Healthcare Call to Action 2007
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Healthcare Call to Action 2007

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Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Author: Tom Evans

Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Author: Tom Evans

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Healthcare Call to Action 2007 Healthcare Call to Action 2007 Presentation Transcript

  • Healthcare Call to Action 2007 Tom Evans, M.D.
  • A New Era…
  • A new era of transparency and accountability…
    • Development of evidence-based medicine
    • Define and standardize clinical performance metrics
    • Convergence around new measures
    • Awareness of effectiveness
    • Industry shifts in practice
    • Changes in reimbursement
    • Value Driven Health Care
  • Value-Driven Health System
    • Connecting the System
      • Standards to connect all health information systems
    • Measure and Publish Quality
      • Every case, every procedure
    • Measure and Publish Price
      • Standardize identical services and episodes of care
    • Create Positive Incentives
      • Reward those who offer and those who purchase high quality, competitively priced healthcare
  • Iowa Healthcare Collaborative
      • 2003 Task Force of providers, payers, purchasers and consumers
      • “ How will this era of transparency and accountability effect Iowa Healthcare with it’s unique challenges?”
    • From joint IHA/IMS Task Force …
    • … to provider-led statewide quality improvement initiative
  • Iowa Healthcare Collaborative
    • Align & Equip Health Care Providers on Quality and Value
    • Responsible Public Reporting
    • Engage the Community for Clinical Improvement
    • Raise the Standard of Care in Iowa
  • IHC Organizational Structure IHC Board IHC Advisory Council Data Committee Clinical Initiative Work Groups Education Committee
  • IHC 2007 Work Plan
  • Iowa Healthcare Collaborative 2007 Work Plan
    • Education
    • Public Reporting
    • Patient Safety
    • Clinical Initiatives
  • IHC 2007 Work Plan Education
    • Conferences
        • Patient Safety Summit
        • Physician’s Forum
        • LEAN in Health Care Conference
        • Annual IHC Conference
    • Website- www.ihconline.org
    • Toolkits
        • Anticoagulation, Medication Reconciliation, Health Literacy, Healthcare-associated Infection, Lean in Health Care, Safe Culture
        • Physician Practice Toolkit
  • IHC 2007 Work Plan Public Reporting
    • Driven by “Responsible Public Reporting”
    • IHC Sources
        • Both clinical and administrative data
        • Publicly available and voluntary reported information sources
        • Data suitable for comparative purposes
        • CMS Hospital Compare
        • AHRQ Administrative data set
    • Subjective data, not suitable for comparative purposes
        • NQF 30 Safe Practices information
        • Healthcare Associated Infection (HAI) measures
        • Spread Measures
  • Public Reporting
    • The Iowa Report
      • 2005 Report
        • CMS Measures- Hospitals
        • AHRQ Data- Statewide aggregate
        • Survey on NQF Safe Practices
      • 2006 Iowa Report
        • CMS Measures- Hospital specific
        • AHRQ Data- Hospital specific and some statewide aggregate
        • Healthcare Associated Infection (HAI) measure section
  • Public Reporting
    • The 2007 Iowa Report
      • Impact stories
          • 5 Million Lives Campaign
          • Healthcare-associated Infection
          • Rapid Response Processes
          • Lean in Healthcare
          • Medication Reconciliation
      • CMS measures
      • Expanded AHRQ measures, both hospital specific and statewide aggregate
      • Expanded HAI Reporting- six new measures
      • Spread of 5M Initiatives
  • IHC 2007 Work Plan Patient Safety
    • Promote NQF 30 Safe Practices
    • Medication Safety
      • Anticoagulation
      • Medication Reconciliation
      • High Alert Medications
    • Safe Culture
    • Health Literacy
    • Explore PSO designation
  • IHC 2007 Work Plan Clinical Initiatives
    • Lean in Health Care
    • IHI 5 Million Lives Campaign
    • Healthcare-Associated Infection
  • Lean in Healthcare
    • Annual Lean Conference
      • Promote and endorse
      • Share Iowa experiences
    • “ Active” User Group
    • Lean Collaborative
      • 21 hospitals…
  • 5 Million Lives Campaign
    • Strategy:
      • All 12 initiatives, all 117 Iowa hospitals
      • Clustered and aligned with existing IHC work
      • Project Coordinator, goals
      • Convene, share, track progress
    • Breakthrough series model
      • Learning sessions (9/11/07, 3/3/08, 9/9/08)
      • Action periods between with calls and contacts
  • Campaign Initiatives
    • Acute Myocardial Infarction
    • Adverse Drug Events
    • Surgical Site Infection
    • Ventilator Assoc. Pnuemonia
    • Central Line Infection
    • Rapid Response Teams
    • Congestive Heart Failure
    • High Hazard Medications
    • Surgical Care Improvement Project
    • Pressure Ulcers
    • Methicillin Resistant Staph Aureus
    • Boards on Board
  • Healthcare Associated Infection
    • Alignment with NQF Safe Practices and the 5M Campaign
    • Engagement of ICP Community
    • Statewide Influenza HCW Vac. Goal
    • Introduced voluntary reporting of six statewide measures
        • Influenza Vaccination of Healthcare Workers
        • Central Line Infection- ICU
        • Surgical site infection rates for Hip, Colon, CABG and Hysterectomy
  • Our Response…
  • Providers Need to Lead
    • Brightest, most powerful component of the health care equation…
    • Excuses:
      • “ I don’t have time.”
      • “ This isn’t my problem.”
      • “ When the hospital gives me a cut of the action…”
      • “ I don’t have a prescribing pen…no real influence…”
    • Training and Mindset:
      • See one, do one, teach one.
      • We’re trained to not innovate
  • Leadership
    • To lead, we need to develop…
      • A spirit of innovation
      • A sense of ownership
      • A focus on ‘nimbleness’
      • A commitment to collaboration
  • Redefining Professionalism
    • The New Era of Transparency and Accountability based on a Value-Driven Healthcare System…
      • Evidence-based process measures & metrics
      • Define and standardize clinical performance metrics
      • Data used to improve quality and value
      • Reliable information publicly available on quality and cost
      • Rapid spread of best practice
      • Engagement of patients as partners
  • Cornerstones for the future…
    • Align & Equip Health Care Providers on Quality and Value
    • Responsible Public Reporting
    • Engage the Community for Clinical Improvement
    • Raise the Standard of Care