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Move to Improve Program Process and Results

Gina Mazza RN, BSN Partner, Fazzi Associates Marian Stillwell Director of Clinical Services Heritage Health Care. Move to Improve Program Process and Results. October 2012. Objective. To identify best practice strategies for reducing avoidable hospitalizations of the home care patient.

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Move to Improve Program Process and Results

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  1. Gina Mazza RN, BSN Partner, Fazzi Associates Marian Stillwell Director of Clinical Services Heritage Health Care Move to Improve Program Process and Results October 2012

  2. Objective To identify best practice strategies for reducing avoidable hospitalizations of the home care patient.

  3. Move To Improve Project Statistics 76 Agencies Size of agencies by Average Daily Census: Mean: 230 Median: 157 # agencies less than 100: 19 # between 100 and 300: 39 # agencies greater that 300: 20

  4. Move To Improve Project Statistics For comparative analysis, agencies were divided into three categories:

  5. The Program… • Initiated collection of baseline OASIS data • Agency practice survey • Focus Group • Developed Tracker and Hospitalization Management Dashboard • Training

  6. Revised Structure • Audit tool revised • Dashboard revised • Monthly Accountability/Planning Meeting

  7. SafeSide™ Structure

  8. Fazzi’s SafeSide Outcomes Model The Outcome Oriented Change Model Process Improvements Data Monitoring and Tracking Project Leader Planning and Improvement Meeting Practice Refinements Real-Time Audits Education and Competency New Strategies

  9. Leadership of Program

  10. Frequency of Monitoring Hospitalization Rates

  11. Results of Agencies Performing Audits

  12. Overall Results

  13. Recommendations • Audit charts of hospitalized patients • Critical to identifying core issues related to hospitalization • Create teachable moments • Set clear and measureable goals and share with team • Set stretch goals and publicize and celebrate wins

  14. Recommendations 3. Accountability • Have a leader that has authority, accountability and respect of clinicians. 4. Develop a plan for change and operationalize • Plan, Do, Check, Act • Don’t let daily fires distract from the focus.

  15. Recommendations • Act with purpose • Make decisions based on data • Set clear goals • Have clear outcomes

  16. Marian Stillwell Director of Clinical Services Heritage Health Care Move to Improve Project Participant

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