shifting your quality improvement into high gear: using rapid cycle improvement to impact quality...

Shifting Your Quality Improvement into High Gear: Using Rapid Cycle Improvement to

Impact Quality OutcomesCindy Sun, MSN, RN, COS-C

Objectives

After today’s session, the participant will be able to: Explain rapid-cycle improvement and describe how it

aligns with current HHA goals List steps towards implementing PDSA in own HHA Access the HHQI tools and resources for reference

and to support individual PDSA cycle

Connection to Quality

QualityHH Star CoP

Quality of Patient Care Star Ratings

Summary of Current Performance Measures

Process Measures Outcome MeasuresImprovement of:

Timely Initiation of Care Ambulation

Drug Education on all Meds Bed Transferring

Influenza Immunization Bathing

Pain Interfering with Activity

Shortness of Breath

Acute Care Hospitalization (ACH)

Conditions of Participation (CoP)

Data-driven quality assessment and performance improvement (QAPI) program

Start Now and achieve sustainability by the time the CoP is released

Data-Driven Quality Improvement

HHQI Data Reports

HH Compare

CASPER

Model for Improvement

What?

What are we trying to improve?

When?

How will we know the improvement has occurred?

Changes?

What changes can we make that will REALLY result in improvement?

Pave Your Path Webinar Series: http://www.homehealthquality.org/Webinars/Pave-Your-Path-Webinars.aspx

Rapid Cycle-Improvement: PDSA

“The Domestic Lean Goddess”

Short video demonstrating the use of the PDSA Cycle related to getting the family out the door on time in the morning

Available on the HHQI website at: www.HomeHealthQuality.org/Webinars/Pave-Your-Path-Webinar-Series

Sustainability and Spread

Organizational Culture Community Partners Resources

Home Health Quality Improvement (HHQI) National Campaign

Goal: Improve the quality of care home health patients

receive

Special Project funded by Centers for Medicare &

Medicaid Services

Free evidence-based tools and resource

Many networking opportunities

with 12,000+ participants

www.HomeHealthQuality.org

HHQI Rapid Cycle Improvement Resources

Pave Your Path Webinar Series: Designing a Systematic Approach to Quality Improvement– Institute of Healthcare Improvement– 4-part series focusing on IHI’s Model for Improvement

• Includes PDSA (Rapid Cycle Improvement)

Self-Management

PDSA ChecklistThe model for improvement, with Plan-Do-Study-Act (PDSA) cycles, provides a framework for testing changes to improve patient self-management.

Learn about the PDSA model:CHAMP presentation, handouts, and worksheet

Medication Management

Underserved Population Templates

Health Literacy Small HHA

hospitalization

Interpretation of HHQI Data Reports

HHQI Data Access

Individualized reports:– Acute Care Hospitalization– Oral Medication Management– Immunizations– Cardiovascular

OASIS-based (raw & risk-adjusted) Securely delivered online Updated monthly Historical trends

Best Practice Intervention Packages (BPIPs)

Topics– Cardiovascular Health– Immunization– Underserved Population– Acute Care Hospitalization– Oral Medication

Management– Disease Management– Fall Prevention– Cross Settings

Potential ACH Problems / Barriers Identified in Data?Not using a Hospital Risk Assessment?

Hospital Risk AssessmentPatient Self-Hospitalization Assessment

Other Problems/Barriers with ACH Data?

Hospitalizations resulting from exacerbated chronic diseases?

Zone & Stop Light Tools

Available Zone Tools

Fundamentals of Reducing Acute Care Hospitalizations BPIP – ZONE Tools– COPD– Depression– Diabetes– Heart Disease– Heart Failure– High Blood Pressure – Urinary Catheter

Communication Challenges? Are your triage logs indicating patients are not

calling agency before going to hospitalCall Me First Posters

Medication Reconciliation

Medication Adherence

Video BPIPs

Video BPIPs– Short patient and clinician

videos – Supplement education

using multimedia– Perfect for patient

education

No Inglés?

Spanish translations– Many tools and patient resources

Patient Video BPIP subtitles

HHQI University

Monthly educational opportunities

Free CE opportunity for RNs

Great way to share best practices for improving patient outcomes

Questions?

Thank You!

Contact Info:HHQI: HHQI@wvmi.org

Cindy Sun: csun@wvmi.org

This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health

and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-060515C