Your Resource for HQIC News and Learning Opportunities | June 2022 |
|
The Ups and Downs of Falls |
A patient fall is defined as an unplanned descent to the floor with or without injury to the patient.1 Injuries can range from fractures and lacerations to internal bleeding and lead to additional hospitalization. Inpatient falls with injury can have a negative impact on your facility's Hospital Value-Based Purchasing Program incentive payment. This program adjusts payment based on the quality of care hospitals deliver.2
|
|
|
It Figures—Data and Performance |
|
Falls
Data show inpatient falls, or fall-related injuries, have worsened since the baseline period of 2019 (lower rates are better).
Visit the HSAG HQIC Quality Improvement Innovation Portal (QIIP) to view your fall data by selecting the “Measure Category” of Other Harms and “Measure” of Inpatient Falls or Fall-Related Injuries.
|
|
*Rates are per 1,000 admissions.
Source: 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 02/01/2021–01/31/2022.
|
|
The following resources are available to assist hospitals with falls prevention.
|
|
HSAG HQIC Falls With Injury Roadmap to Success
This roadmap guides hospitals in implementing universal fall precautions, including training for all hospital staff who interact with patients and visitors.
|
|
AHRQ Stratify Risk Assessment Tool
This tool can be used in conjunction with the AHRQ Morse Fall Scale clinical assessment (see below) and medication review to predict future falls in hospitalized patients, identify risk factors using the scale, and plan care to address those risk factors.
|
|
|
AHRQ Medication Fall Risk Score and Evaluation Tools
These tools can be used by your hospital pharmacist to identify medication-related risk factors for falls in hospitalized patients.
|
|
AHRQ Morse Fall Scale
This tool can be used by staff nurses, in conjunction with a clinical assessment and a review of medications (see AHRQ Stratify Risk Assessment Tool), to determine if a patient is at risk for falls.
|
|
|
AHRQ = Agency for Healthcare Research and Quality |
|
According to the National Library of Medicine, 9 out of 10 adults struggle with health literacy; even those with high literacy skills may exhibit low health literacy skills when they are sick or stressed. Examples of personal health literacy include understanding prescription drug instructions, understanding provider directions and consent forms, and having the ability to navigate our complex healthcare system. Examples of organizational health literacy include simplifying processes to schedule an appointment; using teach-back; and providing communications in the appropriate language, reading level, and format.4
Join HSAG for the Care Coordination Quickinar Series on June 7 for The Impact of Health Literacy, and on July 5 for Teach-Back: A Strategy to Impact Health Literacy.
|
|
HSAG HQIC Quality and Safety Series
Offered on the 2nd and 4th Tuesdays of the month, these bite-size learning presentations review the key skills necessary for you to function in quality improvement and are intended as a foundation for the novice or as a skills refresher for the expert.
|
|
|
HSAG Care Coordination Series
This series will walk you through the steps for managing avoidable hospital readmissions. Offered on the 1st and 3rd Tuesdays of the month.
|
|
|
Moving Forward Using Lessons Learned to Prevent CLABSIs
Thursday, June 23, 2022 | 1–2 p.m. ET
|
|
|
This webinar features proactive strategies and tools for preventing all-cause harm related to central-line acquired bloodstream infections (CLABSIs) and highlights a hospital's success with engaging leaders, providers, and front-line staff in a hospital-wide initiative to drive down device utilization, increase bundle compliance, and improve outcomes. |
|
Presenters
Jennifer Clary, MS, BS, RRT
Director, Quality Management
Self Regional Healthcare
|
|
Eli DeLille, MSN, RN, CIC, FAPIC
Associate Director, Infection Preventionist
HSAG HQIC
|
|
Preventing Adverse Glycemic Events*
Thursday, July 14, 2022 | 1–2 p.m. ET
|
|
|
This session will identify and discuss key contributing factors of adverse glycemic events and explore how promoting safe practices for glycemic agents can improve the outcomes for the hypo- hyperglycemic electronic clinical quality measures (eCQMs).
Presenter
Matthew Grissinger, RPh, FISMP, FASCP
Director of Error Reporting Programs, Institute for Safe Medication Practices (ISMP)
|
|
Quality and Safety Series Finale: Control Plan and Sustainability*
Thursday, July 26, 2022 | 2–3 p.m. ET
|
|
|
This is the final installment of the HSAG HQIC Quality and Safety series. If you have pre-registered for the Quality and Safety series, you are already registered for this event.
Presenter
Dave Orr, MBA, MBB, CPHQ
Senior Director, Enterprise Safety and Quality
Cleveland Clinic, Cleveland, OH
|
|
* Continuing Education (CE): Health Services Advisory Group, Inc., is the CE provider for this event. Provider approved by the California Board of Registered Nursing, Provider Number 16578, for 1 contact hour. There is no charge to attend this event. You must attend the live event to earn CE credit. |
|
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-06012022-01
|
|
|
|
|
|
|
