Accelerating Improvement, Getting Results - nyspfp.org

1 A partnership of the Healthcare Association of New York State and the Greater New York Hospital Association Accelerating improvement , Getting Results NYSPFP Accomplishments and Opportunities May 15, 2013 NYS PARTNERSHIP FOR PATIENTS Achieving the Triple Aim: quality as a National Priority 2 oCMS investment for hospital engagement in quality improvement oReduce hospital-acquired conditions by 40% oReduce preventable readmissions by 20% oThis is an Innovation Center (CMMI) initiative, not a regulatory program. Partnership for Patients NYS PARTNERSHIP FOR PATIENTS NYSPFP Goals and Potential Cost Savings Cost Fewer preventable readmissions $9,600 Fewer EEDs $41,000 per NICU (10% of EEDs) Fewer infections: CAUTIs $750 CLABSIs $19,000 SSIs $20,000 VAPs $21,000 Fewer nursing-sensitive HACs: Adverse drug events $3,000 Falls $11,250 Pressure ulcers $33,180 stage 3/4 VTEs $10,000 Source.

2 AHA/HRET HEN Cost References for Estimated Savings, April 18, 2013 NYS PARTNERSHIP FOR PATIENTS NYSPFP Approach 4 Sharing of Clinical and improvement Knowledge Measurement and Tracking Communication Organizational Support NYS PARTNERSHIP FOR PATIENTS Hospital-documented Improvements Decrease in EEDs by 36% for approximately 75 affiliate hospitals Decrease in the CLABSI standardized infection ratio (SIR) by 28% Decrease in the VAP rate by 35% Decrease in the SSI rate by 25% Decrease in the facility-acquired pressure ulcer rate by 59% NYS PARTNERSHIP FOR PATIENTS Areas of Opportunity CAUTI Rate has increased but also significant increase in the number of units reporting Substantial reduction in catheter utilization Falls 7% increase in falls with moderate or greater harm since 2010 Adverse Drug Events 3% decrease, may be a measurement issue EED Rate is improving but above national target Readmission All Payer rate reduction - 7%.

3 PPR rate reduction - 1% Data lag prevents observation of 2012 improvement efforts NYS PARTNERSHIP FOR PATIENTS Achieving Results : NYSPFP Strategies for Getting to Zero oEngaging CEOs oSupporting Clinical Leadership oEmpowering Patients and Families oFocusing on Accelerating improvement oActively addressing process failures and expectations oTransitioning to cross cutting improvement HANYS and GNYHA will continue to support members goals for Getting to zero harm