ND Flex Program/CAH Quality Network

Transcription

1 ND CAH Pre- Conference Dakota Conference June 5, 2013 ND Flex Program/CAH Quality Network Jody Ward, RN, MS, APHN Deb Fossum, MPH,RD,LRD Established in 1980, at The University of North Dakota (UND) School of Medicine and Health Sciences in Grand Forks, ND One of the country s most experienced state rural health offices UND Center of Excellence in Research, Scholarship, and CreaUve AcUvity Home to seven nauonal programs Focus on EducaUng and Informing Policy Research and EvaluaUon Working with CommuniUes American Indians Health Workforce Hospitals and FaciliUes ruralhealth.und.edu 1

2 ND Medicare Rural Hospital Flexibility (Flex) Program Driving CAH Quality, Finance and Community Engagement Three Priority Focus Areas Financial / OperaRonal Performance Quality Improvement (and Assurance) Health System CollaboraRon Community Engagement Network Funding Sources September 1, August 31, 2014 ND Flex Program- $398,000 NDDoH State Stroke Program(2013)- $51,000 2

3 Flex Program DirecRve Support efforts to improve and sustain the quality of care provided by CAHs to ensure that rural ci;zens receive high- quality, appropriate care in their communi;es. Flex Support to CAH Quality 1. Assist CAHs with data collecuon issues, quesuons, and concerns with hospital reporung- MBQIP (Medicare Beneficiary Quality Improvement Project) inpauent, outpauent and HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) data 2. Share best pracuces implemenung evidence- based protocols for common topics (Virtual Library, regional meeungs, newslecers, webinars) 3. ParUcipaUon in nauonal QI training or capacity building programs (NaUonal organizauons, NaUonal partnership calls) 3

4 Flex Support to CAH Quality (conrnued) 1. Collaborate with Regional Extension Assistance Center for Health InformaUon Technology (HIT) 2. Support Healthcare Safety Zone Portal (HCSZ- event reporung tool) 3. Support state work with QIO Health Exchange Network (HEN)- Partnership for PaUents (HCSZ- technical assistance calls) Flex Support for Financial and OperaRonal Improvement 1. Partner with NDHA to offer technical assistance on targeted areas of high financial risk 2. Provide sharing of best pracuces opportuniues for CAHs to learn from one another 3. Support CAHs in need of financial consultauon. Opportunity to apply for comprehensive revenue cycle analysis (includes charge master review for eligible CAHs) 4. Host CEO, CFO or financial manager meeungs to discuss common issues 5. Sponsor financial workshops to improve financial performance (Lean process improvement training) 4

5 Flex Support for Health Systems Development & Community Engagement 1. Support the inclusion of EMS into local and regional trauma systems of care o State trauma and EVENT data collecuon systems o ParUcipate in state ND EMS Advisory Commicee meeungs 2. Provide funding for EMS leadership and management training 3. Promote regional ambulance services and CAH community meeungs (hosted by EMS) Flex Support for Health Systems Development & Community Engagement (conrnued) 4. ParUcipate in CAH and EMS community paramedicine model 5. Promote Community Health Needs Assessments (CHNA)- resources available on Flex web page hcp://ruralhealth.und.edu/ projects/flex/rhta/assessments.php 6. CHNA- support CAHs in developing a strategic implementauon plan 7. Offer compeuuve RFP funding for CAHs to implement a community project related to a need idenufied through CHNA 5

6 Flex Program Support to ND CAH MBQIP AcRvity Medicare Beneficiary Quality Improvement Project 92% of the 1331 CAHs nauonwide are parucipaung ND is 1 of 23 states with 100% CAH parucipauon Focus: ReporUng, analyzing, improving care Rural appropriate measures: inpauent, outpauent, and HCAHPS phased approach from Phase 3 begins August 2013 IntegraRon of MBQIP ND CAHs (100% parrciparon) ND collaborauon (Flex, ND CAH Quality Network, ND Hospital AssociaUon and state QIO) Individual Site Visits (in person and video conference to all 36 ND CAHs) HCAHPS - Affordable vendor opuon Lessons learned from our efforts (sharing nauonally) Resources built for ND CAHs QIO and ND CAH Quality Network CollaboraUve Roles Quality Measures Crosswalk 6

