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Marlyn Conti –Patient Safety Initiatives Manager and Eric Crawford, Data Manager

Intermountain-led CMS Hospital Engagement Network Falls and Immobility April 11, 2014 Affinity Call. Marlyn Conti –Patient Safety Initiatives Manager and Eric Crawford, Data Manager Intermountain Quality and Patient Safety. Outline for Discussion. Review of 2013 data  through Q4

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Marlyn Conti –Patient Safety Initiatives Manager and Eric Crawford, Data Manager

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  1. Intermountain-led CMS Hospital Engagement Network Falls and ImmobilityApril 11, 2014 Affinity Call Marlyn Conti –Patient Safety Initiatives Manager and Eric Crawford, Data Manager Intermountain Quality and Patient Safety

  2. Outline for Discussion • Review of 2013 data  through Q4 • ‘High performers’ – Identify and ask what they are doing? • Falls recommended metrics • “Just-one-thing” – updated document • 2014 plans for improvement: • Reach out to low performers to provide assistance • Continue Webinars for sharing

  3. Overall Progress Through 2013

  4. Intermountain HEN 2012-13 submitting Hospitals Falls with Injury

  5. Intermountain HEN 2012-13 submitting HospitalsFalls with Injury

  6. Intermountain HEN 2012-13 submitting Hospitals Inpatient Falls

  7. Intermountain HEN 2012-13 submitting HospitalsInpatient Falls

  8. HEN Falls Measures • Metric specification resource manual http://www.henlearner.org/wp-content/uploads/2012/03/HEN_measure_Feb5.pdf • Submission schedule: • May 20, 2014: for data through March 2014

  9. HEN Falls MeasuresInpatient Falls

  10. HEN Falls MeasuresFalls with Injury

  11. High Performing Hospital Highlight… Most Improvement Inpatient Falls

  12. High Performing Hospital Highlight… Lowest Rate Inpatient Falls

  13. High Performing Hospital Highlight… % Improvement Falls with Injury

  14. High Performing Hospital Highlight… Lowest Rate Falls with Injury

  15. Just One Thing MatrixRecommendations

  16. Inpatient Falls Savings (CPI+1)

  17. Getting Started and Keeping it going!

  18. Fall Prevention Accountability and Communication Diagram Fall Prevention Development Team NOTE: Could be Safety or Quality and Patient Safety Committee Region Guidance (Fill in which team or committee has oversight) Facility Champion Team Physical Therapy Pharmacy Nursing Safety Education

  19. Managing Improvement Development Maintenance

  20. 2014 plans for improvement • Reach out to low performers to provide assistance. • Collect and share best practices across our network hospitals & system in a single document

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