Georgia Hospital Engagement Network Patient and Family Centered Safe Care Putting Patients First

1. Georgia Hospital Engagement NetworkPatient and Family Centered Safe CarePutting Patients First

2. Continuing Our Positive Net Forward Energy Celebrating Our Success

4. State of the GA HEN

5. In Pursuit of 2013 HEN Targets Savings: $58.8 – $62.5 Million! Patient Harm Prevented: 4,521 Incidents of Harm

11. Special Guest • Senator Johnny Isakson

22. New HAI Data Submission for 2014 • Hospital wide CLABSI and CAUTI • Additional SSI: Hip and knee prosthesis • VAE: IVAC, Possible, probable VAP

23. 7771 8222 7748 9416 8677 8573 8953 8216 8820 8207

24. Georgia’s readmission rate per 1,000 beneficiaries ranks in the middle of the country

25. Reducing Readmissions -- 2011 – 2012Progress is being made!

27. Hospitals Meeting Benchmark in 7+ Areas of HARM • Barrow Regional Medical Center • Coliseum Northside Hospital • Habersham Medical Center • North Fulton Hospital • Oconee Regional Medical Center, Inc. • Piedmont Newnan Hospital • Stephens County Hospital • Tanner Medical Center/Carrollton • Ty Cobb Regional Medical Center • Wayne Memorial Hospital

28. Most Extra Credit Points (Top 20!)

29. HEN Faculty – Hospitals that have been among our presenters • Emory Johns Creek • Floyd Medical Center • Ty Cobb Hospital • Effingham Hospital • Atlanta Medical Center • Grady Memorial Medical Center • Dekalb Medical Center • Karen Cook, Studer Group • Julie Apold, MHA • Dr. Teresa Pounds, PharmD • Dr Greg Maynard • Bonnie S. Norrick • Kathy Duncan • St Mary's Health Care System - Kathy Goodenow RN BSN CCM Director of Case Management • St. Joseph’s/Candler Health System - Dee Dee Seagraves RN • Grady Health System - Sonya Cruel From • Southeast Georgia Health System - Sherry L. Sweek, RHIA, CPHQ, CPMSM Director, Quality Improvement • Dodge County Hospital – Melody Brown • Peach Regional Medical Center – Colleen Dressler • Effingham Hospital – Mary Pizzino -Numerous times • Northridge Medical Center -Selina Baskins – Numerous times • Phoebe Dorminy Hospitals – Butch Rathburn – Numerous times • Coffee Regional Medical Center, Inc. – Lisa Metts • Oconee Regional Medical Center, Inc. – Rita McGinnis • Georgia Regents Health System - Bernard Roberson – Numerous times • Bleckley Memorial Hospital – John Roland • Monroe County Hospital – Kathy Louth (Numerous times) • Washington County Regional Medical Center - Jan Horadan • Louis Smith Memorial Hospital - Tina Register

30. HEN Faculty – Hospitals that have been among our presenters Patient & Family Engagement • National Partnership for Women & Families - Courtney Roman, Outreach Manager at the • Georgia Regents Medical Center - Bernard Roberson, MSM, BA, HSC Administrative Director Patient and Family Centered Care • Patient Advocate Lead National HEN Patient & Family Engagement Affinity group - Lisa Morrise • Georgia Regents Medical Center - Steven Scott COO • Georgia Regents Health System - Jim Rush Compliance Officer • Spalding Regional Medical Center - Luretha Russell • Bleckley Memorial Hospital - John Roland CNO, Quality, Accreditation • Georgia Regents Medical Center & GA HEN David Andrews, Patient Advisor, • Atlanta Medical Center - Lisa Brewer Dixon, RNC, BSN, MSN Patient Experience Officer • Higgins General Hospital - BJ Brock • St. Mary’s Good Samaritan Hospital – ShondiaEvans Regional Meetings • Selina Baskins, Director, Quality Improvement, Northridge Medical Center • Emory Health System - Dr. Nicole Franks • Emory Health System – Naphtali ‘Tali’ Edge • Clearview Regional Medical Center - Susie Payne, Resource Management Director • Gwinnett Medical Center - Susan Troccia, Director, Coordinated Care • Northridge Medical Center -Selina Baskins • Effingham Hospital – Mary Pizzino • Columbus Regional Healthcare System - Freya Gilbert, Senior Director of Quality Management • Southern Regional Medical Center - Brenda Kendall, Director, Quality Services • East Georgia Medical Center - Rhonda Jones • Clinch Memorial Hospital – Wayne Lee • St. Joseph’s/Candler Health System - Dee Dee Seagraves RN

