Partnership for Patients

1. Partnership for Patients Georgia Hospital Association Research & Education Foundation (GHAREF) Hospital Engagement Network Cohort Kick-Off Conference February 7, 2013 Dennis Wagner & Paul McGann, M.D. Co-Directors, Partnership for Patients Jack Jordan, Deputy Director U.S. Department of Health & Human Services CMS Center for Medicare & Medicaid Innovation

2. Questions to Run On • What are some initial accomplishments of the Partnership for Patients? • How can you and your organization benefit from and contribute to the Partnership? • What are some accomplishments you are most proud of in delivering care to patients and families in your healthcare setting?

3. Breakthrough Aims of the Partnership for Patients • 40% Reduction in Preventable Hospital Acquired Conditions • 1.8 Million Fewer Injuries • 60,000 Lives Saved • 20% Reduction in 30-Day Readmissions • 1.6 Million Patients Recover Without Readmission

4. If we always do what we’ve always done, we’ll always get what we’ve always got. Partnership for Patients is About All of Us Doing Things Differently. We have unprecedented Federal action and coordination. We have an unprecedented CMMI Investment in taking proven practices to scale. We have unprecedented action and alignment by community-based organizations, hospitals, clinicians, private partners and others. Evolve the Plan: Join with GHA and HHS in making the most of this extraordinary opportunity for change and improvement.

5. Partnership for Patients Achieves Results Through “3 Engines”

6. Powerful Partners Have Aligned Their Work With the Partnership Powerful Partners Are Aligning Their Work With the Partnership A number of major partners from across the spectrum of health care stakeholders have made significant commitments aligned to our aims.

7. Partnership for Patients Work on Patient & Family Engagement (PFE) • Authentically engage patients in our work; model this • Identify organizations that reflect best practices • Replicate and spread effective practices • Track progress on PFE across hospitals and increase transparency • Team with and support others involved in leading this work

8. Patient and Family Engagement at Work in the Partnership • Infusing the patient’s voice in PfP activities and collaborating with a cadre of patient advocates to share their stories, serve on workgroups, and spread best practices • Partnering with organizations such as Planetree, National Priorities Partners/National Quality Forum, and more to affect point of care, policy and design, governance, and community • Teaming with patient advocates to develop and refine a new set of PFE measures to track and measure HEN performance • Encouraging hospitals and HENs to include patients in meetings/presentations and actively participate on boards, workgroups, and advisory councils

9. Partnership for PatientsFour Requests to Georgia Hospitals • Reduce harm across the board. It is a call for hospitals to produce reductions in every type of harm. • Take a systemic approach. It is a call to transform the organization and its practices to eliminate all the causes of harm. “Using every means at our disposal.” • Make your safety transparent to all. It is a call for hospitals to define themselves by their safety performance; define themselves to their employees, doctors, patients and the community. • Make safety personal & compelling. Make every incident of harm a personal patient story that propels the institution to higher levels of performance.

10. Questions to Run On • What is the State of the PfP Network? • How does GHAREF HEN compare to the other HEN Networks? • What/who are some of the practices, people and results of High Performing Hospitals and how can we mobilize them as a force to improve the state of healthcare?

11. Partnership for Patients Results:We Are Moving in the Right Direction! • Progress on Patient and Family Engagement is Accelerating • National Support and Management System for Reducing HACs and Readmissions is in Place for 3700+ Hospitals • Dramatic Progress on EEDs in Multiple Networks and Hundreds of Hospitals; Further Rapid Improvement Expected • Initial Estimates Show Decreases in Average Medicare 30-Day Readmissions in 2012 • 2011 National Scorecard Results Show Almost All Trends Are Positive and Moving in the Right Direction

12. We Know How to Achieve the Results We Seek • High performing hospitals… • Entire systems of hospitals… • And hospitals across entire states… …have figured out how to achieve the results we seek. The challenge is spread.

