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Rural Hospital Collaborative for Excellence Using IT AHRQ UC1 HS15431

Rural Hospital Collaborative for Excellence Using IT AHRQ UC1 HS15431. Kathy Mechler, MS, RN, CPHQ Texas A&M University Health Science Center Rural and Community Health Institute. Grant Partners. Baylor Health Care System Institute for Health Care Research & Improvement.

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Rural Hospital Collaborative for Excellence Using IT AHRQ UC1 HS15431

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  1. Rural Hospital Collaborative for Excellence Using IT AHRQ UC1 HS15431 Kathy Mechler, MS, RN, CPHQ Texas A&M University Health Science Center Rural and Community Health Institute

  2. Grant Partners Baylor Health Care System Institute for Health Care Research & Improvement Dallas-Fort Worth Hospital Council Data Initiative Texas Medical Foundation Health Quality Institute

  3. Project Objective • Improve patient safety and quality of care in rural and • critical access hospitals by providing: • Access to web-based state of the art data processing • and analytic tools • Education and training • Ongoing support and encouragement specific to • performance measurement and using AHRQ quality and safety indicators in their respective performance improvement efforts

  4. Education Course Taught basic concepts of : • patient safety & quality improvement • data analysis & interpretation • required a project from each participating • hospital

  5. Study Eligibility • Hospitals in counties with population ‹100,000 • General Medical/Surgical (n=129) • Critical Access (n=59) • Eligible hospitals – 188 • Funding for 62 hospitals – 66 hospitals • in the study • Agree to submit and share administrative • data • Agree to abstract and submit CMS Core • Measures

  6. Participants – 66 Hospitals

  7. Improved Patient Quality and Strategic Planning Technology Model for Improvement Quality Improvement Process Strategic Planning Process Operational Data Financial Data Market Data Patient Safety & Quality Data Technology Implementation Hospital Discharge Data, CMS and AHA Quality Measures

  8. How the data being used…

  9. What have we learned? • Data exports were challenging for rural hospitals • Education and Support is critical to success • Exceeded budgetary expectations • Small numbers have been an issue • Limited resources: Budget and Equipment • Limited human resources • Manpower, financial • Independent, have a tendency to resist outside • influence • Short term view is focused on revenue to survive • Different problems with patient safety • Knowledge is broad but superficial • Some of the hospitals do not take the time to code self paying patients due to no change or impact on their reimbursement

  10. What are the hospitals saying?

  11. How are the hospitals using the data?

  12. Types of Assistance Used

  13. Quality of Experience

  14. Next Steps • Evaluation • Technology evaluation ongoing (qualitative & • quantitative) • Measurably improved data integrity • Sustainability plan underway • Additional funding for ambulatory data and • other data initiatives

  15. Thank you Contact Information: Kathy Mechler 979.862.5004 mechler@tamhsc.edu

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