Welcome to the December Issue of HIIN The Know !
This month, we take another look at the topic of readmissions.

Hospital readmissions continue to confront healthcare systems nationwide as a preventable patient harm. Currently, financial incentives to reduce readmissions impact hospitals and skilled nursing facilities (SNFs). There are new opportunities to embark on collaborative journeys with other providers and community support systems. The end-result of such partnerships is to meet the goals we seek each day through improved quality, patient safety, and excellence of care.
 
Inpatient readmissions resources like bundles, toolkits, and data analysis can drive the changes for effective care transition. These resources can help achieve successful patient outcomes by lowering readmission rates while interfacing with all aspects of the healthcare continuum. The increased emphasis upon discharge preparation, post-discharge follow-up, and training the outpatient community has traversed many missing links in the healthcare system, and has brought to light gaps where patients may be getting lost.

With the assistance of your HSAG HIIN Clinical Improvement Advisor, please take another look at your hospital readmission cases and use the data analysis to help you find trends. Let HSAG HIIN help you identify the best tools and strategies to fit your needs so that together we can reach another threshold of harm reduction in reduced readmissions.
HSAG HIIN Hospitals' Current Readmissions Performance
The information below indicates the HSAG HIIN current readmissions performance.
Improvement Tools and Resources
HSAG HIIN Readmissions
Field Guide
This field guide contains valuable readmissions information including the harm impact of readmissions, the readmissions measure, known improvement strategies, and specific resources.  Click here to view the field guide.
HSAG HIIN Readmissions
Fishbone Diagram
This diagram contains readmissions information for providers, patients, and families on improvement strategies and specific readmission resources for successful post-hospital transition.  Click here to view the diagram.
HSAG HIIN Readmissions Strategy Tree
This strategy tree will ensure healthcare facility processes are in place to prepare patient, family, and post-acute care partners for successful post-hospital transition. Click here to view the strategy tree.
The Care Transitions Program ®
This program created by Eric A. Coleman, MD, MPH, will help healthcare facilities and organizations manage risk and empower patients during care hand-overs . Click here to view the Care Transitions Program ® .
Project BOOST ® (Better Outcomes by Optimizing Safe Transitions)
Learn about the national Society of Hospital Medicine (SHM) initiative to improve the care of patients as they transition from hospital to home. Click here to view Project BOOST ® .
Project RED
(Re-Engineered Discharge)
Project RED is a research group at Boston University Medical Center that develops and tests strategies to improve the hospital discharge process in a way that promotes patient safety and reduces readmission rates. Click here to view Project RED.
Need Help Launching a Patient Family Advisor (PFA) Program?
HSAG HIIN is offering PFA Development, an individualized program of action planning and
implementation support to hospitals that wish to partner with patients and their families
as advisors in organizational operations and improvement.
 
Program Aim
By the end of the program, participating hospitals will meet the Centers for Medicare & Medicaid Services (CMS) recommended Patient Family Engagement (PFE) Practice/Metric #4 , suggesting that hospitals incorporate patients and care partners as advisors in operations and quality improvement efforts. The metric could be met by a mechanism such as a Patient Family Advisory Council (PFAC) or by appointing patient representatives on other hospital committees.

For more information, visit www.hsag.com/hiin-pfa or contact Akasha Orr, HSAG HIIN Program Coordinator, Hospital Quality Institute, at [email protected] or 916.552.7687.
The Data Advantage Corner
Hospital Readmissions Reports Now Available!
The Hospital Readmissions Report provides a summary of your hospital’s Medicare FFS readmissions data through Q2 2018. The report provides overall and stratified readmission rates, allowing your hospital to identify key areas of focus and improvement. To access your hospital’s readmissions report, select the Reports tab on the HSAG HIIN Secure Data Portal .
 
Coming Soon—Healthcare-Associated Infection (HAI) Reports
To continue monitoring progress on HAIs, HSAG HIIN will disseminate another HAI report later this month that features data through Q2 2018. The report provides an overall summary of HAI measures, allowing your hospital to identify areas of focus and improvement to progress toward the bold aims of the Partnership for Patients (PfP) HIIN program.
Upcoming Events and Education
High-Reliability Webinar Series
Tuesday, December 18, 2018
12 noon to 1 p.m. PT
Introduction to the HSAG HIIN High-Reliability Workgroup
News and Networking
Tell us about a best practice or noteworthy story you would like to share with the HSAG HIIN community. What you do makes a difference, so please share!

The Transition of Care Team Model Overview

Covenant Plainview Hospital in Plainview, Texas, shares its transition of care team model in an effort to reduce readmissions. Click here to view the strategies and best practices used by Covenant Plainview Hospital to reduce avoidable readmissions.

The Readmission Reduction "Get Stuff Done" Approach

Covenant Medical Center in Lubbock, Texas, shares its "get stuff done" approach that can help your hospital's readmissions. Click here to view the strategies and best practices used by Covenant Medical Center to reduce avoidable readmissions.

HSAG in Partnership With HQI
WEBSITE  |  EVENTS  |  RESOURCES