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Multistate Performance Improvement Project Strengthening our Quality Programs in our Rural Hospitals

Multistate Performance Improvement Project Strengthening our Quality Programs in our Rural Hospitals. Participating States. Alaska Arizona Kansas Oklahoma New Mexico Virginia Wyoming. Project Purpose.

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Multistate Performance Improvement Project Strengthening our Quality Programs in our Rural Hospitals

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  1. Multistate Performance Improvement ProjectStrengthening our Quality Programs in our Rural Hospitals

  2. Participating States • Alaska • Arizona • Kansas • Oklahoma • New Mexico • Virginia • Wyoming

  3. Project Purpose To help our small rural hospitals develop quality programs that will assist them in surviving the challenges that will come with the emerging era of intolerance in ways tailored to the unique needs of their settings.

  4. Project Goals • Streamlining compliance-related activities to promote success while consuming minimal resources • Assuring Medicare Conditions of Participation survey readiness • Strengthening quality improvement activities to promote sustainable and timely improvement • Streamlining quality related activities for greater efficiency and effectiveness • Strengthening systems such as utilization review, infection control, credentialing, privileging, medical staff bylaws, policies and procedures, leadership development and board education • Participating in benchmarking activities to establish baseline performance and promote learning through the sharing • of best practices • Establishing strong systems for strategically managing the hospitals’ future

  5. Project Activities • Survey readiness • On-site consultation • Training webinars • Resource library • Benchmarking with peer group • Telephone and internet support

  6. Project Timeline

  7. QUALITY INITIATIVESARIZONA FLEX PROGRAM Alison Hughes, MPA, Flex Program, Az RHO HRSA Grantee Partnership Meeting Washington, D.C. September, 2009 Hopi Country, July, 2009 Photo by Alison 7

  8. Quality Initiatives 8 Performance Improvement Summit for Critical Access Hospital CEOs and CFOs. Rural Trauma Team Development. Mock Site Reviews. Targeted trainings and Webinars. Multi-State Quality Improvement Project. EMS First Responder manager training and budget training.

  9. Arizona Critical Access Hospital CEOs, CFO’s and other staff members gather for 2009 Performance Improvement Summit. Phoenix, June, 2009 9

  10. 10 Phoenix Police on Break July 2009 Photo by Alison

  11. ARIZONA CAH-RELATED FIRST RESPONDERS RECEIVE BUDGET TRAINING, 2008 Photo by Alison 11

  12. 12 INTRODUCING THE MULTI-STATE PROJECT TO ARIZONA CRITICAL ACCESS HOSPITALS

  13. 13 • Introducing the Multi-State Project to the CEOs • Teleconferences with consultant • Teleconferences with Kansas Hospital Association online Quality Health Indicators project and interested critical access hospitals. • Contract negotiations. The need for MOAs with participating hospitals. • Flex Staff site visits to critical access hospitals with Darlene Bainbridge for consultations.

  14. 14 • Webinar Involvement • In-person Quality Managers meeting. • Ongoing tele-consultations on identified needs. • Swing bed policies • Observation bed policies • Personnel management challenges • Useful tools for Quality Managers • Quality calendar concept • End-of-year assessment underway.

  15. Introducing the Multi-State Project to Hospital personnel in Willcox, Arizona. Photo by Alison. 15

  16. Quality Managers attend in-person training program July, 2008, Phoenix, AZ. Darlene Bainbridge, trainer. Photo by Alison. 16

  17. Lessons Learned 17 Chief Executive Officer buy-in and personal engagement impacts success. Flex staff engagement impacts success. The importance of Memoranda of Agreement with the participating hospitals, prior to participation.

  18. Navajo Land, Arizona July, 2009 Photo by Alison END 18

  19. QUALITY INITIATIVESOKLAHOMA FLEX PROGRAM Val Schott, Flex Program, OK RHO HRSA Grantee Partnership Meeting Washington, D.C. September, 2009 Hopi Country, July, 2009 Photo by Alison 19

  20. Quality Initiatives 20 Multi-State Quality Improvement Project Community assessments Annual rural health conference QIO Quality Initiative EMS First Responder development

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  23. Stronger quality programs are critical to the future of our rural hospitals 23

  24. Five Critical Outcomes • Patient satisfaction that drives loyalty to our rural hospitals • New patient acquisition • Patient retention • Patient profitability • Market domination 24

  25. 25 Critical Activities • Teleconferences with consultant • Participation in Quality Health Indicators project • Flex Staff site visits to critical access hospitals with Darlene Bainbridge for consultations. • Internet and telephone support • Resource library • Partnership building with Oklahoma Hospital Association and QIO

  26. 26 Lessons Learned • Need to keep it simple • It is not a lack of desire that hurts our hospitals, it’s a lack of knowledge and resources • This works best when we all work together

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