![Page 1: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/1.jpg)
Copyright ©2011 Georgia Hospital Association
Medicare Beneficiary Quality Improvement Project (MBQIP)
Emergency Department Transfer Communication Measure
Hospital Reporting Update10 March 2015
![Page 2: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/2.jpg)
Copyright ©2011 Georgia Hospital Association
BackgroundThe Office of Rural Health Policy (ORHP) created the Medicare Beneficiary Quality Improvement Project (MBQIP) as a Flex Grant Program activity within the core area of quality improvement.
• The primary goal of this project is for CAHs to implement quality improvement initiatives to improve their patient care and operations.
• MBQIP provides Flex funding to support Critical Access Hospitals (CAH) with technical assistance and national benchmarks to improve health care outcomes.
• CAHs opting to participate are requested to report a specific set of annual measures determined by ORHP timeline and measures and engage in quality improvement projects to benefit patient care.
![Page 3: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/3.jpg)
Copyright ©2011 Georgia Hospital Association
Objectives• MBQIP Phase 3 Reporting Timeline
• Data collection and reporting Tools update
• Data submission
• Resources
![Page 4: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/4.jpg)
Copyright ©2011 Georgia Hospital Association
MBQIP phase 3
• Pharmacist CPOE or Verification of Medication Orders within 24 hours (patient safety)
• Emergency Department Patient Transfer Communication
(care transitions)
![Page 5: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/5.jpg)
Copyright ©2011 Georgia Hospital Association
Seamless Care: Safe patient transitions between facilities
Ensuring appropriate and timely care beyond organizational silos is essential to transforming health care.
![Page 6: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/6.jpg)
Copyright ©2011 Georgia Hospital Association
ED Transfer Communication Measure
• Critical Access Hosptials (CAH) serve an important care transition role of stabilize-and-transfer
• Lack of standardized measures and benchmarking to help evaluate this role.
![Page 7: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/7.jpg)
Copyright ©2011 Georgia Hospital Association
ED Transfer Communication Measure
• 2003: Expert panel convened by the University of Minnesota Rural Health Research Center and Stratis Health
• 2013-2014: CMS Innovation Project• September 2013 Endorsed by National Quality
Forum• October 1 2014: Data Collection Nationally for
Phase 3 MBQIP.
![Page 8: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/8.jpg)
Copyright ©2011 Georgia Hospital Association
ED Transfer Communication Measure
• http://www.qualitymeasures.ahrq.gov/compare/index.aspx
![Page 9: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/9.jpg)
Copyright ©2011 Georgia Hospital Association
Population and sampling
![Page 10: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/10.jpg)
Copyright ©2011 Georgia Hospital Association
Population and sampling
![Page 11: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/11.jpg)
Copyright ©2011 Georgia Hospital Association
ED Transfer Communication Measures:
– Administrative communication– Patient information– Vital signs– Medication information– Physician information– Nurse information– Procedures and tests
![Page 12: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/12.jpg)
Copyright ©2011 Georgia Hospital Association
ED Transfer Communication Measure
Overall Performance measureNumerator: # of patients transferred to another healthcare facility whose medical record documentation indicated that all of the patient elements were communicated in an appropriate timeframe.
Denominator: # All transfers from ED to another health care facility
![Page 13: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/13.jpg)
Copyright ©2011 Georgia Hospital Association
Resources
![Page 14: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/14.jpg)
Copyright ©2011 Georgia Hospital Association
Data Submission via Novi SurveyReporting
CAH
GHASORH
ORHP
Medications Order Dates Data Submission Deadline
First Quarter, 2015: January 1 – March 31 April 15 2015
Second Quarter, 2015: April 1 – June 30 July 15 2015
Third Quarter, 2015 July 1 – September 30 October 15 2015
Fourth Quarter, 2015: October 1 – December 31 January 15 2016
![Page 15: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/15.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 16: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/16.jpg)
Copyright ©2011 Georgia Hospital Association
EDTC Hospital Data Collection
![Page 17: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/17.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 18: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/18.jpg)
Copyright ©2011 Georgia Hospital Association
Launch Tool
• Demonstration
![Page 19: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/19.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 20: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/20.jpg)
Copyright ©2011 Georgia Hospital Association
Submitting Data to GHA
![Page 21: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/21.jpg)
Copyright ©2011 Georgia Hospital Association
Submitting Data to GHA
![Page 22: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/22.jpg)
Copyright ©2011 Georgia Hospital Association
Reporting Options
• Preferred method: Generate the numerator and denominator from this report and enter into NOVI
• Alternate method: continue to use paper abstraction tool and manually generate numerator and denominator and enter into NOVI
![Page 23: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/23.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 24: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/24.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 25: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/25.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 26: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/26.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 27: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/27.jpg)
Copyright ©2011 Georgia Hospital Association
![Page 28: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/28.jpg)
Copyright ©2011 Georgia Hospital Association
Resources for Improvement
![Page 29: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/29.jpg)
Copyright ©2011 Georgia Hospital Association
Questions
![Page 30: Copyright ©2011 Georgia Hospital Association Medicare Beneficiary Quality Improvement Project (MBQIP) Emergency Department Transfer Communication Measure](https://reader036.vdocuments.us/reader036/viewer/2022062408/56649ef65503460f94c0a3b2/html5/thumbnails/30.jpg)
Copyright ©2011 Georgia Hospital Association
GHA Contact Information
Kathy McGowan, Vice President of Quality & [email protected] 770-249-4519Joyce Reid, Vice President of Community Health [email protected] 770-249-4545Lisa Carhuff, Quality Improvement/Patient Safety [email protected] 770-249-4553