mo-09-20-puh october 2009 this material was prepared by primaris, the medicare quality improvement...

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MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy Hospital Leadership and Hospital Leadership and Quality Assessment Tool Quality Assessment Tool HLQAT a self-assessment tool to help hospitals identify and improve leadership structures and processes that are associated with high performance in clinical quality measures.

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Page 1: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

MO-09-20-PUH October 2009This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers for Medicare & Medicaid

Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy

Hospital Leadership and Hospital Leadership and Quality Assessment Tool Quality Assessment Tool HLQAT a self-assessment tool to help hospitals identify and improve leadership structures and

processes that are associated with high performance in clinical quality measures.

Page 2: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Web portal offers quick

and easy access to everythi

ng needed

to complete survey.

Page 3: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

After registration, a hospital

identifier code will be sent to

you.

Page 4: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Once you’ve

completed the

HLQAT, survey results will be

available online.

Page 5: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Once you’ve

completed the

HLQAT, survey results will be

available online.

Clicking on “View

Reports” will direct you to

your personalized

results.

Page 6: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

To enter secure

reporting portal, retype the hospital

identifier code and password

that you received upon registration.

Page 7: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Survey results are divided into 4

categories that offer internal and

comparative analysis. Usage Reports

Category: Offers an overview of the # of completed

surveys per respondent group

Page 8: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Hospital Reports can display results divide by:- The 12 HLQAT domains/categories - Each individual survey question- Each individual respondent group

Note: In addition to the available online reports, all results can be exported to Excel.

Page 9: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

A comparison of the three respondent categories ―Board Members, Executive Management, and Clinical Managers―are presented across the 12 HLQAT domains and for each individual survey question.

Page 10: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Comparison of hospital’s results (Value) to HLQAT aggregate results (Reference Value) by:- Respondent categories--Board Members, Executive Management, and Clinical Managers- 12 HLQAT domains - Individual survey questions

Page 11: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Survey results Survey results can be cross-can be cross-

referenced with referenced with evidence-based evidence-based interventionsinterventions

Page 12: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Resources for

Leadership

Interventions (RLIs) categorized by the

12 HLQAT domains

Page 13: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Free, evidence-based resources!

Page 14: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Remember:

Page 15: MO-09-20-PUH October 2009 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

Questions? Please contact…

Robert White, BA, PTProgram Manager, Western [email protected]

Dana Lammert, MAProgram Manager, Eastern [email protected]