Georgia Hospital Engagement Network
Patient and Family Centered Safe Care
Putting Patients First
11/20/2013
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Continuing Our Positive Net Forward Energy
Celebrating Our Success
State of the GA HEN
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In Pursuit of 2013 HEN Targets
Savings: $58.8 – $62.5 Million!
Patient Harm Prevented:
4,521 Incidents of Harm
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Keep the Drum Beat Going.
Keep the Drum Beat Going.
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Special Guest
• Senator Johnny Isakson
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Keep the Drum Beat Going.
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Keep the Drum Beat Going.
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New HAI Data Submission for 2014
– Hospital wide CLABSI and CAUTI
– Additional SSI: Hip and knee prosthesis
– VAE: IVAC, Possible, probable VAP
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Keep the Drum Beat Going.
9416
8820
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8677
8573
8953
8207
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7771
8216
8222
7748
Georgia’s readmission rate
per 1,000 beneficiaries
ranks in the middle of the
country
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Reducing Readmissions -- 2011 – 2012
Progress is being made!
Keep the Drum Beat Going.
Hospitals Meeting Benchmark in 7+ Areas of HARM
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Barrow Regional Medical Center
Coliseum Northside Hospital
Habersham Medical Center
North Fulton Hospital
Oconee Regional Medical Center, Inc.
Piedmont Newnan Hospital
Stephens County Hospital
Tanner Medical Center/Carrollton
Ty Cobb Regional Medical Center
Wayne Memorial Hospital
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Keep the Drum Beat Going.
Most Extra Credit Points (Top 20!)
St. Francis Hospital, Inc.
Hamilton Medical Center
Habersham Medical Center
Southeast Georgia Health System Camden Campus
Redmond Regional Medical Center
North Fulton Hospital
Colquitt Regional Medical Center
Floyd Medical Center
Medical Center of Central Georgia
Ty Cobb Regional Medical Center
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Fairview Park Hospital
Northridge Medical Center
Erlanger at Hutcheson
Wayne Memorial Hospital
Upson Regional Medical Center
Meadows Regional Medical Center
Effingham Health System
Dodge County Hospital
Newton Medical Center
Oconee Regional Medical Center, Inc.
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Keep the Drum Beat Going.
HEN Faculty – Hospitals that have been among our
presenters
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Emory Johns Creek
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Floyd Medical Center
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Ty Cobb Hospital
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Effingham Hospital
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Atlanta Medical Center
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Grady Memorial Medical Center
Dekalb Medical Center
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Karen Cook, Studer Group
Julie Apold, MHA
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Dr. Teresa Pounds, PharmD
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Dr Greg Maynard
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Bonnie S. Norrick
Kathy Duncan
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St Mary's Health Care System - Kathy
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Goodenow RN BSN CCM Director of Case
Management
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St. Joseph’s/Candler Health System - Dee Dee
Seagraves RN
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Grady Health System - Sonya Cruel From
Southeast Georgia Health System - Sherry L. Sweek,
RHIA, CPHQ, CPMSM Director, Quality Improvement
Dodge County Hospital – Melody Brown
Peach Regional Medical Center – Colleen Dressler
Effingham Hospital – Mary Pizzino -Numerous times
Northridge Medical Center -Selina Baskins – Numerous
times
Phoebe Dorminy Hospitals – Butch Rathburn –
Numerous times
Coffee Regional Medical Center, Inc. – Lisa Metts
Oconee Regional Medical Center, Inc. – Rita McGinnis
Georgia Regents Health System - Bernard Roberson –
Numerous times
Bleckley Memorial Hospital – John Roland
Monroe County Hospital – Kathy Louth (Numerous
times)
Washington County Regional Medical Center - Jan
Horadan
Louis Smith Memorial Hospital - Tina Register
Keep the Drum Beat Going.
HEN Faculty – Hospitals that have been among our
presenters
Regional Meetings
Patient & Family Engagement
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National Partnership for Women & Families Courtney Roman, Outreach Manager at the
Georgia Regents Medical Center - Bernard Roberson,
MSM, BA, HSC Administrative Director Patient and
Family Centered Care
Patient Advocate Lead National HEN Patient &
Family Engagement Affinity group - Lisa Morrise
Georgia Regents Medical Center - Steven Scott COO
Georgia Regents Health System - Jim Rush
Compliance Officer
Spalding Regional Medical Center - Luretha Russell
Bleckley Memorial Hospital - John Roland CNO,
Quality, Accreditation
Georgia Regents Medical Center & GA HEN David
Andrews, Patient Advisor,
Atlanta Medical Center - Lisa Brewer Dixon, RNC,
BSN, MSN Patient Experience Officer
Higgins General Hospital - BJ Brock
St. Mary’s Good Samaritan Hospital – Shondia Evans
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Selina Baskins, Director, Quality
Improvement, Northridge Medical Center
Emory Health System - Dr. Nicole Franks
Emory Health System – Naphtali ‘Tali’ Edge
Clearview Regional Medical Center - Susie
Payne, Resource Management Director
Gwinnett Medical Center - Susan Troccia,
Director, Coordinated Care
Northridge Medical Center -Selina Baskins
Effingham Hospital – Mary Pizzino
Columbus Regional Healthcare System Freya Gilbert, Senior Director of Quality
Management
Southern Regional Medical Center - Brenda
Kendall, Director, Quality Services
East Georgia Medical Center - Rhonda Jones
Clinch Memorial Hospital – Wayne Lee
St. Joseph’s/Candler Health System - Dee
Dee Seagraves RN
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HEN Faculty – Hospitals that have been among our
presenters
Our Community Partners who
have presented at the
readmissions affinity group call
and regional meeting:
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Community-based Care Transition
Program – Mary Blumberg & Cyndi
Burke, ARC Care Transitions
Coordinator
Alliant/GMCF –Jennifer Hodge,
Linda Kluge, Dr. Adrienne Mims, Dr.