13. Partnership for Patients 2010 Readmissions Baseline and 2013 Target

14. Progress in Reducing 30 Day Readmissions • More than 100,000 Fewer Readmissions Over the Last 12 Months • Hospitals Across the Nation Have Figured Out How to Reduce Readmissions • Better Discharge • Care Transitions • Medication Reconciliation • Get outside the walls of the hospital • Patients Would Rather Be at Home

15. National Support SystemHospitals Engaged, Reporting, Improving, & Generating Benchmark Results on PfP in January 2013 Total Number of Short Stay, Acute Care Hospitals in the Nation Total Number of PfP Hospitals Engaged on 3 or More of the 10 Priorities Total Number of Short Stay, Acute Care Hospitals in the PfP Total Number of PfP Hospitals Engaged on 6 or More of the 10 Priorities Total Number of PfP Hospitals Reporting Data to their HEN Total Number of PfP Hospitals Showing Improvement on 1 or More of 10 Priorities Total Number of PfP Hospitals Showing at Benchmark Status on 1 or More of the 10 Priorities 15

16. Partnership for Patients Hospitals Engaged, Reporting, Improving& Generating Benchmark Results-- Rapid Improvements in 4 Months -- 5196 Short Stay Acute Care Hospitals in the U.S.

17. National vs. Georgia Benchmark Results

18. GHAREF Readmissions

19. Hospital Status by HEN and HACEngaged and Reporting Data(at 2 or higher on the Z-scale)

20. Hospital Status by HEN and HAC Showing Improvement(at 3 or higher on the z scale)

21. GHAREF Progress • As of January 2013, Georgia Hospital Association Research and Education Foundation’s SIR, CAUTI, Fall, Pressure Ulcer, and Readmission rates have declined since the 2010 baseline rate.

22. Georgia Shines in Multiple HACs for the 3rd Quarter of 2012: • 34 hospitals showed an EED rate of ≤ 5% • 23 hospitals reported zero CAUTI • 28 hospitals reported zero CLABSI • 25 hospitals reported zero VAP ICU *GA HEN is currently working with 116 hospitals

23. Upson Regional Medical Center • 2012 Quarter 3: Progress! • Zero EED Rate • Zero CLABSI • Zero CAUTI: ICU • Zero VAP: ICU

24. Habersham Medical Center • 2012 Quarter 3: Progress! • Zero CLABSI • Zero CAUTI: ICU • Zero VAP: ICU

25. Measurements • Each HEN was given the flexibility to measure harm in a manner to accommodate local needs. • Where possible we leverage common national measures but where local needs require something different we encourage that usage.

26. Culture Change and Engagement • Utilize Performance and Improvement Strategies • Engaging Patient and Families • HAC Learning Collaboratives (LCs) • Become an early adopter of best practices • Transparency as a vehicle for culture change • Increased transparency among Partners, Patients and Employees • Sharing information with front line staff

27. Harm Across the Board • Encourage Hospital Participation in Eliminating All Cause Harm. • Utilizing Ideal Hospitals to Serve as Mentors in Safety Transparency and Develop Levels of Safety Performance.

28. Readmission Outcomes! Hospitals Reporting Reduction in Readmission Outcomes • Effingham Health System • Georgia Health Sciences Medical Center • Hamilton Medical Center • Hughston Hospital • Northridge Medical Center • Redmond Regional Medical Center • Southeast Georgia Health System Camden Campus • Stephens County Hospital • Tift Regional Medical Center • Ty Cobb Regional Medical Center

29. Questions for Discussion, Potential Action and Follow-up • What progress and results would you like to celebrate from your own organization? • What actions might you take as a result of what you are hearing this morning? • What are your insights, ideas and suggestions for CMS and the Department?

30. Prescription for Results Achieving a 20% Reduction in 30-Day Readmissions Name: Georgia Hospital Leaders • Commit to Achieving These Results • Commit to Reducing all10 HACs simultaneously • Make Patients and Families an integral part of your safety program • Engage top leaders in your hospital to make your hospital safe And a 40% Reduction in Hospital Acquired Conditions Date: February 7, 2013 • Be Transparent with your Data • Maximize the help offered by GHA • Don’t Wait, Start Now

31. Questions to Run OnWe Want Your Answers; Now and Later • What can I do to help my hospital dramatically improve progress toward the Aims to help the patients in Georgia? • What action(s) will I take based on these presentations to strengthen my game plan and accelerate progress towards making care safer for the residents of Georgia? • What are your insights and advice about how the PfP & GHAREF Leadership can be most helpful in dramatically making care safer?

32. You’re Invited! Monday, February 11, 2013 3:00 – 4:30 PM (ET) The Partnership for Patients is hosting a webinar focused on Patient and Family Engagement. This will be a dynamic and exciting event, and we encourage all participating hospitals to attend! Pre-registration is NOT required. Just email the NCD at: NationalContentDeveloper@EconometricaInc.com