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Data Results: Early Elective Deliveries

Data Results: Early Elective Deliveries. September 17, 2012. Where did we start?. CMS and the National Content Developer charged all HENs to reduce HAC’s by 40% Adding reducing readmissions by 20% Finally adding reducing EEDs by 40%. Who helped us start?. Buy-in from hospitals

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Data Results: Early Elective Deliveries

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  1. Data Results:Early Elective Deliveries September 17, 2012

  2. Where did we start? • CMS and the National Content Developer charged all HENs to reduce HAC’s by 40% • Adding reducing readmissions by 20% • Finally adding reducing EEDs by 40%

  3. Who helped us start? • Buy-in from hospitals • March of Dimes • Department of Public Health • Georgia Chapter of OBGYN Society • Georgia Chapter of the Society for CNM • Georgia Nurses Association • AmeriGroup • And others

  4. How did we start? • EED Action Group met in April 2012 to review 2009 data regarding EED • Developed and agreed upon plan to reduce EED’s by 40% • Ultimate overall goal for Georgia: 0% • Timely goal for August 2012: 5% or less • Plan: Encourage use of “hard stops” or IHI bundles to empower nurses and schedulers

  5. EED Action Group

  6. The Journey • In-person meeting inviting all birthing hospitals in Georgia • March of Dimes • Department of Public Health • WellStar Health System • Athens Regional Health System • Liberty Medical Center • Pledge was signed to reduce EEDs across Georgia • Telnets/Webinars and one-on-one calls with hospitals were held including subjects on physician engagement, hard stops, risks to moms and babies and more!

  7. Commitment Poster signing

  8. Commitment poster signing 2

  9. The Journey • Several hospitals shared their success in reducing EED’s • Atlanta Medical Center • Emory University Midtown • Piedmont Henry

  10. The Results • There are 75 birthing hospitals in Georgia • 57 (77%) of those hospitals turned in data • 19 (33%) of the 56 hospitals were already at a 0% EED rate • Of the 38 hospitals needing improvement about ½ showed significant gains!! • 3 of those hospitals went from a 14% or higher EED rate to a 0% rate sustained for at least 3 months!!

  11. The Results 1 • 2009 – 65% • 2010 – 56.7% • August 2012 – 3.62% • YTD 2012 – 5.98% • That’s a 93% decrease in Early Elective Deliveries!!! • For YTD that’s a 90% decrease!!

  12. The Results 2 • From March 2012 baseline data to August 2012 data: • We can celebrate a 56% decrease in EEDs

  13. The Results 3 • According to Managed Care Magazine it costs around $41,000 for a late preterm NICU visit • The incidents went from 147 incidents in March 2012 to just 30 in August 2012 • That’s a decrease of 117 incidents • If even a ¼ of the babies went to NICU, we saved Georgia Healthcare $1,199,250.00 OVER 1 MILLION Dollars!!

  14. The Results 4

  15. The Results 5

  16. The Results 6

  17. Lessons Learned • Important to work as a team • Get physician buy-in and have a physician champion • Empower your schedulers and nurses • Have a peer review for non-medically necessary EED • Educate patients early starting at first visit • Collaborate with others even outside your hospital: • Share best practices • Share forms • IHI • March of Dimes

  18. Lessons Learned 2 • Use data to sustain the gain • Present data to administration and physicians • Celebrate your success!!!

  19. Questions??

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