Introduction to the
Illinois HEN
March 2013
Overview – Illinois HEN
Partnership – IHA & HRET/CMS
 1600 hospitals in 34 states
 Goal by December 2013
• Reduce harm by 40% - (CLABSI, CAUTI, SSI, VTE, ADE,
Falls, EED, PU, VAP)
• Reduce readmissions by 20%
• Equip hospitals with leadership, change management,
facilitation, quality improvement & teamwork skills
• Focus on improving the safety culture
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Overview – IHA P4P HEN
59 HEN Hospitals in Illinois
IHA Partnership for Patients HEN Hospitals
Advocate South Suburban Hospital
McDonough District Hospital
Saint Joseph Hospital
Central DuPage Hospital
MetroSouth Medical Center
Saints Mary & Elizabeth Medical Center
Delnor Hospital
Morris Hospital
Salem Township Hospital
Dr. John Warner Hospital
Norwegian American Hospital
Shelby Memorial Hospital
Edward Hospital
Our Lady of the Resurrection Medical Center
Shriners Hospital for Children - Chicago
Fairfield Memorial Hospital
Passavant Area Hospital
St. Anthony's Memorial Hospital
FHN Memorial Hospital
Pekin Hospital
St. Elizabeth's Hospital
Franciscan St. James Health/Chicago Heights
Provena Covenant Medical Center
St. Francis Hospital
Franciscan St. James Health/Olympia Fields
Provena Mercy Medical Center
St. John's Hospital
Gateway Regional Medical Center
Provena Saint Joseph Hospital
St. Joseph's Hospital
Graham Hospital
Provena Saint Joseph Medical Center
St. Joseph's Hospital
Hammond-Henry Hospital
Provena St. Mary’s Hospital
St. Margaret's Hospital
Hartgrove Hospital
Provena United Samaritans Medical Center
St Mary's Hospital
Holy Family Medical Center
Red Bud Regional Hospital
St. Mary's Hospital
Jersey Community Hospital
Resurrection Medical Center
Thorek Memorial Hospital
Kishwaukee Community Hospital
Richland Memorial Hospital
Union County Hospital
Linden Oaks at Edward
Riverside Medical Center
Vista Medical Center East
Loretto Hospital
Rockford Memorial Hospital
Wabash General Hospital
Loyola Gottlieb Hospital
Rush-Copley Medical Center
Washington County Hospital
MacNeal Hospital
Saint Francis Hospital
Overview – Illinois HEN
Partnership – IHA & HRET
 Partnership for Patients funded resources
• Help to identify HAC’s in need of intensive & moderate support
• 3 levels of improvement activity at the HRET level
– Stand-alone webinars
– Coaching calls
– Waves
• Fellowships (900 trained)
• Collaboratives
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Overview – Illinois HEN
Partnership – IHA & HRET
 Partnership for Patients funded resources
• Topic specific toolkits, guidelines & checklists
• Ongoing access to subject matter experts in all 10 areas
• Intensive support for hospitals or regions with significant
challenges
• Targeted interventions for specific hospital types
(children’s, LTACH, psychiatric)
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Affinity Groups Update
The next series of affinity group coaching calls will take place this month.
Information on how to register can be found on the HRET HEN Events page.
Please see the schedule below for September’s webinars.
