Powerpoint

1. State Veteran’s Homes: Not Your “Average” Nursing Home Turning data into information and knowledge into practice

2. Use of Information Technology for Decision Support Is A Key Survival Strategy To Meet Increasing Regulatory and Public Scrutiny

4. Clinical Informatics for Continuous Quality Improvement MDS Data  Information  Knowledge Person-Centered Risk Identification Based on Evidence/Best Practice Protocols Targeted Care Plan Interventions to Prevent Adverse Outcomes and Improve Quality of Care / Life Ongoing Evaluation of Systems, Processes and Outcomes

7. MDS Accuracy Audit Run MDS data logic and consistency checks before you finalize and submit your MDS files.

8. Click any resident name to see audit report

11. FACILITY CHARACTERISTICS REPORT Veterans Home resident population is very different from “typical nursing home” used in CMS national and state benchmarks

13. 89% age 75+ vs. 78% nationally 89% male vs. 31% nationally

14. Fewer More!

15. Far more residents with no potential for discharge—long stay chronic care

16. Far more hospice and end stage disease w/6 months or less life expectancy.

19. Can select Vet’s Home Benchmark or Your State—National always displayed Report clearly identifies your likely problem areas

20. Access summary, detail, graph and analysis charts directly from QM/QI Rates report. Will automatically show results for time period selected and specific problem areas flagged, unless you check other areas of interest.

22. Resident QM/QI Report—Much easier to read/use! Easily see related outcomes for comprehensive care plan approach.

23. Evidence based risk factors from research and best-practice protocols

24. QM Detail: Systems Perspective

27. Graphs Trend QM outcomes over time—early warning of emerging problem areas

29. Facility rate is Facility rate is BELOW both state and national CMS benchmark so outcome would not flag as potential issue. BUT…facility rate is well above Vet’s Homes benchmark and presents a quality of care issue that should be addressed!

30. Showcase care areas where Vets Homes excel and perform far better than average nursing homes.

31. Analysis Charts—How Am I Doing? Control Charts Comparison Charts

35. Promote Safer Care Through Use of Proactive Risk Assessment

38. Risk Level Analysis

41. Risk Score Interpretation

43. And, as always, clicking on resident name will bring to resident centered risk profile listing risk factors that must be addressed to prevent adverse outcome.

45. Patient Safety Project Nursing Home QA Falls Study 300 Bed Facility—Albany Area ”It’s Not the Full Moon!!”

46. Facility Replaced Manual Fall Risk Assessment Tool with EQUIP Fall Risk Reports in 2004 ~ 5 7% Reduction in Total Falls

49. Corporate Level Reports

51. Example of better risk adjusted measure and impact on facility QM rate—22% lower! Can drill down to facility and resident level directly

53. National Benchmark Veterans Homes Benchmark One facility is above BOTH the national and Vets Home benchmarks. The other two are below the national benchmark, but ABOVE the Vets Home benchmark—this issue would not be flagged as a quality issue unless you compared to your peers.

54. Also can select peer group: National Vets Homes, NYS Vets Homes, CMS National, Your State

55. A B C D E For this QM, facility C is well below the national benchmark, but well above the Vets Home benchmark (34.1% vs. 26.8%).

60. www.equipforquality.com

62. Turning data into information and knowledge into practice Questions? Christie Teigland, PhD Director Health Informatics and Research NYAHSA/EQUIP 150 State Street Albany, NY 12207 518.449.2707 x119 (work) 518.810-9122 (cell) [email_address]