursing officers, nurse managers, school of nursing faculty, advanced practice/nurse clinical nurse specialists, registered nurses, and student nurses. More >> Register >> Adverse Drug Event Prevention Kim McCoy, Program Manager 952-853-8563, [email protected] Coordination of Care Janelle Shearer, Program Manager 952-853-8553, [email protected] Reducing Healthcare-Associated Infections Jill Kieser Andersen, Program Manager 952-853-8565, [email protected] Quality Improvement through VBP Vicki Olson, Program Manager 952-853-8554, [email protected] General Hospital Information Mary Montury, Program Coordinator 952-853-8541, [email protected] Communications Mark Benjamin, Editor 952-853-8578, [email protected] 2014 Minnesota Alliance for Patient Safety (MAPS) Conference: Safe Care. Everywhere October 23-24, 2014 • Culture (including teamwork and communication) • Patient Engagement More>> Register >> The Minnesota Alliance for Patient Safety (MAPS) is a statewide patient safety coalition that provides a forum for dialog and a catalyst for change in patient safety. Its mission is to achieve “Safe Care Everywhere” and the concept serves as the theme for this year’s conference. 2014 Many Faces of Community Health Conference: Community Centered Care and the People We Serve October 23-24, 2014 The 2014 MAPS Patient Safety Awards will represent the seventh presentation of the MN Alliance for Patient Safety awards at this year’s conference. The emphasis for 2014 will be: • Safety Across Settings of Care • Measuring Safety Progress • Transitions of Care Many Faces of Community Health is a two day conference that examines the ongoing impact of health reforms on safety net providers and showcases ways we can improve care and advance health equity for underserved populations. More >> Register >> For more events, visit the Stratis Health website events page. President and CEO Stratis Health is a nonprofit Director, Medical Affairs organization that leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities. Jennifer P. Lundblad, PhD, MBA Jane Pederson, MD, MS Board of Directors Donna Anderson, MPH Kathleen D. Brooks, MD, MBA, board chair Connie Delaney, PhD, RN Myron Falken, PhD, MPH Huda Farah, MSc William E. Jacott, MD Ken Johnson, MBA Mary Jo Kreitzer, PhD, RN Clint MacKinney, MD, MS Jan Malcolm Beth Monsrud, CPA Michael Spilane, MD Craig Svendsen, MD Stella Whitney-West, MBA Gary Wingrove Stratis Health represents Minnesota in the Lake Superior Quality Innovation Network serving Michigan, Minnesota, and Wisconsin, under the Centers for Medicare & Medicaid Services Quality Improvement Organization Program. Stratis Health 2901 Metro Drive, Suite 400 Bloomington, MN 55425-1525 952-854-3306 • 952-853-8503 (fax) Email: [email protected] www.stratishealth.org To subscribe to this email, contact Mary Montury, [email protected] This material was prepared by the MI, MN, and WI Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-MN-D1-14-02 082814