HIINsights

Submit Nominations for OPSI Best Practice Award by Dec. 31 

The Ohio Patient Safety Institute invites hospitals, health systems, physicians, long term care, outpatient facilities and home health care to submit a nomination for the annual Dr. Frank Dono Best Practice Award by Dec. 31. The award is presented annually to an individual or organization that has designed and implemented the most innovative, evidence-based patient safety practice in Ohio. Click here to access the application. Read more.

Prepare for Handwashing Awareness Week in December

The holiday season is here, and with it comes cold and flu season, too. Dec. 3-9 is Handwashing Awareness Week, which is the perfect time to staff, visitors and caregivers about the importance of handwashing to help ensure that everyone stays healthy through the holidays. Read more.

Call for Nominations: OHA Health Care Worker of the Year, Leadership Awards 

The Ohio Hospital Association is accepting nominations for the 2019 Albert E. Dyckes Health Care Worker of the Year Award and Health Care Leadership Awards. Member hospitals and health systems are encouraged to nominate deserving individuals and organizations whose achievements have enhanced and brought honor to Ohio hospitals. Read more.

Showcase Your Hospital’s Innovations, Successful Strategies at the 2019 OHA Annual Meeting 

The Ohio Hospital Association is seeking dynamic and engaging presentations to educate health care professionals and motivate the pursuit of excellence for the 2019 OHA Annual Meeting June 3-5 in Columbus. Representatives from member hospitals and health systems related organizations are invited to complete the 2019 Call for Presentations by Dec. 14. Read more.

Health Organizations Partner for Flu Season Awareness Campaign 

The Ohio Hospital Association and Ohio Patient Safety Institute have joined the United Against the Flu social media campaign that runs through February. The Ohio Department of Health says that the state has the 16th highest rate of flu-related pneumonia cases in the U.S.

A campaign toolkit is now available. For more information about the campaign or the toolkit, please contact John Palmer.

OPSI’s Free Diagnostic Webinar Series Continues

The Ohio Patient Safety Institute invites health care providers, hospital leaders, nurse leaders, physicians and social workers to participate at 11:30 a.m. on Dec. 12 for "Partnering with Patients for Improved DX" with Susan Sheridan, MIM, MBA, DHL, Society to Improve Diagnosis in Medicine. The end goal is for participants to be able to identify rapidly implementable strategies to improve diagnostic performance.

Registration is required. Click here for more information and registration.
 
Metric of the Month

CMS Person and Family Engagement Metric 5

The intent of this metric is to ensure that there is one board member with full voting privileges that represents the patient and family perspective when making governance decisions.

There are different alternatives to meeting this metric:

  • A written role description for an existing board member to participate on board with the patient and family perspective
  • Board members round on inpatient units two times annually to connect them more closely with patients and families
  • Board members to attend PFAC meeting(s) a couple times per year
  • Having PFAC members report out to the board a couple times per year


Are you meeting metric 5? The answer is yes, if:

  • The hospital has at least one position on the board designated for a patient or family member who is appointed to represent that perspective, OR
  • If a specific board representative is not possible, the hospital has implemented one of the alternatives to the metric to incorporate the perspective of patients and families when making hospital governance decisions.
  • Hospitals are encouraged to consider and pursue options for achieving the intent of the metric.
Click here for more information about this metric.

If you need help in meeting this metric or have questions, please contact Chrissie Blackburn, MHA, OHA PFE sub-contractor at cchorn23@aol.com or 440-241-5773.

Metric of the Month

Mark Your Calendars for HIIN Education Sessions

HIIN Core Topic Webinar, 11:30 a.m. – 12:30 p.m. (4th Wednesday each month)

  • Nov. 28 – “EMS-Follow Up Visits,” Joseph Geskey, D.O., VPMA, OhioHealth Doctors Hospital. Click here to register.
 

HIIN/OPSI Diagnostic Error and the Diagnostic Process Conference Series

  • Dec. 12 (11:30 a.m.–12:30 p.m.) - “Partnering with Patients for Improved DX,” with Susan Sheridan, MIM, MBA, DHL, Society to Improve to Improve Diagnosis is Medicine Registrations is required. Click here to register.
  • Jan. 9 (11:30 a.m.-12:30 p.m.) - “Improving Communication Among the Diagnosis Team,” with Elham Yousef, MD, MSc, FACP, FHM, assistant professor of Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland Clinic. Click here to register.

Person & Family Engagement, Noon – 1 p.m.

  • Nov. 27 – 3-4 p.m. PFE Affinity Group Event: The Person and Family Engagement Journey – Registration is required.  To register click here.

