pneumonia advisory group north carolina hospital … advisory group north carolina hospital...
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PneumoniaAdvisoryGroupNorthCarolinaHospitalAssociation
Thursday,June8th,201710:30AM– 12PM
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WelcomeMeetingObjectives:• LevelsetontheimportanceofcollaborationandpartnershiparoundcommunityacquiredpneumoniainNCtocollectivelyimpactreductioninpneumoniamortalityandreadmissionrates.
• ShareNCHABoardofTrusteesrecentlyapproved2-yearpneumoniaqualitygoalandthePneumoniaPnockoutCampaign.
• Seekalignmentofwork,assessmentofcurrentandpastimprovementworkaroundpneumonia.
• Gaincommitmentandlevelofengagementaroundpneumoniaimprovementwork.
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Agenda:• Welcome,ReviewObjectives&MeetingAgenda• LevelSet&CurrentState:CommunityAcquiredPneumonia• PneumoniaProgramming&PneumoniaPnockoutCampaign• ModeratedDiscussion:
• Alignmentwithwork(assessmentofcurrent&pastimprovementefforts)• EngagementOpportunities
• WrapUpandNextSteps• Lunch12PM– 12:30PM
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2017QualityGoalImproving30-dayPneumoniaMortalityandReadmissionRates
StatewideCrossContinuumInitiative
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PrioritizingPneumonia
Sources:CMSdata,RAI,PDS+
Variationincomparablecosts
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Greatest Opportunity
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IdentifyingOpportunitiesforImprovement:Pneumonia
• Step1:ReviewCMSdataviaDatagenReports(NCHAprovidesDatagenreportstoeachhospital)
Step 2: Evaluate opportunity according to criteria for transformation: ü Aligned with CMS priorities? Publically reported?ü Among top 10 causes of death in NC? ü Identified variation in RAI performance statewide?ü NC performing worse than hospitals nationwide?ü Hospitals interested in improving in this area?
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PneumoniaMortalitybyCounty
Number label indicates total cases by county in 2016. Color indicates performance compared to national benchmark on mortality – red is worse, green is better.
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PoorperformanceonCMSPneumoniaMortalityandReadmissions
NumberofHospitalsPerformingWorsethantheNationalAverageonCMSPneumoniaMeasures
Benchmark HPHSReadmissions
NCReadmissions(NationalRank
28of50)
HPHSMortality
NCMortality(NationalRank
49of50)
ComparedtoNationalAverage 7 47 13 71ComparedtoNationalTopQuartile 13 70 16 92ComparedtoNationalTop10% 18 89 17 98ComparedtoNCaverage 7 42 8 44TotalHospitalsReporting 19 100 19 100
0
0.2
0.4
0.6
0.8
1
ComparedtoNationalAverage
ComparedtoNationalTopQuartile
ComparedtoNationalTop10%
ComparedtoNCaverage
PercentofHospitalsPerformingWorsethanBenchmarks
HPHSReadmissions NCReadmissions(NationalRank28of50)
HPHSMortality NCMortality(NationalRank49of50)
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Admitted through Emergency Department
PneumoniaPatientCharacteristicsHad Surgery
PDS+ data source, drill-down possible to patient encounter-level
PneumoniaMortalitybyAge,2015
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TrackingChangeoverTimeforRAIHospitals
Between 2014-2016, • Fewer hospitals in middle
quartiles; • More in lowest quartile.• NC is currently 49 out of 50
states on pneumonia mortality.
• Range in pneumonia mortality has increased since 2012. Among RAI hospitals, lowest in 1% of hospitals; highest in top 95% of hospitals nationally.
• Variation indicates opportunity for improvement
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DefiningandTargetingOpportunities
PneumoniaReadmission
andMortalityRate
QualityData
PatientActivation
CostofCare
CrossContinuumOpportunities
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IMPACT• Adoptthe2017QualityGoalofreducingPneumonia(PNE)MortalityRateover2yearstobringNCtothenationalaverage;andreducingPNEReadmissionratetobringNCtothetop25th percentileofhospitalsnationally.