31. HEN Faculty – Hospitals that have been among our presenters Our Community Partners who have presented at the readmissions affinity group call and regional meeting: • Community-based Care Transition Program – Mary Blumberg & Cyndi Burke, ARC Care Transitions Coordinator • Alliant/GMCF –Jennifer Hodge, Linda Kluge, Dr. Adrienne Mims, Dr. Kim Rask, Cindy Prosnak • Healthcare Quality Improvement Program Island Peer Review Organization, Inc. (IPRO) - Vicky Agramonte, RN, MSN Project Manager, • Northwestern Memorial Hospital - Kristine Gleason, MPH, RPh, Clinical Quality Leader • Amedisys Home Health - Shondra Davis RN • Ethica Health and Retirement Communities - Holly Brown, GNP • Bolingreen Health and Rehabilitation - Sharon Crowell, RN-BC Gerontology, Director of Nursing • Bolingreen Health and Rehabilitation - Agnes Ogoo, RN • Health and Rehabilitation Group - Cally Freeman, LPN, Bolingreen • Georgia Public Health • CDC

32. Executive Quality Action Committee Members David Andrews, Patient Advocate, Georgia Regents Medical Center Sheila Bennett, Chair, Floyd Medical Center Susan Bowen, Shepherd Center Montez Carter, Good Samaritan Nicole Franks, MD, Emory University Hospital Midtown Freya Gilbert, Columbus Health Roy Gilbreath, M.D., DeKalb Medical BabsHargett, Emory Healthcare Angie King, St. Francis Hospital Steve Mayfield, Medical Center of Central Georgia Mindy McStott, Tift Regional Medical Center Norma Jean Morgan, Effingham Health System Heidi Nelson, University Hospital Teri Newsome, Habersham Medical Center Mary M. Pizzino, Effingham Health System Sherry Sweek, Southeast Georgia Health System Tina Thomas, To Cobb Regional Medical Center

34. 2014 GHA Board of TrusteesPatient Quality and Safety Commitment We congratulate Georgia hospitals for their intensive work on eliminating harm across the board. Georgia’s hospitals have embraced the concentrated effort to decrease hospital-acquired conditions associated with falls, adverse drug events, venous thrombolytic embolism, obstetrical adverse events, and hospital-acquired infections by 40% along with reducing preventable readmissions by 20%. Your accomplishments resulted in Georgia being one of only six recipients of the Leading Edge Advanced Practice Topics funding. With third-year funding for the HEN comes a greater emphasis on specific areas. These include patient and family engagement, eliminating health disparities and enhanced rapid cycle improvement to reduce Catheter Associated Urinary Tract Infections (CAUTI) and readmissions.

35. In November 2013, the GHA Board of Trustees adopted the following 2014 specific quality and patient safety goals. We strongly urge all Georgia hospitals to commit to: Enhance Patient and Family Engagement (PFE) in Eliminating Health Disparities Prior to admission, hospital staff provides and discusses a discharge planning checklist with every patient who has a scheduled admission, allowing questions or comments from the patient or family (e.g., the planning checklist may be similar to the CMS Discharge Planning Checklist) Hospital conducts shift change huddles and does bedside reporting with patients and family members in all feasible cases. Hospital has a person or functional area, that may also operate within other roles in the hospital, that is dedicated and proactively responsible for patient and family engagement and systematically evaluates PFE activities (e.g., open chart policy, PFE trainings, establishment and dissemination of PFE goals). Hospital has an active PFE Committee OR at least one former patient who serves on a patient safety or quality improvement committee or team. Hospital has at least one or more patient(s) who serve on a governing or leadership board and serves as a patient representative. Reduce Catheter Associated Urinary Tract Infections (CAUTI) Address the hospital’s culture, criteria, care, competency and communication in reducing CAUTIs. Concentrate on patient and family engagement Reduce Readmission Use of an evidenced-based model shown to reduce readmissions which includes, at a minimum, patient education, medication management, and follow-up.

36. 41 + 365 406 Days Remaining!

37. Looking Forward to 2014 • Laser Focus on Reducing Readmissions and CAUTI • Harm Across the Board • Leading Edge Advanced Practice Topics (LEAPT) • Continuation of Affinity Education and Cohort Coaching Calls • Hospital Visits

38. Mark Your Calendars! • 11/27 -- Best Practice Snapshot Survey Due • 12/6 – 1:00 – 2:00 Staff Nurse Rounding with Karen Cook Webinar • 12/11 – 11:00 – 12:00 Rounding Implementation with Karen Cook Webinar • 12/15 –HEN-HAC, EED and HAI (for CAH) October Data due • 1/8-9/2014 -- Patient Safety Summit • 1/15/2014 – HEN-HAC, EED and HAI (for CAH) November Data due • February 4, 5, or 6, 2014 – Kickoff HEN (Quint Studerspeaking – invite your CEO) • 2/15/2014 -- HEN-HAC, EED and HAI (for CAH) December Data due • 3/15/2014 – HEN-HAC including Opioid ADE, EED and HAI (CAH) January Data Due

39. Thank You!