Kim Rask, Cindy Prosnak
Healthcare Quality Improvement
Program Island Peer Review
Organization, Inc. (IPRO) - Vicky
Agramonte, RN, MSN Project
Manager,
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Northwestern Memorial Hospital Kristine Gleason, MPH, RPh, Clinical
Quality Leader
Amedisys Home Health - Shondra
Davis RN
Ethica Health and Retirement
Communities - Holly Brown, GNP
Bolingreen Health and Rehabilitation
- Sharon Crowell, RN-BC
Gerontology, Director of Nursing
Bolingreen Health and Rehabilitation
- Agnes Ogoo, RN
Health and Rehabilitation Group Cally Freeman, LPN, Bolingreen
Georgia Public Health
CDC
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Executive Quality Action Committee Members
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David Andrews, Patient Advocate, Georgia Regents Medical Center
Sheila Bennett, Chair, Floyd Medical Center
Susan Bowen, Shepherd Center
Montez Carter, Good Samaritan
Nicole Franks, MD, Emory University Hospital Midtown
Freya Gilbert, Columbus Health
Roy Gilbreath, M.D., DeKalb Medical
Babs Hargett, Emory Healthcare
Angie King, St. Francis Hospital
Steve Mayfield, Medical Center of Central Georgia
Mindy McStott, Tift Regional Medical Center
Norma Jean Morgan, Effingham Health System
Heidi Nelson, University Hospital
Teri Newsome, Habersham Medical Center
Mary M. Pizzino, Effingham Health System
Sherry Sweek, Southeast Georgia Health System
Tina Thomas, To Cobb Regional Medical Center
Keep the Drum Beat Going.
Keep the Drum Beat Going.
2014 GHA Board of Trustees
Patient Quality and Safety Commitment
We congratulate Georgia hospitals for their intensive work on
eliminating harm across the board. Georgia’s hospitals have embraced
the concentrated effort to decrease hospital-acquired conditions
associated with falls, adverse drug events, venous thrombolytic
embolism, obstetrical adverse events, and hospital-acquired infections
by 40% along with reducing preventable readmissions by 20%. Your
accomplishments resulted in Georgia being one of only six recipients of
the Leading Edge Advanced Practice Topics funding. With third-year
funding for the HEN comes a greater emphasis on specific areas. These
include patient and family engagement, eliminating health disparities
and enhanced rapid cycle improvement to reduce Catheter Associated
Urinary Tract Infections (CAUTI) and readmissions.
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Keep the Drum Beat Going.
In November 2013, the GHA Board of Trustees adopted the following 2014 specific quality and patient
safety goals. We strongly urge all Georgia hospitals to commit to:
Enhance Patient and Family Engagement (PFE) in Eliminating Health Disparities
• Prior to admission, hospital staff provides and discusses a discharge planning checklist with every
patient who has a scheduled admission, allowing questions or comments from the patient or family
(e.g., the planning checklist may be similar to the CMS Discharge Planning Checklist)
• Hospital conducts shift change huddles and does bedside reporting with patients and family
members in all feasible cases.
• Hospital has a person or functional area, that may also operate within other roles in the hospital, that
is dedicated and proactively responsible for patient and family engagement and systematically
evaluates
• PFE activities (e.g., open chart policy, PFE trainings, establishment and dissemination of PFE goals).
• Hospital has an active PFE Committee OR at least one former patient who serves on a patient safety
or quality improvement committee or team.
• Hospital has at least one or more patient(s) who serve on a governing or leadership board and serves
as a patient representative.
Reduce Catheter Associated Urinary Tract Infections (CAUTI)
• Address the hospital’s culture, criteria, care, competency and communication in reducing CAUTIs.
• Concentrate on patient and family engagement
Reduce Readmission
• Use of an evidenced-based model shown to reduce readmissions which includes, at a minimum,
patient education, medication management, and follow-up.
Keep the Drum Beat Going.
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+ 365
406
Days Remaining!
Looking Forward to 2014
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Laser Focus on Reducing Readmissions and CAUTI
Harm Across the Board
Leading Edge Advanced Practice Topics (LEAPT)
Continuation of Affinity Education and Cohort Coaching Calls
Hospital Visits
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Keep the Drum Beat Going.
Mark Your Calendars!
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11/27 -- Best Practice Snapshot Survey Due
12/6 – 1:00 – 2:00 Staff Nurse Rounding with Karen Cook Webinar
12/11 – 11:00 – 12:00 Rounding Implementation with Karen Cook Webinar
12/15 –HEN-HAC, EED and HAI (for CAH) October Data due
1/8-9/2014 -- Patient Safety Summit
1/15/2014 – HEN-HAC, EED and HAI (for CAH) November Data due
February 4, 5, or 6, 2014 – Kickoff HEN (Quint Studer speaking – invite
your CEO)
• 2/15/2014 -- HEN-HAC, EED and HAI (for CAH) December Data due
• 3/15/2014 – HEN-HAC including Opioid ADE, EED and HAI (CAH)
January Data Due
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Keep the Drum Beat Going.
Thank You!
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