Session #1: Health Care Quality€¦ · 7/1/2019 13 Governance of quality assessment tool Category 1: Prioritize Quality: Board Quality Culture Commitment Category 2: Keep Me Safe:

Session #1: Health Care Quality

Tania Daniels, PT, MBA and Jennifer Schoenecker

Saturday, July 13, 2019

9:30 – 10:30 a.m.

Lake Miltona A

Tania Daniels, PT, MBA

For almost two decades, Tania Daniels, has served as the quality and safety expert at the

Minnesota Hospital Association (MHA). As vice president of quality and patient safety, she has

led MHA’s Partnership for Patients Hospital Improvement and Innovation Network which has

prevented more than 28,000 patients from being harmed, over 10,000 patients from being

readmitted to the hospital, resulting in over 217 million in cost savings. Tania partners with key

stakeholders to collaboratively improve health care, resulting in two national awards: The 2015

AHA Dick Davidson Quality Milestone Award and the 2013 Eisenberg Patient Safety and Quality

Award in 2013.

Jenny Schoenecker

Jenny Schoenecker is a senior director of quality and patient safety who works with the

Minnesota Hospital Association to develop, implement, and facilitate hospital and health system

clinical activities and collaboratives to improve the triple aim.

Jenny has a passion for positioning Minnesota’s hospitals and health systems as demonstrated

national leaders in all aspects of quality, patient safety and mental and behavioral health. Jenny

provides MHA members with technical and implementation support, including consults,

training/education, and assistance with prioritization of quality, safety and mental/behavioral

health action plans.

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Health Care Quality

Today’s discussion

MHA’s improvement model

Priorities and results

The board’s role with quality and safety

oversight

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Quadruple Aim

Caring for Healthcare

Staff

Per Capita Cost

Population Health

Experience of Care

MHA’s quality and patient safety continuous improvement model

PLAN

DO

CHECKADJUST

CELEBRATE

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‘Identify issue’Surgical adverse health events

‘Plan’Develop Road map

Web portal

One stop tool

Gap assessment

Customize actions

Linked resources

Track actions

Track progress

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‘Do’MHA and health systems

‘Check’

Surgery and Procedure Road Map

69%

78%

82%

83%

84%

84%

86%

88%

88%

84%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Debrief

End of Case

Scheduling

General Practices

Recovery/PACU

Procedure Room Structure/Room Set Up

During the Case

Pre-Procedure

Time Out

Grand Total

January 2019

N=73

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‘Adjust’Road map adjusted based on pilot

Road map updated by Surgery Committee

Best practice elements Prior 98 to 53 now

2017 year end participation 33 hospitals

Current participation 50 hospitals

In participating hospitals 86% of road map best

practices in place

‘Celebrate’

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‘Celebrate’

‘Celebrate’

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‘Identify issue’Neonatal Abstinence Syndrome (NAS)

0

0.5

1

1.5

2

2.5

3

3.5

National Minnesota

Rate of NAS

‘Plan’Develop Road map

Web portal

One stop tool

Gap assessment

Customize actions

Linked resources

Track actions

Track progress

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‘Do’MHA and health systems

‘Check’Road map adjusted based on adherence

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‘Adjust’Road map adjusted based on pilot

Addition of resources

Operational definitions

Updated terminology

‘Celebrate’

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MHA’s QPS improvement model

Additional topics:

Law Enforcement and Healthcare

Emergency Preparedness

Medical Cannabis

Oral health and many more

MHA Board

Registry Advisory

Committee

Delirium Committee

Falls Committee

HAI Committee

Medication Safety

Committee

Perinatal Committee

Pressure Ulcer

Committee

Sepsis Committee

Surgical Committee

Pediatric Committee

Community of Patient

Partners

Mental & Behavioral

Health Committee

Quality & Patient Safety Committee

MHA committees leading quality

Over 500 engaged

members

Over 150 engaged

physicians

Committees create,

publish and update

Road maps

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2019 national quality improvement results

https://www.ahrq.gov/news/newsroom/press-releases/hac-rates-declined.html

Catheter Associated Urinary Tract Infections (CAUTI) 2012

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CAUTI % improvement July 2015-June 2017

How board members can get involved with quality and patient

safety

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Governance of quality assessment tool

Category 1: Prioritize Quality: Board Quality Culture

Commitment

Category 2: Keep Me Safe: Safe Care

Category 3: Provide Me with the Right Care: Effective

Care

Category 4: Treat Me with Respect: Equitable and

Patient-Centered Care

Category 5: Help Me Navigate My Care: Timely and

Efficient Care

Category 6: Help Me Stay Well: Community and

Population Health and Wellness

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Quadruple Aim

Caring for Healthcare

Staff

Per Capita Cost

Population Health

Experience of Care

MHA’s QI model

Priorities and outcomes

The board’s role