7 MBQIP Technical Assistance Support The Quality Measures Crosswalk 7

8 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Ø ND HCAHPS 100% parucipauon Ø HCAHPS Purchasing The ND Hospital AssociaUon (NDHA)(through a Flex subcontract) pays the vendor (Rural Comprehensive Care Network - RCCN) for all 25 CAHs using RCCN Ø CHI FaciliUes (7) & other CAHs (4) using different vendor Ø Quarterly Reports Receive from RCCN - including other vendors Ø Develop educauon opportuniues based on data MBQIP Phase 3 begins September 2013 Ø Ø Pharmacist order and verificauon of medicauon orders within 24 hours Ø Numerator: Number of electronically entered medicauon orders for an inpauent admiced to a CAH (acute or swing bed), verified by a pharmacist or directly entered by a pharmacist within 24 hours Ø Denominator: Total number of electronically entered medicauon orders for an inpauent admiced to CAH (acute or swing bed) during the reporung period OutpaUent Emergency Department Transfer CommunicaUon (7 Elements) Pre- transfer communicauon informauon PaUent idenuficauon Vital signs MedicaUon- related InformaUon PracUUoner generated informauon Nurse generated informauon Procedures and tests 8

9 ConRnued Focus on Quality - SHIP Small Rural Hospital Improvement Program ( ) The nauonal healthcare environment is rapidly changing, and SHIP is adjusung to enable small hospitals to meet Affordable Care Act objecuves. Focus is to complement the Flex Program SupporUng MBQIP acuviues Data submission HCAHPS SupporUng ICD- 10 acuviues ND CAH Quality Network Established in % CAH ParUcipaUon ExecuUve Commicee Members (8 CAHs) Advisory Commicee Members Staff at the North Dakota Center for Rural Health 9

10 ND CAH Quality Network The mission of the Network is to support ongoing performance improvement of North Dakota's Cri;cal Access Hospitals Virtual Library of Shared Tools CondiUons of ParUcipaUon CredenUaling DON Mentorship Program Quarterly Newslecer CAH Event ReporUng State Stroke Program Medicare Beneficiary Quality Improvement Program Maintaining Regional MeeRngs and RelaRonships Set meeung dates in advance Ensure all voices are heard Travel vs. video conference Awareness of closing communicauon gaps 10

11 Regional Success Stories Stroke Systems of Care STEMI ND Uniform CredenUaling ApplicaUon 11

12 QuesRons? Contact us for more information! Jody Ward, RN, MS, APHN Deb Fossum, MPH, RD, LRD Flex Coordinator ND CAH Quality Network Coordinator University of North Dakota University of North Dakota Center for Rural Health Center for Rural Health 12

13 Financial & OperaRonal Improvement Federal and State LegislaRve Update Tim Blasl, Vice President of the North Dakota Hospital AssociaUon Building Healthier CommuniRes Brad Gibbens, MPA, Deputy Director, Center for Rural Health 13

14 Top Survey Deficiencies Bridget Weidner, Program Manager, Division of Health FaciliUes, North Dakota Department of Health 2013 North Dakota CAH Quality Network Annual MeeRng Doris Vigen, DON, Sanford Mayville (Network Chair) 14

15 Network ExecuRve Commibee Doris Vigen (Chair) Coleen Bomber (Vice Chair) Louise Dryburgh (Park River) Candie Thompson (Harvey) Jodi Atkinson (Bopneau) Elnora Hokana (Oakes) Dana Andress (Hepnger) Shawn Smothers (Kenmare) ExecuRve Commibee Terms of Office Ø All posiuons currently filled Ø Commicee meets monthly Ø Commicee is a voice for statewide CAH acuvity on their behalf Ø ExecuUve Commicee members acend nauonal meeungs Ø Network annual meeung once- a- year 15