Welcome to the December Issue of HIIN The Know !
HIIN The Know is your monthly guide to important HIIN resources. Here, you can quickly access information on improvement tools, resources, data, upcoming learning events, best practices, and success stories.

Each issue will focus on a Centers for Medicare & Medicaid Services (CMS) priority topic to expand national progress toward better patient care and reduce preventable patient harm.

This month, HIIN The Know will focus on adverse drug events (ADEs). Three categories of drug-related harm are the focus of HIIN inpatient harm reduction efforts and include hypoglycemia related to insulin administration, bleeding related to warfarin therapy, and overdoses requiring rescue from opioid administration. See below for key resources to help with this CMS high-priority topic.

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Improvement Tools & Resources
SHM Glycemic Control Implementation Toolkit
Use this Society of Hospital Medicine (SHM) toolkit to integrate guidance and education on glycemic control best practices into protocols, order sets, and documentation. Click here to view the Glycemic Control Implementation Toolkit.
IHI Anticoagulant Toolkit: Reducing ADEs
This Institute for Healthcare Improvement (IHI) toolkit outlines common risks and suggested safe practices and resources to reduce or eliminate risks that could lead to ADEs from anticoagulants—such as unfractionated heparin, low molecular weight heparins, and warfarin.​ Click here to view the Anticoagulant Toolkit . (Login/Registration required to download the toolkit)
SHM RADEO Implementation Toolkit
This Reducing Adverse Drug Events related to Opioids (RADEO) toolkit provides the essential building blocks for developing a quality improvement initiative to improve inpatient safe opioid prescribing and administration. Click here to view the RADEO Implementation Toolkit . (Login/Registration required to download the toolkit)
The Data Advantage Corner
Coming Soon—HIIN Comparison Dashboard!
Do you want to know how your hospital is performing relative to other hospitals in the HSAG HIIN? Soon you can! The HIIN Comparison dashboard allows your hospital to select a specific measure that will display a comparison of your hospital to peer groups, and provides your hospital’s progress toward the improvement goal in comparison to the peer groups.
The Readmission Feedback Report provides a summary of your hospital’s Medicare Fee-for-Service (FFS) readmission data through Q2 2017 and provides overall and stratified readmission rates, allowing your hospital to identify key areas of focus and improvement.

The Healthcare-Associated Infection (HAI) Feedback Report provides an overall summary of HAI measures, an update to your hospital's National Healthcare Safety Network (NHSN) data through Q2 2017, and your hospital’s standardized utilization ratio (SUR).

To find your hospital’s Readmission and HAI Feedback Reports:
  • Log on to the HSAG HIIN Secure Data Portal.
  • Select the Reports tab.
  • Locate your hospital’s report within the Readmission or HAI Reports dropdown menu. 
Upcoming Events and Education
Join HSAG HIIN's ADE Workgroup
Are you just getting started on collecting and reporting ADEs? HSAG HIIN is creating electronic health record (EHR) vendor-specific workgroups to provide an avenue for collaboration among your peers on topics such as creating automated monthly ADE data reports to reduce the burden of data collection. To join, please contact HSAG HIIN's Clinical Pharmacist, Mary Andrawis, PharmD, MPH, at [email protected] .

Join HSAG HIIN's Opioid Safety Pilot
Are you ready to dive in to implement real interventions in your hospital that can significantly curb opioid harm in your community? Hospitals have a role to play in addressing the opioid crisis, and CMS has made opioid safety a top priority for our work. If you are interested in joining our Opioid Safety Pilot, please contact HSAG HIIN's Clinical Pharmacist, Mary Andrawis, PharmD, MPH, at [email protected]
News and Networking
Tell us about a best practice or newsworthy story you would like to share with the HSAG HIIN community. What you do makes a difference, so please share!

One Hospital's Successful ADE Harm Reduction Strategies

Pomona Valley Hospital has improved ADE harm through specific strategies targeting each category of drug-related harm. For example, opioid harm reduction was achieved, in part, through setting maximum daily dose limits and single dose checking in the pharmacy system based on patient age.  Click here to view more strategies used by Pomona Valley Hospital to achieve low ADE rates.
HSAG in Partnership With HQI
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