Welcome to the August Issue of
HIIN The Know
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This month, we focus on the multifaceted topic of falls. The May 2018 Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Report noted that there was a 31 percent increase in mortality related to injurious falls for people over 65 years of age in the last decade.
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As hospitalized patients continue to age, we must incorporate evidence-based strategies into patient care workflows.
These strategies include:
- Keeping patients active through early mobility programs.
- Assessing risk and aligning the patient-specific interventions to the recognized risk.
- Building the infrastructure to sustain gains.
As part of the Health Services Advisory Group Hospital Improvement Innovation Network (HSAG HIIN), your hospital has access to fall prevention resources to support your efforts. Please reach out to your Clinical Improvement Advisor (CIA) to receive your personalized, no-cost assistance today.
- CDC. Deaths from Falls Among Persons Aged ≥ 65 Years—United States, 2007–2016. Available at: https://www.cdc.gov/mmwr/volumes/67/wr/mm6718a1.htm. Accessed on: July 25, 2018
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Like what you see in the
HIIN The Know
? Your feedback is important to us.
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HSAG HIIN Hospitals' Falls Current Performance and Progress
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The information below indicates the percentage of HSAG HIIN falls current performance and hospital progress toward the 20 percent reduction goal.
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Improvement Tools and Resources
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HSAG HIIN Falls Field Guide
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AHRQ Preventing Falls in Hospitals—A Toolkit for Improving Quality of Care
This Agency for Healthcare Research and Quality (AHRQ) toolkit helps overcome
challenges associated with developing, implementing, and sustaining a fall prevention program.
Click here to view the toolkit.
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HRET HIIN Falls with Injury Change Package
This Health Research & Education Trust (HRET) HIIN resource can improve patient quality care and help you to implement fall prevention efforts. The change package offers guidance on improving strategies, change concepts, and specific action items.
Click here to view the change package.
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NCOA—Falls Prevention Conversation Guide for Caregivers
This
National Council on Aging (NCOA)
conversation guide is a tool to empower caregivers. Use it if you or the person you are caring for has had a fall, is experiencing decreased mobility, is unsteady on their feet, or is fearful of falling.
Click here to view the conversation guide
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The Data Advantage Corner
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Coming Soon—Hospital Readmission Reports
To continue monitoring progress on readmissions, HSAG HIIN will disseminate another Readmission Feedback Report in the middle of August. The Readmission Feedback Report will provide a summary of your hospital’s Medicare Fee-for-Service readmission data through Q1 2018 and provide overall and stratified readmission rates, allowing your hospital to identify key areas of focus and improvement.
Coming Soon—Healthcare-Associated Infection (HAI) Reports
To continue monitoring progress on HAIs, HSAG HIIN will disseminate another HAI Feedback Report later this month, featuring data through Q1 2018. The report provides an overall summary of HAI measures, allowing your hospital to identify critical areas of focus and improvement to support progress toward the bold aims of the Partnership for Patients HIIN program.
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Upcoming Events and Education
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Safety Across the Board (SAB)
Webinar Series
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Session 4: Engagement at all Levels
Tuesday, August 21, 2018
12 noon to 1 p.m. PDT
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Session 5: The Power of Transparency
Tuesday, September 11, 2018
12 noon to 1 p.m. PDT
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PFE Think Tank
Wednesday, August 22, 2018
12 noon to 1 p.m. PDT
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Hospital-Acquired Pressure Injury Prevention: Best Practices in Accurate Coding of Events and Practical Guide to Conducting Prevalence Studies
Thursday, August 23, 2018
11 a.m. to 12 noon PDT
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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!
Sustaining Improvements With Falls
At Inter-Community Hospital in Covina, California, patients are continually assessed for identifiable fall-risk factors during their admission and placed on appropriate intervention strategies.
Click here
to view the strategies and best practices used by Inter-Community Hospital to further prevent falls.
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Statewide data continue to demonstrate that a significant proportion of readmissions come from our skilled nursing facility (SNF) partners. On October 1, 2018,
the Centers for Medicare & Medicaid Services (CMS)
will begin implementing incentives and penalties to SNFs for 30-day hospital readmission performance, providing strong rationale for facilities to coordinate care.
Hospitals should work with post-acute partners to assure:
- A warm hand off (person-to-person), exchanging all the information required to continue the level of care needed—with attention to each patient’s vulnerabilities.
- Mechanisms to identify and address changes in conditions with adequate and timely diagnostic consultation.
The HSAG HIIN Secure Data Portal provides hospitals with quarterly updates that demonstrate their own trends in readmissions cases (i.e., what discharge dispositions require the greatest focus; what index admission diagnoses tend to more problematic; and if readmissions are more likely within 7 days, 14 days, or 30 days).
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HSAG in Partnership With HQI
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