SCIP/HF Project Results<br />Primaris<br />June 2, 2011<br />
Measures<br />Heart Failure – 3 <br />SCIP-Cardiac - 2 <br />SCIP-Infection - 1 <br />SCIP-Infection - 2 <br />SCIP-Infect...
Best Practices<br />HF-3: <br />Auto-alerts for continuing ACE/ARBs at hospital DC (for those appropriate patients) has be...
Best Practices<br />SCIP-Inf. 3: <br />Hospital reports implementing auto-stop alerts for prophylactic abxs., and integrat...
Best Practices<br />VTE-1/2:<br />Using a “rule-out” approach for all admissions<br />Utilizing their EHR with generated a...
Best Practices<br />VTE-1/2:<br />Implement steps to educate staff on alerts<br />Fully implement a “rule-out” approach to...
Teamwork<br />Focused metric review of performance, barriers, and process improvement opportunities<br />Discussed metric ...
Teamwork<br />Teamed up with nursing education to correct and resolve documentation problems in EHR<br />Made their medica...
Teamwork<br />Recruited orthopedic surgeon as a physician champion member for the SCIP/HF Project Team <br />Broke down me...
Teamwork<br />Provided blinded, physician-specific reports at meetings to encourage “friendly competition” with peers<br /...
Questions?<br />Visit: www.primaris.org<br />
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SCIP HF Results

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SCIP HF Results

  1. 1. SCIP/HF Project Results<br />Primaris<br />June 2, 2011<br />
  2. 2. Measures<br />Heart Failure – 3 <br />SCIP-Cardiac - 2 <br />SCIP-Infection - 1 <br />SCIP-Infection - 2 <br />SCIP-Infection - 3 <br />SCIP-Infection - 4 <br />SCIP-Infection - 6 <br />SCIP-VTE - 1 <br />SCIP-VTE - 2 <br />
  3. 3. Best Practices<br />HF-3: <br />Auto-alerts for continuing ACE/ARBs at hospital DC (for those appropriate patients) has been integrated into hospital’s EHR<br />SCIP-Inf. 1: <br />Considering performance in SCIP metrics in hospital’s credentialing process for physicians<br />SCIP –Card. 2:<br />Implementation of an EHR integrated “flagging tool” to improve compliance<br />Beta blocker use is being flagged, on admission, with protocol to continue post-op, unless physician over-ruled by exception<br />
  4. 4. Best Practices<br />SCIP-Inf. 3: <br />Hospital reports implementing auto-stop alerts for prophylactic abxs., and integrating it into their hospital comprehensive EHRs<br />Hospital has implemented a surgical abx. monitoring program that they call “the Antibiotic Stewardship Program.” <br />Process is keyed on an auto-alert type process, using a timing start initiated in hospital E-MAR. Timing process / auto-alert triggers prophylactic abx auto-stop, unless, within 24 hours post; unless over-ridden by the ordering physician. <br />
  5. 5. Best Practices<br />VTE-1/2:<br />Using a “rule-out” approach for all admissions<br />Utilizing their EHR with generated alerts, including patient risk-related flags, and VTE prophylaxis start/ timing alerts, in time-frame calculated with EHR<br />Established the 20th hour as “deadline” to implement VTE intervention with process to auto-start at the 20th hour<br />
  6. 6. Best Practices<br />VTE-1/2:<br />Implement steps to educate staff on alerts<br />Fully implement a “rule-out” approach to VTE prophylaxis implementation and management for both medical/surgical patients and initiating prophylaxis protocol, unless specifically ordered as contraindication/exception<br />Active support of medical staff and nursing services<br />
  7. 7. Teamwork<br />Focused metric review of performance, barriers, and process improvement opportunities<br />Discussed metric performance history with cardiology group and provided ongoing performance feedback<br />Worked closely with nursing leadership and line staff to identify current and potential monitoring/documentation “workarounds” in the hospital’s EHR<br />
  8. 8. Teamwork<br />Teamed up with nursing education to correct and resolve documentation problems in EHR<br />Made their medical staff “partners” in the SCIP QI process by providing aggregate, compliance and individual performance reports to staff<br />Conducted ongoing “concurrent review” to identify potential metric outliers<br />Promoted hospital-wide recognition of “DVT Awareness month”<br />
  9. 9. Teamwork<br />Recruited orthopedic surgeon as a physician champion member for the SCIP/HF Project Team <br />Broke down measures by physician to identify  those that needed reminders and/or official letters<br />Provided physician report cards to show compliance/performance on pertinent measures <br />
  10. 10. Teamwork<br />Provided blinded, physician-specific reports at meetings to encourage “friendly competition” with peers<br />Shared unit and/or team specific data to encourage competition and rewards<br />
  11. 11. Questions?<br />Visit: www.primaris.org<br />
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