Iatrogenic Delirium, Noon – 1 p.m., in collaboration with Minnesota HIIN

  • Nov. 27 – TBD

Note: The 2019 schedule of webinars will be released soon.

HIIN the Spotlight

Build Awareness, Trigger Action to Reduce Disparities 

As the OHA HIIN continues the goal of tackling all forms of harm to improve the care of patients, the focus of improving access to quality health care for all patients by reducing health disparities will be an area of emphasis and development. Increasing awareness and triggering action will be key elements in advancing community health care. Read more.
 
HIIN the Spotlight

Update OHA’s HIIN Data Portal With Q2 2018 Data 

  • The deadline to enter all 2018 second quarter data into the OHA HIIN data portal is Nov. 21.  The quarterly reports will be run immediately after.
  • Please be sure to enter baseline data for 2014 into the OHA HIIN data portal.
Baseline periods:
 
CY2014 data for:
  1. Readmission, sepsis mortality and delirium (administrative data – OHA already has)
  2. VTE-6
CY 2015 for NHSN SIR and rate measures (NHSN data – OHA can download from NHSN)

Oct. 1, 2015 to Sept. 30, 2016 for:
  1. AHRQ PSI measures (e.g. PSI-03, PSI-12, PSI 13) (Administrative data – OHA already has)
  2. Pressure ulcer (NQF 0201)
  3. Falls with injury (NQF 0202)
  4. ADE (Glucose management, Anticoagulation - INR, Opioid - Narcan)
HIIN the Spotlight

Free Downloadable Infection Prevention Tools Can Help Providers

The Association for Professionals in Infection Control and Epidemiology has released free, downloadable tools to assist healthcare facilities in preventing, identifying, and evaluating health care-associated infections. The "quick observation tools," or QUOTs, aim to empower health care facilities to respond quickly and effectively to health care-acquired infections.

Joint Commission NPSGs for 2019 Released

Joint Commission released its list of National Patient Safety Goals for 2019, including those for its hospital accreditation program as well as its ambulatory care and office-based surgery programs. The goals become effective Jan. 1, 2019. Areas of focus that span all three lists include improving the accuracy of patient identification, improving the safe use of medications, reducing the risk of health care-associated infection, and using the universal protocol to prevent wrong-site, wrong-procedure, and wrong-person mistakes in surgery.


Multimodal Approach to Pain Management Can Improve Outcomes

An article published in the October issue of the Journal of PeriAnesthesia Nursing concludes that using multidimensional pain assessment tools can help improve pain care outcomes in the perianesthesia setting. The authors described how the "pain as a fifth vital sign" (P5VS) initiative—a unidimensional approach to pain management that involves the use of a numerical rating scale in which patients rate their level of pain from 0 (no pain) to 10 (worst possible pain)—has failed to improve the quality of pain care in the United States despite widespread adoption, according to a growing body of literature.

NIH Clinical Trial Sparks Rethinking of Delirium Treatment

Two commonly used antipsychotic drugs don't work well to treat delirium in ICU patients, according to new results from a large clinical trial. The NIH-funded clinical trial suggests reconsidering current strategies to treat delirium. See the related NPR article here and an New England Journal of Medicine article here.

HRET Offers New Resources on Rehabilitation, Behavioral Health

New resources published by the Health Resources Educational Trust highlight effective practices or practices that leading organizations in behavioral health and rehabilitation have employed to provide high-quality safe care. Hospitals have an opportunity to engage and employ these effective practices in their facilities. The practices were collected from freestanding hospitals, long-term care facilities, and subject matter experts across the United States with diverse payer mixes, patient populations, and geographies, making the practices and hospital level case studies in these resources implementable by a broad spectrum of facility types.

It Starts at the Top: Assessment Identifies Risk of Organizational Executive Decisions

The authors of an article published in a recent issue of the Journal of Healthcare Risk Management describe a tool and framework designed to proactively assess the latent risks of leadership decisions on the health care system. This assessment can help identify appropriate mitigation strategies before a change is implemented.

CMS Model Addresses Opioid Misuse Among Expectant and New Mothers

The Centers for Medicare & Medicaid Services announced the Maternal Opioid Misuse, or MOM, model. The model addresses the need to better align and coordinate care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder through state-driven transformation of the delivery system surrounding this vulnerable population. See the fact sheet here.

Antibiotic Awareness Resources Available 

The Centers for Disease Control released a new toolkit and resources as part of Antibiotic Awareness Week Nov. 12-18 to remind the public that its theme "Be Antibiotics Aware: Smart Use, Best Care," is a year-round effort to improve antibiotic prescribing and use and combat antibiotic resistance.