•1000NCLivesImpacted- ReducingPneumoniaMortalityby7.5%
• 950ReadmissionsPrevented• $8,835,000- Saved
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MeasuringSuccess- Outcomes• EachHealthSystem/IndependentHospitalwillreceivequarterly/semi- annually
• CMSClaimsData- (6-9monthLag)• CurrentMortalityRateandPNEReadmissionRatesE/ORatios• CommunityPrevalenceRate• SocialDeterminantImpact• CostVariationandROI
• RAIParticipants(24hospitals)• DRGlevelcostvariation
• ADTParticipants• PNELOS• PointofOrigin• Disposition• 30- daymigrationtables
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“ItAlwaysSeemsImpossibleUntilItisDone”NelsonMandela
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PerformanceImprovementStrategy• PneumoniaAdvisoryGroup&Workgroups
• StatewideCollaborationandPartnerships• GuideStatewideStrategyaroundreducingpneumoniamortalityandreadmissionrates• Developprogrammingandcontentforpneumoniawork
• PneumoniaPnockoutCampaign• PledgefromallNChospitalsandhealthcaresystems• Identifyonetotwoopportunitiestoimprovebasedontheirinternalperformanceontheidentifiedmeasures• Communitypartnersandpost-acutecareproviderswillbeinvitedtoparticipate• ConveneLocalandNationalExpertsforLearning• PeertoPeerSharing• CrossContinuumForum• Coalitionfocusedwithcommunitypartners
• FocusedCollaborative• CoachingandFacilitation• FocusedGoalsandmeasurement
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ockout neumonaP Pneumonia Pnockout CampaignInMarch2017,theNCHABoardofTrusteesapprovedatwo-yearQualityGoaltoreducepneumonia(PNE)mortalityandreadmissionratestoputNorthCarolinaatandbelowthenationalaverage.Specifically,thegoalisto:
•Reduce thePNEmortalityrateby7.5%tothenationalaverageover2years•Reduce PNEreadmissionsby5.4%over2yearstotargettop25%quartile
TheBoard’sapprovalofthisgoalsignifiesanorganizationalcommitmenttoguidethisworkandacalltoNCHA’s130memberhospitalsandhealthsystemsstatewidetoactivelyparticipate.
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ockout neumonaPPneumoniaPnockoutCampaign
CAMPAIGNPARTICIPATIONParticipatinghospitalsandhealthsystemswillbeaskedtoidentifyonetotwoopportunitiestoimprovebasedontheirinternalperformanceontheidentifiedmeasures.Communitypartnersandpost-acutecareproviderswillbeinvitedtoparticipatewithhospitalsandhealthsystems.
Eachorganizationwillcommittoleaditsimprovementefforts.
NCHAQualityCenterstaff,withguidancefromanAdvisoryCouncil,willprovideparticipatingteamswithtechnicalsupport,educationandbestpracticelearning/sharing.NCHAwillprovidedatatomemberorganizationstosupportthisworkandwillcoordinateapubliceducationcampaign,includingmediaandcollateralmaterials.
PNEUMONIAFACTS
• NorthCarolinaisranked49of50states foritspneumoniamortalityrate,with73%ofhospitalsbelowtheCMSnationalbenchmark.
• MorethanhalfofallN.C.hospitalsareabovethenationalbenchmarkfor30-daypneumoniareadmissionrates.
• Pneumoniaismostoftenacquiredinthecommunity,outsideofthehospitalsetting.
• CDCrecommendspneumococcalvaccinationforalladults65yearsorolder.Accordingto2015datafromtheBehavioralRiskFactorSurveillanceSystem,73.6%ofNorthCaroliniansover65yearsoldreportthattheyhavebeenvaccinated,slightlyabovetheU.S.average.
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Opportunities• ParticipateasanNCHAmemberorganizationorpartnerintheQuality
Goal.• Provideeducation,informationaspartofthelearningcollaborative.• Supportpubliceducation/outreacheffortsoutsidethehospitalsetting.• Committofunding/underwritingtowardthecampaign.
TIMELINE
May/June: NCHAQualityCenterstaffintroducesgoaltomemberhospitalsandhealthsystemsandprospectivepartnerorganizations
July: KickoffatNCHASummerMembershipMeeting(July19-21)Aug-Sept: EnrollmentcontinuesOct: LearningandActionNetwork/PubliccampaignbeginsNov: WorldPneumoniaDayisNovember12
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ModeratedGroupDiscussion:Alignmentwithwork,assessmentofcurrent&pastimprovementefforts
• Stateyournameandorganization;• Sharethoughtsonyourorganization'salignmentwiththiswork,whatareyourneeds/goalsaroundthiswork?
• Howcanwepartnerandcollaboratetogetherforcollectiveimpact?
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EngagementOpportunities
PneumoniaPrograms
PublicCampaign
PostAcuteCare Hospital Endorseand
Sponsor
AdvisoryGroup
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WrapUp&NextSteps
• ThankYou
• AdvisoryGroupPledge• WorkgroupSelection
• NextAdvisoryGroupMeeting• July11th,10:30AM– 12PM,12PM– 12:30PMLunch