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Marlyn Conti –Patient Safety Coordinator, I ntermountain

Intermountain-led CMS Hospital Engagement Network Preventing Pressure Ulcers March 25, 2014 Affinity Call. Marlyn Conti –Patient Safety Coordinator, I ntermountain Monica Spencer — NP / Manager Wound Care , Baylor Scott & White Health

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Marlyn Conti –Patient Safety Coordinator, I ntermountain

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  1. Intermountain-led CMS Hospital Engagement Network Preventing Pressure UlcersMarch 25, 2014 Affinity Call Marlyn Conti –Patient Safety Coordinator, Intermountain Monica Spencer—NP/ Manager Wound Care, Baylor Scott & White Health Gina Honermann-Garinger—Baylor Scott & White Health Center for Clinical Innovation

  2. Outline for Discussion • Review of 2013 data  through Q4 • ‘High performers’ – what are they doing? • PfPrecommended metrics • “Just-one-thing” – updated document • 2014 plans for improvement: • Reach out to low performers to provide assistance. • Baylor has called a task force together to review the HAPU policy/procedure and document performance • Intermountain PrU Bundle

  3. Overall Progress Through 2013

  4. Intermountain HEN 2012-13 submitting HospitalsAHRQ PSI 3 Pressure Ulcers National high performing benchmark (0.25)

  5. Intermountain HEN 2012-13 submitting HospitalsAHRQ PSI 3 Pressure Ulcers

  6. Intermountain HEN 2012-13 submitting HospitalsHAPU (Prevalence)

  7. Intermountain HEN 2012-13 submitting HospitalsHAPU (Prevalence)

  8. HEN Pressure Ulcer 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 Pressure Ulcer MeasuresPSI 3

  10. HEN Pressure Ulcer MeasuresHAPU Prevalence

  11. HEN Pressure Ulcer MeasuresHAPU Prevalence—Stage III & greater Should we change this to be in-line with the national metric and include stage II and greater?

  12. High Performing Hospital Highlight… % Improvement • Baylor University Medical Center - actions

  13. High Performing Hospital Highlight… Rates

  14. Just One Thing MatrixRecommendations

  15. Intermountain Pressure Ulcer Bundle

  16. Getting Started Getting Started • Access Available Tool Kits • Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care http://www.ahrq.gov/research/ltc/pressureulcertoolkit/ • National Pressure Ulcer Advisory Panel http://www.npuap.org/ • http://www.Henlearner.org • AHRQ PSNethttp://www.psnet.ahrq.gov/ • AHRQ Web M&M http://www.webmm.ahrq.gov/ • AHRQ Health Care Innovations Exchange http://www.innovations.ahrq.gov/

  17. 2014 plans for improvement • Reach out to low performers to provide assistance. • Baylor has called a task force together to review the HAPU policy/procedure and document performance • Intermountain PrUBundle • Collect and share best practices across our network hospitals & system in a single document

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