Your Resource for HQIC News and Learning Opportunities | Jan. 2023 |
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Anticoagulation and Venous Thromboembolism Prevention
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Venous thromboembolism (VTE)—the formation of a blood clot in a deep vein—is the most common, preventable, hospital-related death. There is strong evidence that mechanical and pharmacologic prophylaxis can prevent the majority of VTEs. However, appropriate prophylaxis is ordered less than 41 percent of the time, and treatments often do not reach the patient.1
Anticoagulation medications are considered high risk due to their complex dosing, monitoring requirements, and inconsistent patient compliance. Science-based prevention and treatment strategies ensure the appropriate medication for the indication is selected, as well as the appropriate dose and frequency.2,3
The Flash section contains resources to assist your VTE prevention efforts.
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It Figures: Data Performance |
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Data show Adverse Drug Event (ADE) Anticoagulant rates have improved since the baseline period of 2019, while VTE Post-Operative rates have worsened since the baseline period of 2019 (lower rates are better).
Visit the HSAG HQIC Quality Improvement Innovation Portal (QIIP) to view your ADE Anticoagulant data by selecting the Measure Category of Adverse Drug Events and Measure of ADE Anticoagulant. Select the Measure Category of Other Harms and Measure of VTE Post-Operative (PSI-12) to view your VTE Post-Operative data.
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* Rates are per 1,000 admissions.
Source: Medicare Fee-for-Service (FFS) claims data. For additional details on measure specifications, please reference the HSAG HQIC Compendium of Measures. The baseline time period is 01/01/2019–12/31/2019 and current time period is 09/01/2021–08/31/2022.
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Anticoagulant Gap Analysis
This in-depth checklist is a component of a medication management assessment that assesses antithrombotic management practices and includes analysis of patient and family education.
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Thromboprophylaxis Tool
This concise, four-step tool helps hospitals assess risk, prescribe appropriate treatment, ensure prescribed treatment is administered, and re-assess change in patient condition.
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VTE Roadmap to Success
This planning document helps hospitals develop standardized tools and processes to engage patients and families, assess and stratify patient risk, collaborate with medical staff on specific order sets, and build reliable decision support.
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Anticoagulant Management Roadmap to Success
Because of the complexity of anticoagulant dosing and monitoring, this document helps with implementing evidence-based guidelines and protocols for treatment and patient engagement as integral elements of anticoagulation therapy management.
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Anticoagulation Forum Playbook
To advance anticoagulation stewardship, this playbook offers implementation examples for healthcare organizations and clinicians to create, promote, and sustain an anticoagulation stewardship program.
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Workplace violence is an increasing concern worldwide and poses a constant threat to healthcare workers, who are at higher risk due to dealing with overstressed people.4,5 Nurses are notably at risk because of their frontline position and persistent contact with patients and families.6 Approximately 57 nurses are assaulted daily in the United States—two nurses every hour.7
Unfortunately, workplace violence is underreported as a result of a widely held belief that it is a part of the profession.8 According to a 2021 American Federation of Labor and Congress of Industrial Organizations report on worker safety, rates of workplace violence in healthcare and social assistance settings have almost doubled since 2010.8
The following workplace violence-prevention strategies may be helpful:
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Phase 2: Care Coordination Quickinar Series |
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Continue your care coordination journey for managing avoidable hospital readmissions by registering for these short, 30-minute webinars—offered monthly through July 2023. Find details and recordings for past presentations on the webpage.
Next webinar: Tuesday, January 10, 2023 | 2-2:30 p.m. ET
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Health Equity
Quickinar Series
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Achieving equitable care for all patients is a key priority for CMS, which is reflected in the new Hospital Commitment to Health Equity Structural Measure and Social Drivers Screening Measures in the Final Rule. These short, 30-minute presentations address the many facets and criteria hospitals will need to meet for these measures and will assist your hospital in advancing health equity initiatives in alignment with CMS priorities.
2nd & 4th Thursdays. Begins January 12, 2023 | 1-1:30 p.m. ET
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Patient & Family Engagement (PFE) Quickinar Series |
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Establishing a partnership with patients and families improves patient quality and safety, from admission to discharge. Discover how to keep patients and families at the center of care and engage staff to form an alliance with patients and families.
1st & 3rd Thursdays. Begins February 2, 2023 | 1-1:30 p.m. ET
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This material was prepared by Health Services Advisory Group (HSAG), a Hospital Quality Improvement Contractor (HQIC) under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication No XS-HQIC-XT-01042023-01
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