Topic:
Date:
CAH/Rural
Tuesday, May 14, 11:00-11:45 AM, CDT
Children’s
Tuesday, May 14, 12:00-12:45 PM, CDT
LTAC/Rehab
Thursday, May 16, 11:00-11:45 PM, CDT
Psychiatric
Thursday, May 16, 12:00-12:45 PM, CDT
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HRET/HEN Website
•http://www.hret-hen.org/
•Resources and tools for the ten
focus areas (webinars, podcasts,
toolkits, and links to other helpful
information)
Overview – Illinois HEN
Partnership – IHA & HRET
 Partnership for Patients funded resources
• LISTSERVs® and monthly Progress Reports
• Dedicated program website where all calls and webinars will be
archived along with written material and important links
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Listserv
Adverse Drug Events
HRET-HEN-ADE@ahals.aha.org<mailto:HRET-HEN-ADE@ahals.aha.org
Adverse OB Events
HRET-HEN-OB-ADVERSE-EVENTS@ahals.aha.org<mailto:HRET-HEN-OB-ADVERSEEVENTS@ahals.aha.org
Readmissions
HRET-HEN-READMISSION@ahals.aha.org<mailto:HRET-HENREADMISSION@ahals.aha.org
Surgical Site
HRET-HEN-SSI@ahals.aha.org<mailto:HRET-HEN-SSI@ahals.aha.org
CLABSI/CAUTI & VAP
HRET-HEN-CLABSI-VAP@AHALS.AHA.ORG<mailto:HRET-HENCLABSIVAP@AHALS.AHA.ORG
Falls & Pressure Ulcers
HRET-HEN-FALLS-PRESSURE-ULCERS@AHALS.AHA.ORG<mailto:HRET-HEN-FALLSPRESSURE-ULCERS@AHALS.AHA.ORG
VTE
HRET-HEN-VTE@ahals.aha.org<mailto:HRET-HEN-VTE@ahals.aha.org
Overview – Illinois HEN
Partnership – IHA & HRET
 Partnership for Patients funded resources
• Data collection and Progress monitoring & support
– Selection of measures that minimize data collection burden
– Comprehensive Data System (CDS)
• secure, web-based data collection system. Users must have a
connection to the Internet and a browser which supports SSL
(secure socket layer) encryption.
• 3,597 registered users with 62 percent of hospitals submitting
data on at least one measure
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Overview – Illinois HEN
Partnership – IHA & HRET
 Partnership for Patients funded resources
– Comprehensive Data System (CDS)
• Data administrator - Data administrators should be persons
with experience in data collection and measurement. An
administrator will be permitted to add and delete users, edit
data, and view reports (when available).
• Data entry user - Data entry users should have experience with
entering data, and shall only be permitted to enter and edit
data.
– Encyclopedia of Metrics
– Support of multiple data entry modalities
– Illinois Data Plan
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Overview – Illinois HEN
IHA
 Illinois HEN Data Plan
• ADE - IHA COMPdata, hospital
• CAUTI - IHA COMPdata, NHSN
• CLABSI - IHA COMPdata, NHSN
• Falls - IHA COMPdata, NDNQI
• OB - IHA COMPdata, hospital
• PU - IHA COMPdata, NDNQI
• Readmission – IHA Database
• SSI - IHA COMPdata, NHSN
• VAP - IHA COMPdata, NHSN
• VTE - IHA COMPdata, NHSN
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Overview – Illinois HEN
IHA
• IHA HEN Coach
– Each hospital will have a primary HEN staff member (Marie, Sara,
Adam) assigned to them who will act as your “point person”
– You may direct any questions, concerns or any HEN related activity
through your point person
– They will be acting as your mentoring coach and will work with you
as you plan your implementation, monitor your progress and move
forward throughout the initiative
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Overview – Illinois HEN
IHA
IHA P4P HEN Weekly Update
– sent out each Friday
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Upcoming Events (webinars, workshops, etc.)
Hospital Highlights
Reminders
Other resources to help you
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Weekly Update
Overview – Illinois HEN
IHA
– Quality Leader Boot Camp
– CPHQ, ABQAURP
– National Patient Safety Foundation
– Community – American Society of Professionals in
Patient Safety
– Education – NPSF Online Patient Safety Curriculum
– Certification-Professional Advancement
• Practice Test
• Certified Professional In Patient Safety
Certification Examination
– Board Level Engagement
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Statewide Workshops
3 Statewide Workshops - July
– Springfield, Naperville, Salem
Goal : to leave the meeting with a set
plan of action and necessary tools
to achieve the 40%/20% targets
Will be held in between “Waves”
going forward
Data
Hospital
specific HEN
Network
Reports will be
provided by IHA
Use this data
to help
identify&
prioritize your
focus areas &
track progress
Data
Control charts
for the ten HACs
will be provided
by IHA
Questions?
For additional information & questions contact
Marie Cleary-Fishman at 630-276-5585
(mcleary-fishman@ihastaff.org)
or Adam Kohlrus at 217-541-1181
(akohlrus@ihastaff.org )