hret hiin fellowship session 7: implementation and ... · hret hiin fellowship session 7...
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HRET HIIN Fellowship Session 7Implementation and
TroubleshootingTanya Lord MPH, PhD
Tiffany ChristensenMartha Hayward
Review of Connecting a PFE Strategy to a HAC
Pick your HACPick specific
problem to be addressed
Pick PFE Strategy
Review of PFE Strategies
• Discharge Checklist• PFA on Committees/ PFACs• PFA Safety Rounds or Quality Observers• Storytelling• Teach backs• Bedside Shift Report• Peer Rounding• TeamSTEPPS for Patients
Measuring Impact
• What is going to be your measure of success? – Primary: # of readmissions; increased accuracy
during Teach Back– Secondary: Successful PFA engagement, improved
staff morale; Engaged leadership
• How much, by when• Be creative and think outside the box
Polling Question: Deliverables
• How confident do you feel about using PFE Strategies to reduce HAC? – Not at all – Somewhat – Totally
• How confident are you that you will complete the deliverables? – Not at all – Somewhat – Totally
Ransom Memorial HospitalSmall PPS hospital
44 licensed beds7 Bed ED/Trauma Center
Services include:Surgical-Ortho, EENT,
Gynecology, Urology,Podiatry, OB, Urology
Medical-Neuro, Internal Medicine, Pulmonology,Cardiology, Nephrology
4 Star Rating by CMSA Rating by Leapfrog
AIM: Reduce all cause readmissions to ≤ 5% by December 2017.
9
on
Partnering withPatient & Family
Advisors toReduce Readmits
Dorothy RiceQuality Director
Dearborn County Hospital
We are a community hospital with 88 staffed/144 licensed beds locatedin rural southeastern Indiana across the river from Cincinnati, OH.
We are here!
Hospital Aim: Reduce All Cause All Payor ReadmissionsFrom 13% to 11% by December 31, 2018.
The Project ACHIEVE* study on readmissions suggests that patients and their caregivers need to have these goals met to feel ready for discharge:
• To feel prepared and capable when they leave• To know what to do and who to contact if help is needed• To feel cared for and about during their hospitalization and
discharge planning
We will evaluate if peer rounding will:1) Determine if these goals were met upon last discharge2) Assist in meeting these goals before current discharge
*UK Center for Health Services Research
Our Project: Peer Rounding on 30 Day Readmitted Patients
“Shared experience + authentic connection = reduced anxiety”
Review of Deliverables
• Organization Assessment • Orientation Plan • Action Plan • PDSA form-Optional• Final Report