Welcome to Healthcare Quality Week INSERT Name of Organization
Jan 03, 2016
Welcome to Healthcare Quality Week
INSERT Name of Organization
2
We’re Celebrating!
• Healthcare Quality Management Professionals
• Healthcare Quality achievements in our organization
• And we’re raising awareness about how important quality is in everyday practice
It’s all part of Healthcare Quality Week sponsored by NAHQ
Who is NAHQ?
National Association for Healthcare Quality
National Association for Healthcare Quality• Leading organization for professionals working in healthcare quality
management (6000 members)− Members work in hospitals, day surgery centers, large clinics, nursing
homes and other sites
What do they do? National Association for Healthcare Quality
• Promotes, supports, educates, and advocates for Healthcare Quality professionals and their career field
• Serves as a leading national voice on the topic of Quality in Healthcare• Publishes Journal for Healthcare Quality• Offers Certified Professional in Healthcare Quality Credential (8000+
CPHQs)− More than 8,000 professionals have earned the CPHQ
• Hosts leading quality educational events, such as webinars and the National Quality Summit
Let’s talk about quality here—what do you think is the biggest improvement? Slide for speakers insert quality achievements at their
institutions
That’s great input. And it’s important. Because the regulatory landscape is shifting-and it requires change.
THE STATE OF HEALTHCARE QUALITYLet’s talk about how we got here.
It started with a report…
Institute of Medicine “To Err Is Human,”1999• Estimated that medical errors cause as many as 100,000 preventable
deaths a year• Recommended healthcare organizations create and maintain strong
safety cultures• “Safety should be an explicit organizational goal that is demonstrated
by strong leadership on the part of clinicians, executives and governing bodies.”
Followed by a national movement and all the attendant research, examination, and exploration that was required to start fixing the issue
Which resulted in…
In 2012, NAHQ issued a Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems
It offered recommendations for best practices to enhance quality and improve safety.• “Without a strong safety culture, frontline providers and
management may fail to identify a concerning pattern of performance or a single event or may hesitate to report them.”
−Susan Goodwin, past president, NAHQ (2012)
The recommendations weren’t just good practice. They were good business.
The Safety Culture Imperative
Focus on accountability and expectations Encourage and protect reporting of quality and safety
concerns Ensure transparent and accurate data collection and
reporting Respond effectively to patient concerns Foster teamwork and communication
So where has all this work taken us?
Since the IOM Report…
U.S. Centers For Disease Control tracks national progress on infection control• 44 percent decrease in central-line associated bloodstream
infections (2008-2012)• 20 percent decrease in infections related to 10 common
surgical procedures (2008-2012)• 4 percent decrease in MRSA (2011-2012)• 2 percent decrease in hospital-onset C. diff infections
(2011-2012)
And here at our facility…
Speakers can show quality improvement statistics at their institutions here.
But there is much left to be done
Much to do… CDC: 99,000 deaths from healthcare-associated
infections in 2012 In 2012, Los Angeles Times reported a new national
report card (Leapfrog Group) showing:• 47 percent of 2,652 hospitals graded received a C or
below, including many big name institutions Agency for Healthcare Research and Quality (AHRQ)
• Safety gains from health information technology have largely failed to materialize
Locally, our goals include…
Speakers can cite goals and objectives for enhancing quality and patient safety at their institutions
What do the regulators require us to do?
Healthcare Reform and Quality
Enactment of Affordable Care Act 2010 put healthcare quality management center stage
To survive providers must transform from a focus on patient volume to value-based care
Organizations must compete in a new system • Rewards quality of care provided, rather than the
number of procedures performed
And most significantly, providers will now be paid based on quality
Quality-based Payments
Medicare and other payers now scrutinize quality of care levels
Poor performance penalized• Reimbursements are lowered for excessive
readmissions• High rates of healthcare-associated infections will be
penalized in 2015
And there are new types of healthcare organizations
Accountable Care Organizations
Physicians agree to adhere to outcomes goals Cost savings shared with physicians Emphasis on population-based care
• Wellness and prevention Goal is to reduce expensive ED visits and hospital
admissions—to provide the right care at the right time
So it’s clear that ACA has brought about change
Quality is now a major factor in our business model Financial incentives are driving change
• Payers shifting to quality-based reimbursements Medicare and Medicaid now determine good performance
• Assess clinical outcomes• Check patient evaluation surveys• Financial incentives have heightened the importance of
healthcare quality management
5And that means there are five things we must do…
Build and maintain strong safety cultures to continuously:• Improve quality of care • Optimize patient safety 1
Establish accountability for integrity of quality and safety programs 2
Create systems to continuously improve 3
Report quality and safety data accurately 4
Remove barriers to success5
Those are big goals. Let’s talk about how we can get there.
How Our Quality Management Team Can Help
We’ll show you what is required.• Ensure the organization meets or exceeds quality and safety
standards set by−Affordable Care Act−Accrediting bodies −Major insurers
We’ll ensure comprehensive, transparent and accurate reporting of information
And we’ll help ensure rapid and effective responses to quality and patient safety concerns
How do we do that?
Lead continuous improvement initiatives Monitor clinical processes and patient outcomes Report quality concerns and possible safety risks Collect and analyze quality and safety data
We also…
Ensure process management• We conduct audits
−Check documentation against standards of Joint Commission and other entities
• Practice risk management−Actions to identify, evaluate and reduce risk of injury to
patients and staff• And most importantly, we provide assistance and training
−Help staff make improvements and understand compliance needs
How do we improve the practice of Quality?
Integrate new, evidence-based practices Assure compliance with quality standards of accreditation
organizations• Such as CMS, Joint Commission, DNV and public reporting
entities Promote supportive safety culture
It’s really important stuff. So let’s talk about our goals.
Our Quality Goals at _________
Cite quality healthcare quality management/patient safety goals at your institution
Here’s what we’ve achieved so far…
Cite and describe quality management achievements in your organization
Here are the folks who have helped lead the quality charge.
Meet our Team
Introduce your healthcare quality management team members and describe their roles and responsibilities
Cite team members contact information
Now you know us. How can we work with you?
Thoughts for the Future
Here the presenters can suggest specific areas for potential collaborations appropriate for their institutions
Thank You!