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Quality

Quality. Quality Pillar Update February 2009 . . . What are we looking at when we talk about the Quality Pillar. Improving Outcomes. 1. Increasing Confidence – preparing PCG’s. 2. Providing Highly Trained Knowledgeable Staff. 3. Improve Patient Satisfaction Survey Results.

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Quality

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  1. Quality Quality Pillar Update February 2009 . . . What are we looking at when we talk about the Quality Pillar

  2. Improving Outcomes 1. Increasing Confidence – preparing PCG’s 2. Providing Highly Trained Knowledgeable Staff 3. Improve Patient Satisfaction Survey Results 4. Compliance With Changes in CoP’s

  3. What are we doing? • PIP’s – Performance Improvement Teams • Last Staff meeting – introduced teams. • Did Education about the PSDA process – PLAN, DO, STUDY, ACT • Bulletin Boards have been placed in every office – a place for you to keep up with PIP activities and changes that have been made.

  4. What are our 3 PIP’s? • #1 - Increasing MVHPC staff presence at the time of Death – beginning with examining patient wishes surrounding death.

  5. #2 PIP LOC Monitoring Process

  6. # 3 PIP – Outcomes R/T Pain Management • EROM – End Results Outcome Measurement – based on the NHPCO “Comfortable Dying Protocol” • ESAS – Edmonton Symptom Assessment

  7. Patient Satisfaction 1. FEHC – Information being compiled by Deyta 2. FEBS – Family Evaluation of Bereavement Care 3. In-Patient Survey 4. Patient Family Satisfaction with Hospice Services

  8. Conditions of Participation New Potty Training When you see this symbol - § The information is a quote taken directly from the regulatory guidelines for the conditions of participation.

  9. § 418.112 Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/MR Biggest change in this COP . . . An agreement that it is the hospice’s responsibility to provide services at the same level and to the same extent as those services would be provided if the resident were in his or her own home.

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